0543 (2)NIIJTE1. 11
With proper validation
this form constitutes'an
encroachment permit :CITY.OF LA'QUINTA
ti-
,:: n
APPLICATION •F60PERMIT
.. PUBLIC WORKS 'CONSTRUCTION, (ENCROACHMENT)
For the,'constructionof 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 x' '
b
DATE'.' March 22, 1990 Minor Improyement Permit Class IV
F
LOCATION OF CONSTRUCTION mR 2-1971-1- Wash incrton Street and Miles Avenue'
:,(Street address or Description of Location)
PURPOSE OF CONSTRUCTION o street improvements Sketch (attach construction plans if appropriate)
;DESCRIPTION OF CONSTRUCTION per approved plans PER APPROVED PLANS ON FILE
DIMENSION OF INSTALLATION OR REMOVAL
i.
SIZE OF. EXCAVATION; IF NEEDED a '
APPROXIMATE TIME WHEN WORK WILL BEGINA/9R {.
APPROXIMATE TIME OF COMPLETION 919 1
` ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris; tiackfilling,'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,-Iiabilities or loss. resulting from claims or court action and arising out of any accident, loss.m,damage-to persons'orSproperty'
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 124) hours in advance of .the time when work'vvill' be started."?
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of'the Crty, of .
La Quinta and to pay•for any additional replacement necessary as the redof this work.'
Signature of Applicant or Agent U :,r, ,
nPanP 'HomPs -La Ouinta LP 15 Auctusta Drive Rancho Miraq'e 321-8004
Name of Applicant (please print) ,. Business Address iTelephone, No'„ .: • : ,i ' .k
mAtich Corporation, Bob Downs .PO -Box50000 San. Bernardino- '• (619) 3'2$-7165
Name of Contractor and Job Foreman Business Address ,. ,:. Telephone
149783 j 595
Conteactor's-License No... - City Business License No.
4
Araonalit TnsuraLC20492114647
nce
Applica'rit's Insurance Company Policy Number,_ '
FEES: ,Subdivision Improvement Permit -,Class III 0055 1.0' 297"3 03-26-.90 10
"10 �AShI i if1TAL .5, ' iA066. 00
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule A 0543 �-r��_ NON
Inspection Fee _$' -1 A stir, - n PERMIT•VALIDATION
Permit Fee PERMIT NO. 0543.
Penalty 3/22/90
Cash Deposit -Surety Bond DATE APPROVED s
if required EXPIRATION DATE 3/31/91
TOTAL: $ 14,066.00
.DATE ISSUED
Receipt No.
,r
By ,
Received by Date Administrative Authority'
Recorded by TELEPHONE:.(619) 564-2246 ,
'''V.1 . .
NOTE:
-^- With proper validation -
j` this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
1
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
March 22, 1990 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION TR 23971-1 Washington Street and Miles Avenue
(Street address or Description of Location) '
< PURPOSE OF CONSTRUCTION street improvements Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION per approved .pians PER APPROVED PLANS ON FILE
DIMENSION OF INSTALLATION OR REMOVAL n�a
SIZE OF, EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN4/90
' APPROXIMATE TIME OF COMPLETION 9/91
ESTIMATED CONSTRUCTION COST $ 956.600
(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, harmlessifrom and against any and all
i, 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 resul of this work.
Signature of Applicant or Agent I
Deane Homes La Quinta LP 15 Augusta Drive Rancho Mirage 321-8004
Name of Applicant (please print) Business Address Telephone No.
Manch Corporation Bob Downs PO Box 50000 San Bernardino (619)328-7165
Name of Contractor and Job Foreman Business Address Telephone No.
149783 595
Contractor's License No. City Business License No.
Argonaut Insurance LC20492114647
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 14 .066.00
I
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
$ 14,066.00
Receipt No.
