05891MW 1- :. •
With proper va�idation
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'lmprovement Permit — Class III
DATE: April 18, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION TR 25499-2 PGA West
K
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION street improvements, Sketch (attach construction plans if appropriate) y
storm drainaae�
DESCRIPTION OF CONSTRUCTION t "
-as per approved plans on file
..; ..
'_DIMENSION'OF INSTALLATION OR REMOVAL
i
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL•'BEGIN 5/21/90 `
�-
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST
(Including removal of all obstruction; materials, and debris, backfilling, com-
paction and placing permanent re�su,yrffr
acing and/or replacing 'improvements) .
In consideration of the granting of this permit, the applicant hereby agrees to: r
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees; harmless from and against any,and.all,w•�
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 starteT
Comply with all applicable City Ordinances, the terms and conditions of the pelt and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result�of thus�jw�or/k
c
Signature of Applicant or Agent f
National Mortqaqe &•Land Co 42-600 Cook St. Ste.'200 Palm Deter.', CA 568-2828
Name of Applicant (please print) Business Address Telephone No.
same
Name of Contractor and Job Foreman Business Address Telephone No.
288130 '328
Contractor's License No. City Business License No. j�j
�
r . �.
Aetna, Genral Liability 083ACM5726732; Workmens Comp CK006873CSA
Applicant's Insurance Company t Policy, -Number
FEES: Subdivision Improvement Permit — Class I I I t
Public improvements: 3% of estimated construction costs .
Private improvements: 3% of estimated construction costs
Minor Improvement Permit ,= Class IV: See attached schedule
Inspection Fee $ 6,430.00 II
Permit Fee
Penalty
Cash,Deposit-Surety Bond
if required
TOTAL/ $ 6.4.1o.00
Receipt No. ✓ 7�//U7 /r Z' '
Received by ;��� Date/z
Recorded by
0055.8 - p "8 ,g 04-24- 90 ii •
S��.r Lr't H T(ITA� 1 6430.00
re 0
2 0589 ,
PERMIT VALIDATION f
PERMIT NO. 0589
DATE APPROVED 4/18/90
EXPIRATION DATE 12/31/90,
DATE ISSUED- . , 4/18/90
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
V
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
a ,
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: April 18, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
�,TR 25499-2 PGA West
X
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Street imAroVements , Sketch (attach construction plans if appropriate)
storm drainacre F »�
DESCRIPTION OF CONSTRUCTION
as per approved plans on file
DIMENSION OF INSTALLATION OR REMOVAL _-
SIZE OF EXCAVATION, IF NEEDED f
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/21/90�
APPROXIMATE TIME OF COMPLETION '
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction; materials, and debris, backfilling, com-
paction and placingpermanent resurfacing and/or replacing improvements)
wi:.
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''�tAdminist�ative Authority at least twenty four (24) hours in advance of the time when work will be started.
Comply with a0'applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Q.uinta and to pay for any additional replacement necessary as the result/of thliliss work.—
Signature of Applicant or Agent
National Mortgagee& Land Co 42�-600 Cook St. Ste., 200 Palm Desert, CA 568-2828
Name of Applicant (please print) Business Address Telephone No.
same
Name of Contractor and Job Foreman Business Address Telephone No.
28.8130 328
Contractor's License No. City Business License No.
Aetna, Genral Liability 083ACM5726732; Workmens`Cpmp CK006873CSA
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 c.
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 61430.00
X .
Permit Fee
Penalty y
Cash Deposit -Surety Bond
if required
TOTAL: $ 6,430.00
Receipt No. rL t`-� 41 r Z-
Receivedby ``�-`` "`' Date `�#7t•
Recorded by
005M to : i, 80 , 04--24- 90 10
ip L"f1SN AL •-64 30.00
i(T
NO 0589
PERMIT VALIDATION
PERMIT NO.
0589
DATE APPROVED
4/18/90
EXPIRATION DATE
4/18/90
DATE ISSUED— -
By
Administrative Authority
TELEPHONE: (619) 564-2246
0 5�
, TIO•General and Special Provisions�are.attached to and r**of Permit No.
GENERAL PROVISIONS
The following shall always apply:
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.
TRACKLAYING CONSTRUCTION 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 fitte'dwith rubber street shoes to protect,
�•, the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spatted, 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., r
s PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City
i Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration
of the project. The City shall be notified 24 His. in advance of any traffic detours or delineations.
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 ai all times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed fromthe right of
way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction.
Existing gutter line and drainage ditches shall 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. r
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 when 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 isfelt bythe permittee that he mustclose a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
1 , ESPECIAL PROVISIONS
+ 4 The follwing shall apply ONLY when indicated:
R1 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 amount of 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 La Quinta
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be
posted prior to commencement of any work on this project .
t R3 UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way authorized
t 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.
