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0594r' f' .ry4•:fS"..•�, rl n .'`-Y: ''r�'�+�-1�'�.1'M ^. `.Jl �v�•-7'Y ..;':r`'. w ... .F -. - ..-...r ♦..,r a .rte ..�.Jr... rMf^�if':��...,�L...l4y . �. •;�ly,y.;. 1 ti.. !' - yN}?- 421 � • Y,�,�,�s.-sem �..-+.cr�r-f.-r. �. r ... ..�..., � -.� .....:..a.. w -,.� .r. r ........�..•w.�.... +� .►.r .�� r . �. r .— ... _�.....—.i ... .� ... +. � ... w NOTE: With proper validation this form constitutes an r 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 I I I x DATE: Anr •-1 23, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION TR 25389-1 South of 50th Avenue - East of Washington • Street (Street address or Description of Location) , PURPOSE OF CONSTRUCTION COnSIMICt 99 rAci r1Anf•i a j Sketch (attach construction plans if appropriate) 1 nt > DESCRIPTION OF CONSTRUCTION rough aradina fs x r DIMENSION OF INSTALLATION AOR. REMOVAL 25 acres SIZE OF EXCAVATION, IF NEEDEO,i annnrox. 40,1000 ew APPROXIMATE TIME WHEN WORK WILL BEGIN 00518 H iQTO-ib-914 0ASTOTAL 200.00 APPROXIMATE TIME'OF COMPLETION ESTIMATED CONSTRUCTION COST $ 701,000 (Including removal of all `obstruc on, materials, and debris, backfilling, com- paction paction and placing manent\resurfa ing and/or replacing improvements) s In consideration of the granting o�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. f Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations tions of the City of La'Quinta and to pay for any additional replacement necessary as theoftthis res rlt �work! /' Signatu•FFe�of'Applicant or Agent M.J. Brock 250 E. Rincon Corona, CA 91719 714/736-0711 Name of Applicant (please print) Business Address Telephone No. r A160rett 78-749 .Avenue 50 La Quinta, CA 92260 564-0973 Name o Contractor and Job Foreman Business Address Telephone No. 5448E-1 1921 Contractor's License No. City Business License No.. The Travelers TRJNSS 202-T-4-82-9-90 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 $ QA/6-0 Permit Fee Penalty .'Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ a Date PERMIT VALIDATION PERMIT NO. ns9� DATE APPROVED /z4//9a I EXPIRATION DATE DATE ISSUED_ A4i/z -�Z/telU By— Administrative Authority TELEPHONE: (619) 564-2246N rIM A�w.��1w:14�.a �...irli �e F..IM�"�.•r• �R M K K — —.w .I.`w — — — — — — — .fr (► r. M M. Ar y. W y liw Wr r r — w -------- NOTE: fr—YF-- NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT { PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) J For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains andlother like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class II I DATE: April 23,, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION TR 25389-1 South of 50th Avenue - East of Washingf£6h Street 1. I - (Street (Street address or Description of Location) PURPOSE OF CONSTRUCTION c-onatrtart 99 rpcidenti,al 1ct� DESCRIPTION OF CONSTRUCTION rough cfradina DIMENSION OF INSTALLATION,OR REMOVAL 25 acres S SIZE OF EXCAVATION, IF NEEDED apxirox. 40,000 cv APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if apprgpriate) APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ 70,000 (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: iQ5i8 ASH i4TOTAL ib -92 00.004 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. w 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 M.J. Brock 250 E. Rincon Corona, CA 9171 t 9 714/736-0711 (. Name of Applicant (please print) Business Address Telephone No. A1(Btiirrett 78-749 Avenue 50 La Quinta, CA 92260 564-0973 Name of Contractor and Job Foreman Business Address Telephone No. 544BB-1 1921 Contractor's License No. City Business License No. The Travelers TRJNSS 202-T-4-82-9-90 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 $ J� Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ • ��/ Receipt No. Received by Date Recorded by N o5 q PERMIT VALIDATION PERMIT NO. r) � q, -- DATE APPROVED a/z. c// Fo EXPIRATION DATE / Zu DATE ISSUED— ,U/Z k4/,F( By -"'Administrative Authority TELEPHONE: (619) 564-2246' 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 (619) 564-2246 , October 26, 1990 Brock Home:.- 3380 Shelby Street, Ste. 100 Ontario, CA 91744 Attn: Al Durrett Re: Encroachment Permit No. 594 Gentlemen: Your attention is directed to the conditions of Permit No. 594 for the subject Tract and requiring that construction access be. limited to those approved by the City Engineer.. Two construction access points are approved as follows: 1) at the temporary access road specifically provided on Avenue 50. 2) at the main tract entrance (Muir.field Way) on,Park Avenue. Vehicular access or egress is not approved for any other locations along or around the tract. The use of a third access point on Park Avenue and a fourth access point on.Calle-Rondo at Avenida,Tujunga is to cease immediately and as follows: l) physically close.(i.e. fence) the drive area to traffic. 2) remove pipe and A.C..from gutter line on Park Avenue. 3) clean and restore all affected items outside the wall of the Tract. 