Received by Date
I Recorded by
10,"`97 U3 -26-9p i0
: C1AS)i fi f()1`AL 1 14066. 00
0543
PERMIT VALIDATION
PERMIT NO. 0543
DATE APPROVED 3/22/90
EXPIRATION DATE 3/31/91
DATEISSUED 3/22/90 Y
By
'.t Administrative Authority
TELEPHONE: (619) 564-2246
+ t Th ,_.lowing General and Special Provisions are attached to and#1!part of Permit No.17
• ` GENERAL PROVISIONS
Y '
''. The following shall always apply:
y ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way
?; ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors)to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYINGCONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on any
paved surface unless fitted with smooth -faced street pads..All mechanical outriggers shall be fittedwith rubber street shoes to protect !
w the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred. City of La Quinta shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches, (2") of A.C.
surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shell be placed and maintained for the duration
i of the project. The City shall be notified 24 Hrs. in advance of any traffic detours or delineations. r
' CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be,replaced in kind. In the event.it becomes
necessary to remove or cut existing' drainage structures, City of La Quinta shall be notified prior to commencement of this work.
Drainage structures and open drains shall be kept free of debris at all times for proper drainage.
i RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of
t way. All paved surfaces shall be broomed clean of earth anclother objectionable materials immediately after backfill and compaction. -
Existing gutter line and drainage ditches shalt be replaced to their original standard or better. All excess material shall be removed
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used
immediately after backfill.
DE -WATER OPERATIONS. If de -watering operations are required and pumps are forcing water on City of la Quinta roads, it shall be
the responsibility of the permittee (contractor) to control this water and to provide off-street barricades wheii necessary.
_ CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
• SPECIAL PROVISIONS r
The follwing,shall apply ONLY when indicated:
\ H1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction.
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amountof not less than $
shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the various Le Quinta
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be
R?posted prior to commencement of any work on this project .
UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right ofwayauthorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing substructures resulting from operations conducted under -this permit shall be the sole responsibility
{ of the permittee.
R4 UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are dear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
R5 . PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be
surfaced with inches of A.C. paving placed on inches of class aggregate subbase course
having an"R" value of not less than and in conformance with City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461. 1 '
R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be gradedto a slope of
1 /4 iAch to one foot (11. .
R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
construction.
R8 RADE CHECKING: City of La Quinta shall check grades upori receipt of plan and profile and/or grades as estabfished by
a licensed engineer.
9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet)shall be
f removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
R10' DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter•existing drainage pattern. Surfacing between the
property line and the existing road paving shall be 2-1/2 inches of A.C. paving placed on (_") of class -
aggregate base. Driveway construction shall conform to attached drawing.
811 CULVERTS: A' inch diameter( )culvert shall be installed with the invert approximately 1-1/2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing.
f 6R12 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained:
R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall complywiththe
manufacturer's specifications. '
R14 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or
Citv of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
w _ , R15 URVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completelytied out so they may be readily and correctly
be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the
ties to these monuments shall be furnished to the City Engineer prior tothe removalof any monuments. Thisofficeshall
be notified upon completion of replacement of all survey monuments for proper project clearance.
°' RD~ 31 r } .
SURVEY MONUMENTS: Prior to excavation or beginningc"on, all survey monuments shall betied out try City
of La Quinta and suitable payment or guarantee of pay all be made as reimbursement for all work involved.
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment
be used to excavate prior to cutting of pavement). Excavation material shall be placed in such a position as to best
facilitate the general flow of traffic. Prior to final paving operations, any damage to pavement straight edge shall be
corrected.
R18 'A NT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
pavement straight edge shall be corrected.
V9,
LIMIT OF EXCAVATIONS: Excavations shall be limited tot,000linealfeetofopentrenchbeforebackfilloperationsmust
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays forthe protection of
the traveling public. The Public Works inspector shall determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
aria is
is actually on the work site.
R20 ACKFILLMATERIAL,Backfillshalibefree ofbrush, roots or other organic substance detrimental to its use for purposes
`� of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or
replaced by an approved sand or gravel.