CVPI
TILITY CLEARANCE: (Surface structures) No work shall be done under -this permit until all utilities are clear of the
oposed work site. The permittee shall notify all concerned utility companies of the proposed work.
k 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 8461. r
R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
1/4 inch to one foot (1').
R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
construction.
R8 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by ,
a licensed engineer. `
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet)shall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
i 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.
R11 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.
1 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
Y R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the
anufacturer's specifications. z
3 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
* City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. ,
s R15' SURVEY 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 completely tied 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 setot notes showing 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 replacement of all survey monuments for proper project clearance.
RD -31
VEY`MONUMENTS: Prior to excavation or beginning of tru all survey monuments shall betied out by City
Quints and suitable.payment or guarantee of paymade as reimbursement for all work involved.
R17, PAVEMENT CUTTING: Pavement will be mechanically cut to a straignt edge prior to excavation. Method of psvament
+ 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.
t
®R�6PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
pavement straight edge shall be corrected.
19 L)MIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feet of open trench before backfill o;5erations must _
egin. Ali excavations shall be properly.barricaded with lights overnight, on weekends and holidays for the protection of
the traveling public. The Public Works inspector shall determine the suitability of excavation barricading in each case. No -„
t excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
920 ACKFILLMATE RIAL: Backfill shall befree ofbrush, roots orother organic substance detrimentaltoits use for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quints deems unsuitable (spongy or
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-mik sand or equivalent and shall be placed in liftsof notgreaterthan
three feet (3') 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.
j- R22 jBACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench -
efore 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 the water'
supply shall be`continuous. r
■ R23 COMPACTION TESTS: If so required bythe inspector. compaction tests shall 6e made at intervals of not more than 1,000
- 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
r 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.
i R24 9OMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
\__�ne(1)copyofeachtestshallbeforwardedtotheCityEngineerforapprovalandfiledpriortomakingpermanentrepairs.
Compaction tests shall be'made asoutlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting 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 3,000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall
the placement of the temporary pavement exceed a five (5) 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 At.
surfacing placed on a- inch class base shall be placed nolaterthan" 'days atter completion of
temporary road repair. a�
R27 PAVEMENT REPAIR: F.A,S.: Upon completibn of backfill and compaction. a temporary patch consisting6ftwo inches(Il
* of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches (3) of A.C.. surfacing shell
y ' ' be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary
paving -Concrete base shall be of five -sack mix and shall conform.to the City of La Quints Road Improvement Standards_
and Specifications, Ordinance #461.
R26 FOG SEAL: A fog seal coat consisting of,an application of asphaltic emulsion shall be applied over all patch.areas es
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. Seat 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 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs. „
R31 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quints road right of way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interferenceor 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 safely without 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 asspecifiedinthefollowing'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
January 1973.
R32 TREE TRIMMING:
a. 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.
b. Where i.t becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500feet at any one time.
Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times: .
c. 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 tothe authorization provided
by this permit.,
d. All tree trimming on EVERGREEN TREES; PALM TREES, and other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public Works Inspector.
a. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees.
f. - Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches.
(2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector.
national m-oatcagz
& lana company
April' 13,. 1990
;tQ
Mr. 'Frank Reynolds
f City Engineer'
r
": City of La Quinta
,}
< ' 78-105 Calle. Estado
:? La Quinta.,, CA.92251
• _ L •. '. ,
' - '
-
-RE ENCROACI MENT' =INSPECTION FEES
! Icy Z
t
'FOR TRACT NO.`-'25459--r'-2-
54'5 2Dear
DearMr. Reynolds-.'
w -Enclosed is a check in the
amount of $6,430.00 .;for the
encroachment/ inspection ,fees 'for the above' referenced tract.
The City's adopted fee schedule allows•for
Encroachment/Inspection
Fees-to be determined,based upon
actual contracted prices (where
available) .,for- work- to be performed..
Attached* are itemized
' breakdowns.Tof,' the'. actual contract prices plus, a l0 % contingency .
allowance: ^ * }
: F 3 1
After the :p4iai' s "have been signed.',
we will provide office with'. '
• .your
" three(3) sets of the approved improvement. ,for .your use
.Sincerely, <,
,plans
xa °�?♦l.�i; � .,'�" ' • � s
�, „�� ;�"_
:NATIONAL MOR AGE & LAND COMPANY
Allan Levin
Vice President', " Engineering.' .
w
y'
AL/sl
`' A
s., .. -Enclosures
r'
�i
"cc: David Snow - Sunrise Company
42-600 COOK STREET, SUITE 200, -PALM DESERT, CALIFORNIA 92260 • (619) 568-2828.,
,*
.Y•_ ,` TRACT 25499.-2: ENCROACHMENT/INSPECTION FEES ='' a
x
' +''
ESTIMATED,
CONTRACT ESTIMATED
: • :` ` ''. ITEM
QUANTITY
-'',COST/UNIT `" `TOTAL. >' '
`STREET
+ IMPROVEMENTS �.. �.