4) remove and replace broken sidewalk and.any'other damaged items within the area.. You are further advised that your construction operations are to be kept within the, limits of your subdivision, and you are to keep the adjacent public streets clean of dirt, and debris 'resulting from your operations. -MAILING ADDRESS P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253 " T10owing General and Special Provisions are attached to and r apart of Permit No. ` ` F 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. r - 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 fitted with 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, 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 shall be placed and maintained for the duration x of the project. The City shall be notified 24 Hrs. 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. to 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. s Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. Ail 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. DE-WATER OPERATIONS: If de-watering operations are required and pumps are forcing water on Cityof 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 permitteethat he must close a streetfor " any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS 4 r The follwing shall apply ONLY when indicated: 4 QR NOTIFICATION: Permittee shall notify the City at 564.2246 at least 48 hours in advance of starting construction. CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amountof not less than S shall be furnished in the name of City of La Quinta to coverall 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. R3 UTILITY CLEARANCE: (Substructures) Priorto making any excavation within the City of La Quinta right of way authorized 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 r f the permittee. R4 ILITY 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 " va lue of not less than and in conformance with City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. ' 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 toot (V). R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter ��,,'construction. • RADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by J licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet)shall be removed. Cur6and/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 AIC. 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)-1/2 .., inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. R12 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained! _, '• SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the ' manufacturer's specifications. R14 OORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or ity 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. RRR115-5 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 completely tied out so they maybe 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 to the removal of any monuments. This office shall r be notified upon completion of replacement_ of all survey monuments for proper project clearance. i RD-31 ' •SURVEY. MONUMENTS: Prior to excavation or begmninq [ruction, all survey monuments shall be tied out by City of La Ouinta and suitable payment or guarantee of payme1 shall 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 r 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 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations. any damage to pavement straight edge shall be corrected. g19 LIMIT OF EXCAVATIONS: Excavations shall be limitedto 1.000 lineal feet of open trench before backi ill operations must begin. All 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 excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction Omaterial R20 is actually on the work site. a BACKFILL MATERIAL: Backfill shall be free of brush, rooisor other organic substance detrimental to its useior 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 greaterthan 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. R22 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench before 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 isthe greater compaction. Where ponding or flooding is used for a maximum senlement, 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., -- R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall bernade 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 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. TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. �R24>OMPACTION ne (1) copy of each test shall be forwardedto the City Engineer for approval and filed prior to making permanent repairs. 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 shalt o. ;he 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 A.C. surfacing placed on a inch class base shall be placed no laterthan days after completion of temporary road repair.. R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of twoinches (2") of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall _ . 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 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 issuanceof 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 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 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 iri 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 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 anyone 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: 2 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 it becomes necessaryto restrict traffic. theworkshall berestrictedtoa maximumof 500feet at anyone time. ' Adequate signs, flagrnen, 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 to the 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. e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees. t I. 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. t , ...,:. u.... ............. ..... :: ,...�...� .,..,;-.,:....., •.c`�... �....: .: •� ;'• ... '.... ......,. .. .: -.r: -Vie•'-- .• .c .,:-ra.. ✓. .. CONDITIONS . • • FOR • TRACT NO. 25389' '. ROUGH GRADING PERMIT TO PLACE FILL MATERIAL In addition to other conditions'for the subject Grading Permit 'the following requirements shall' apply:• 1) Permit ' is -issued •for the sole purpose Fof 4�placing. fill; material. 2) Prior to •placing'fill- material the area to' receive fill shall be cleared and grubbed removing vegetation and other unsuitable material. • `, 3) Earthen fill material shall'be .placed and-compacted in, accordance with the so 1s-;engineers report•prepared by jug n a, Qn4c tiG� 5 r dated 4) Permitted placement of'fill.does not constitute an approved Grading'Plan;,and; may be subject to removal and/or change based-on final approved subdivision,improvement plan. 'Final subdivision improvement plans•shall be submitted for approval �. prior_to•furt"her issuance 'of permits for'development1and -shall be. in full compliance with•all•FEMA'and.municipal code requirements currently-effective at that time: 1.2f 5) Haul traffic'shallbe permitted access and'egress to and from the property from locations,appIroved by the•City ^ Engineer. •" - -6) Fill shall-not obstruct any natural-or existing drainage ' -course for storm water. 1 7) Site sliall 'be''thoroughly -watered and dust 'shall be controlled' during,pla6ement,and compaction of fill. 'Water supply.shall. be subject to*approval of CVWD. ' 8) Prior.to'beginning"construction, the Engineer of the'work shall "submit an'erosion,•control'plan toAthe City Engineer for approval. Erosion control':shall•be provided for the entire area, involved and may include but. not be .limited - to•• seeding,* ir'rigating- and plant establishment. •Plant establ-ishment'"and•,adequate''growth shall be,.to provide satisfactory protection against`wind and water erosion.- .Future.permitted construction'shall provide for reclearing sand grubbing theerosion control, area. _ 9) All fill ,shall be, placed within-3 months' from -the date 'of this permit'; and, plant establishment (erosion control_) completed, not more than- 90 , days thereafter.' t 10)-.,Permit/Inspection Fee payable prior'to issuance of`°Grading, Permit shall be $ 2,100:00. - _. Brock HomeFed Communities. La Quinta I 6767 Forest Lawn Drive REMITTANCE ADVICE VENDOR NO. CO. NO: i Los Angeles, CA 90068 001 085 002638 020:7 t. 1 DATE' REFERENCE NUMBER DESCRIPTION VOUCHER NUMBER NET AMOUNT . - i05-09-90 24653 01 6RADING PERMIT PHASE,1 24653, 21:00.00 i TOTAL *** 2100.00 Brock HomeFed ComrriunitleS La QUQIta SECURITY PACIFIC NATIONAL BANK 16-4 CHECK NO.1 O H �.; ' 6767 Forest Lawn Drive HEADQUARTERS OFFICE. 1 1220 Los Angeles, CA 90068 333 south Hope Street ; Los Angeles, CA 90071 Co. 207 DATE MAY 11 , 1990 AMOUNT. ' - PAY: _ .. .. $2. 1.0 0•,• 0 0 *****2,1.00 DOLLARS AND 00.CENTS. X. y. .. ver. LA DUI NTA, CITY OF>:, toes. P 0 BOX 1504 r o/. LA OUINTA CA 92253 c-{:_t:•;_:;:>a.;._.:,;..:;';..::�•;_:.:::::;:.. Two Signatures Required On Amounts Over $25,000.06. ' lie 004013 5110 1: 1'2 200004 3400 hen 2694 5811' NOTE: 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 4-19-90 Subdivision Improvement Permit — Class III XX . DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION South of 50th Avenue — East of Washington Street — TRACT 25389-1 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Construct 99 Residential Lots Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Rough Gradin DIMENSION OF INSTALLATION OR REMOVAL 25 Acres SIZE OF EXCAVATION, IF NEEDED Approximately 40,000 CY APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ 70,000.00 (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 1241 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 811 applicable rules n regulations of the City of U Quints and to pay for any additional replacement necessary as the resultpf—th"itk work. Applical)qplease print), Narde of Contractor and Job Foreman ✓ Contractor's License No. U N SiqRdu—r,i of Applicant or Agent "-,V4 X1/7/ 6"-07 Business Address Telephone No. �. Business Address Telephone No. City Business License No. � N t'/ L t✓ . 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 $ 00 Permit Fee s Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by N° PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246