R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of not greater than
three feet (31 and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any
case a relative compaction of 95 percent shall be attained within the structural section of the roadway.
R22 ACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
fore flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain
the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and ihe.water,
supply shall be continuous.
R23 COMPACTION TESTS: Ifso required by the inspector, compaction tests shall be made at intervals of not more than
feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
R24 MPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
ne (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
HOnsisting
MPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed
after a maximum of 3,000lineal feet of trench has been excavated and backf ill operations completed, but in no case shall
he placement of the temporary, pavement exceed a fiva (5j day limit.
R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch
consisting of two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches N.C.
surfacing placed on a inch lass base shall be placed no later then days after completion of
temporary road repair. �achofthreepincchles(
�es9ting
�(R27 PAVEMENT REPAIR: F.A.S.: Uponcompletibno bac IIk1S andcompacttcooftwoinches(2")
of cold mix paving (SC -800) shall be placed immediately. A permane.C. surfacing shall
be placed on six inches (6') concrete base as directed, but not later than fifteen If 5) days after completion of temporary
paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461.
R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas
where such seal coats existed prior to issuance of this permit. Seal or armor coats shall be applied as specified in Section
37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repair to
be accomplished by a licensed contractor engaged in the business of pavement repair.
R30 STREETRESTRIPING: Where street striping isstill visible onstreets tobeexcavated. such striping shall bereplaced upon
completion of permanent repairs.
R31 TREE RELOCATION. OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public.
It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location
Trees to be removed shall be removed in sections which can be handled safelywithout interference or hazard to highway
traffic. The entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the
highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it
becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate
signs, flagmen and/or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction
tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated
r January 1973.
R32 TREE TRIMMING:
Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year.
All broken or weak sections within the trimming shall be removed.
Where it becomes necessaryto restrict traffic, the work shall be restrictedtoa maximum of 500feet at any one time.
Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times.
If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own
arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided
by this permit.
All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public Works Inspector.
Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees.
Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast heating in all cuts of two inches
(2'1 and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector.
..._ � . ,._ .:-.,._,,.., ti,_., ;-�- �- ..-. .. .-;. ..�..�� y ,�1. ;,,,, ...mow. - 't�.v,' .. +.,y:Y_;w,y.• •�.
?S'i"�
SPECIAL CONDITIONS --PERMITS NO. -054.2 and -'0543
�. �rUTILITY and. STREET.IMPROVEMENTS-- TRACT NO. -23971•-1
The following conditions shall be men to.the ,satisfaction of the
City Engineer.
1. Street closures.shall not.be•allowed at any time.
' 2. Streets shall be kept'•cleah.' They -shall be be 'completely
cleaned at the end.of the working day,and more frequently if
required.
` .3. 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" *Apri1 30.• Monday -Friday f7 OOa.m.-5:3Op. T.,
Saturday-8:00a.m.-5:00p.m.
4 - May•lst.to September•130: Monday -Friday 6:00a.m.-7:00p.m.
Saturday 8:'00a.mi-5:00p.m.
Work shall- be, prohibited. anytime.'on•-Sunday and Federal
holidays.....{..
4:. Construction -'traffic `shall be permitted a,single.access' point
off ..Miles Avenue: only, subject to the approval of the City =
°Engineer: �• Permittee shall furnish; install, and maintain
stop signs to .stop construction traffic, prior to entering
Miles'Avenue.' Ingress and: egress shall be right •in and -right
out only`onto•Miles•Avenue. 'Advance*,warning signs -'and traffic
4 control',shall be}'installed and maintained.. in accordance with
CalTrans Standards -,'and subject to the approval"of'the-City
r .. 4 ..