"Fc
- 1.
-
- -
�.C' '$ :•- v. _ - .
4.1
'•
�.
1. Class. IIJAggregate
128-, 690 SF
, 0.'33/SF $ 1,42,468!,00
Base^ .
•_
.1 r..4,, '.
'• 2': 2" AC "Base: Course. '
128,-690 SF
0:38/SFr �48,✓902.�00.
1" AC Cap- Course- •
128, 690.. SF
0.16[SF
, - 20 590 00
4 .4.. Type ."'An' Curb &
7,•570 LF
'"5.45/LF 4 '' '41'256.00'�'�
Gutter,-
�, . 5: 6" 4Concrete= Cross
1,9i8 SF
f. 2 .25/SF _ A 316: 00.
Gutter
TOTAL , �;$157;532.00
- STORM DRAIN
:a 1. Catch Basin: L=4
6 -EA,
$ 3, 000. 00/EA „ $ 18-000.00'
2,'. 'Catch Basin: L=6'
1 EA
,
._3,i500.00/Ek, ` 3,5.00.00.1`
3.: 18" RCP/PVC
891•, LF;
:. 46. 06/LF - 40, 986;,00 '=+,
' 41., ,- Drywell
4 EA
1, 024,: 00/EA< ,- 4,096. 0,0•
TOTAL $ 66,582.00
'TOTAL
`y $2`24,1.14 00^
10% 'CONTINGENCY
22, 411.00'.. g,
;
((
N
v'1
$246,525.00`
i •11,' F
• ,
n
f . _- f S' a i v
,
"'�i K t A _ ''� ,k• 5 . �
``• .,_Y A',.t _.
FEE: 3% of
$1501'000 = $ '4,500'
2% -of
$ 96,525. _ 1, 930°. 00.3.
Ka TOTAL
FEE FOR TRACT
25499-2
P,ERMTFEE..CHT
r.,
.
~� V17
• -
- • Ut 1 AU" ANU,Ht l AIN 1 "IZ, J I A 1 tMtN 1 __ i I . '
-
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW _ '•
`
M1
-- • �' ' '' • IF NOT CORRECT PLEASE NOTI FV• US•P`ROMPTLY NO RECEIPT DESIRED r • ._ ..
SECURITY PACIFIC NATIO K
/ I NAL BANK
�'1 21.9-
-
_ :f• .'n'_f;. .`-- - +, .. HEADQUARTERS OFFICE - - -s,•. -
'>.
SUNRI SE :CGMP'ANy 333$.
-
i HOP.,E ST 1.-6:4
'
LOS ANGELES, CA 90071 !,i 1220
P6A kEST Yx r
y
�.- .CHECK`NO.
a'.42 6OO ,CQGK .5.rSUI7E. Z00, y _ 10`2192:..'
PALN.DESERT CA 42260
•.
n 4/16/90 .. ,-
,6 A30#DOLLARS • ANO sC'ENTS `
w,,,
:PAY TO THE ORDER OF
•_
OV-lA ,..,QVi TA r '� •'� �, '•� •'
lie LO2L921" 1:L220000431:00L11'1316494u�'
NOTE:
With proper validation
this form constitutes an CITY, OF LA OUINTA
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 III
DATE:. -'April 3, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract 25;499-2 — PGA West
(Street address or Description of Location)
PURPOSE -OF CONSTRUCTION Street . Improvements , Sketch (attach construction plans if appropriate)
Storm Drainage
DESCRIPTION OF CONSTRUCTION As . per approved plans on file
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/21/90
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(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:
Indemnity, -defend and leve 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 to... 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.
S' ature of Applicant or Agent -
National Mortgage & Land Co., 42-600 Cook St., Ste#200, Palm Desert 568-2828
Name of Applicant (please print) Business Address Telephone No.
SAME
Name of Contractor and Job Foreman Business Address Telephone No.
288130 328
Contractor's License No. City Business License No.
Aetna, General -;Liability _083ACM5726732; Workman's Comp. CK006873CSA
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• 1 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: ' - $
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO.
.DATE APPROVED
EXPIRATION.DATE
DATE ISSUED
By
Administrative Authority
Recorded by �I TELEPHONE: (619) 564-2246