Engineer.
w
Two unrestricted paved travel. -lanes shall remain open on
Washington Street at -all times..<Temporary,pavement shall be
placed following : each working,.day. •=Traffic -may be detoured
onto. paved - surfaces only. , A' phasing "diagram of utility `
installation shall be• furnished nto 'thee City; Engineer for
approval. Utility, 'installation shall .begin>on" the east side
of the edge of pavement..on'Washington Street. There shall --be'
a no pavement cut on Washington Street until *ch time as the "
t new widened street_ improvements are completed•through leveling
course of asphalt�cbncrete to accept traffic:
Traffic 'control shall be as"per�'Ca1: 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`. Flagmen shall be
required at all times during work on Washington Street. A
Traffic control.plan.shall be submitted prior to commencing
'construction for the"approval• .by the -City, --Engineer. '
NOTE:
With proper vb idation
this fkc,orm constitutes an CITY OF LA O,UINTA
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 Ill
DATE: 3-22- Q 1D Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION -M�
r
C'UQ1t[�OF� G%IA�►.1, ..� hZ�� S`C'(L =_rte' � M� l_ � � b� rr� .
(Street address or Description of LocatioW
PURPOSE OF CONSTRUCTION - c51Q��� 1VAF9WLMQAJ1-S Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION SRRE(-_r IM2&UCM15=7w1 S
SFr--_ AcracN►.n
DIMENSION OF INSTALLATION OR REMOVAL to
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN t L 'IRTO
APPROXIMATE TIME OF COMPLETION SCP% 19 9 1
ESTIMATED CONSTRUCTION COST $ A77-4 u4610
(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 properiy
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
Q0%N115A. L. e- 1S Qvnus-m . na- R4Nttp KWA 321 g00 g
Name of Applicant (please print) Business Address Telephone No.
M C -U I&A 00WIN)s P -A-) _-•Rnx-5nwncin—San-Bernardino ( 619) '128-7165
Name of Contractor and Job ForemanBusiness Address UTelephond N` o.
f
149783 595 y
Contractor-s-1'nse,,No.,.jC-ity:Business-License-No.;
Argonaut Insurance LC20492114647
Applicant's Insurance Company rP"olicy-Number
FEES: Subdivision Improvement Permit —Class III
Public:improvements: 3% 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.
Received by Date
N°
PERMIT VALIDATION
PERMIT NO. . '
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Y: II
Recorded by
TELEPHONE: (619)'564-2246
Y. -
Administrative Authority
of �'h'J�'i''�]..•'W..rN' f,'{' � - . .
f." r ' _
Y
.
=
sr,= EN'ROACHMENT'PERMIT FOR ALL IMPROVEMENTS: LA,QUINTA Tract*23971-1
on-site_ street iinprovenients :
$357; 300-
off-site street,. improvements
258;000
(Washington Street)
Off-site streetY�
improvements
p
121 3.00
(Miles Avenue)
Perimeter lotYlandscapingA _t
'(Miles,
76,000 �• <R
. Avenue) `
1
Perimeter lot landscaping,g
ff
(.
WashngtonStreet).
.
140000. r
Survey ' monuments
4',,40 0 ;
$956, 600'.
.Fees figured as follows:
*,'3% on first ' $150, 000 .
- $4', 5040.00 '
2% - on second $150,000'
- 3.81060. 00
1%' on anything over $300;000.
6,566 00
;w. Total Due:$14,.066.00
' .TO•CITY,OF LA QUINTA '
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DEANE/L•A QUINTA .L.P.
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15' AUGUSTA DR.'AMPERIAL BANK -
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RANCHO "MIRAGE. CA. 92270
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DATE.
-• AMOUNT,"
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-
3-39-90
14,066:00
-
`- ORDER -
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OF
12.88;..
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11,00 i 2 5 20 a :'12 2.2011, 1110B!F' 108
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•
- �. DEANE/LA OUINTA L.P. y 'DETACH AND RETAIN THIS STATEMENT"
MN •ATTACKHD CRHCK i iN pgvMHRT Op ITEMS
•
•
. OESCRISED
• OT CORRECT pIHASH NOTIFY US IRO -;Z. - MO RHC..-
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" DELUXE FORM TWVO.4 SPL N-128"
DATE
- -
`' {*- r DESCRIPTION-
- -
-
AMOUNT:
'-DISTRIBUTIONS
-. ACCT:NO.
AMOUNT .
+ 3/19:'
EncroacY.anent permit fees+ for improvements
F
Tract 23971-1, Ouinta,..cw., `
,.
61008.12.,14,;066.00
�. N-128,
-04;22!93 • 09:37 ,' NO. -474 D01.,.; ;
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FAX �OVER'HEET '
22/ 93
00
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W, CITY OF LA QUINT—A"564 15617 ` � , .-,
+i ACTOR ' IN ENG=- RING DEPT.
*: 4 GORDON REES
CER MC4LM OF. INSURANCE FOR AMREASE'°N CONSTRUCTION.
HERE IS TEE EVIDENCE OF INSURANCE ISSUED ON •BEHALF OF QUR INSURED AND - s
�• PRCNIDI G LIABLLTI'Y INSURANCE, THE ORIGINAL WILL BE MAILED TO YOU ,. t
' w a 7x4 r - - _ ` .�' 7'• hl '��S '.
, ' _ • � • - ' i 4 epi. ° i .
<� CARCIA INSURANCE, INC r
2099, E. thguitz•McCallum Way, •- Palrrr Spring( Cjfornia 92262 (4191'310.111'1 • FAX (619) 320.1115
�p►,,�'c�. � 1. ..4i aa�."., x•.�a,.; °7!', ' r,�A1�'�`.1.sJ`���'�-?+�i.�:w�.A: •
04i22i93. 09:37
NO. 474 _ D02
e�►IwI�i�Ilm CE�IFICAT 0i INS R.: ISSUE LATE (MM
PRo�uceR
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
}
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
CTASTLW(T�INC
'
COMPANIES AFFORDING COVERAGE'
P. 0. BOX 2803.
! PALM SPmrs, CALIF. 92263
GoMPANY : t��7+ AT. /+L�
A
j
LETTER AC tr YC P�Ie� L IOiw L� I�ISL1I ivr,'
3
COMPANY
INSURED
LETTER
LETTER
COMPANY
I
PETE ANmREACEN A-
I
LETTER
AMRWEN =S•i.Lt C71OLV
COMPANY .. _ - ...
D
.
0, BOX 166871
LETTER
TPS.
f1 y
LA QViM, CAI�ZE'. 76253
COMPANY
E
LETTER
COVERAGE$
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY:RECUIREMENT, TERM OP
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI•IICH THIS
t CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
AFFORDED BY THU POLICIES DESCRIBED HEREIN IS SUBJECT TO-AI,L,THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
3
CO TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS -
DATE (MMiDWYY) DATE (MMIDDIYY)
LTA
4 GENERAL LIABILITY
7 GENERAL AGGREGATE
2 "'000
J COMMERCIAL GENERAL LIABILITY ��D�f �1 L
X BCP2226600
[1 y 7 PRODUCTS-COMPIOP AEG. $ ,
x111
11/6/92 x.1/1/93 PEHSONAL & ADV: INJURY 31,000 �/V�/0o
A, CLAIPAS MAUf OCCUR.
I OCGUHHENCE' $1.,00Cf01� V5l0o.
fOWNER'S & CONTRACTOR'S PROT.
EACI r
FIRE DAMAGE (Any one tiro) JU . VVV
MED. EXPENSE (Arty ww pmon)• S 5,000
AUTOMOSILE LIABILITY
COMBINED SINGLE $
LIMIT
i ANY AUTO
ALL OWNED AUTOS
BODILY INJURY $
(Per pr/f!=)'
3 SCHEoULED AUTOS
I HIRED AUTOS
'
BODILY INJURY(Per
accident)
NOW -OWNED AUTOR
GARAGE I !ABILITY
S
PROPERTY DAMAGE 3
EXCESS LIABILITY
UMBRELLA FORM
OTFiER iHAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS'. LIABILITY
OTHER —~
DESCRIPTION OF OPERATIONS!LOCATIONSIVEHICLESJSPECIAL ITEMS
AS EVIDENCE OF INSWNCE
CEIRTIFICATE HOLDER '
CITY OF LA QUINTA
P. 0, BOX 1504
T -A Q1ilwA, CA. 92253.
FAX lf564-5.617
in ?C_Q 1916!11
EACH OCCURRENCE 3
AGGREGATE S
STATUTORY LIMPIS
EACH ACCIDEN I'
DISEASE—POLICY LIMIT 3
DISEASE—EACH EMPLOYEE
SHOULD ANY OF`THE ABOVE DESCRIBED POLICIES BE CANCELLED SEF.ORE THE
EXPIRATION DATE THEREOF, -THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL N DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THF
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OA REPRESENTATIVES,
AUTHORIZEDPF�E6@NTATI' LA�
RC'TA CI INC e'
.� .5•-fi t1� � '�'�'` .. , ..-. .. � _y�l�. ,r�r�*�ti��t 'a<rr` .� try'
••,TA��lY�l'� Y� - v 3,� 1 4- 5' rad..`" . _ js..,
7&105 CALLE ESTADO r- LA QUINTA, CALIFORNIA '92253 •(619) `564-2246'
-A ril 22,E 1993
United Savings Bank
144 -Willow Lake Drive��
Palm Desert, CA 92260
Attn: = D. Earl Turner'
Re: Encroachment N Encroachment Permit No. 0543 +� . �-� F
Dear Mr. Turner: - _ ;' L .4 ' r
The City of. La Quinta hereby grants a time extension on Encroachment Permit No. 0543, for
' the'street improvements to Tract 23971-1 (La Quinta Del Oro); with all conditions remaining
i in effect and the additional condition `below; br�
The permittee shall be responsible for any fugitive dust'that is -created by his construction ;r
} efforts or is a result thereof.
'The new expiration is March 31,1994.
.4- r Please notify.the`City Engineering Department 24 hours in advance of the time when work will A
= begin.
you have any 'que'stions' regarding this matter, please contact me at. (619) 564-2246 (ext.226):: fi
V; 'Very truly yours .
Hector Guzman
Engineering Technician
cc: John Freeland `
Mike Hudson ,
3 M1 VEncroachment-Permit�Fle
; r` MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253, .
APR 20 '93 06:57 .SCIF RSIDE
• P.O.- BOX 420807; SAN FRANCISCO, CA 94142.0807
w
:,CQM�CNSATt.QN
FUND
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE.'
PR IL 20., 1993 � R:1270892 = .92 2t J.
• ' ,'A POLICY NUMBER" .-
,, t CERTIFICATE EXPIRES ` �`&=23
CITY 'OF LA QUINTA G ;� '*, r•.
- ^ � 4 •, Aty14
BUILDING AND SAFETY
S i
p.o: BOX'1504
LAr. QUINTA „CA 92253 4rb'�
_L
This*is.to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the Califorrna
Insurance Commissioner to the employer named below for the policy period indicated. r•�' ' " �:� G s —
�', This policy is not subject to cancellation by the Fund except upon ten days' advance written notice totheemployer_'"''
We will a•ijo give you TEN days advance notice should this policy be cancelled prior to its normal ex'pirat on-�
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the_,..,
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this. certificate of'insurance may be issued or may pertain, the insurance afforded by -the policies;: -'-�
described herein is subject to all the terms, exclusions and conditions of such policies.
PRESIDEI\tT
T . a Fk +tl,ir r . i - ' � ~•• .•J 1LY }' ._ ; _5 /'�l'^.
t, r x `//•f`/'t (' I K/i -Of1�/..�^/ k•. �� ;�t. f "x t' . r'''
EMPLOYER ff i 4
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'\
NORBY P. ANDREASE'N r.; a
' 'ANDREASEN CONS`S'RUCT�ON
.'P:O. BOX' 1681 �_,'
• LA.QUINTA CA 92253 BS
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