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Hd�:�ur,::�=+�i�•1�••r uL-.rti:�i^'"``.t+ • +.v�.:�vey,,-�-+iet,�/�-'`�-'�V�.ii�w4�.,c+eS�►rwh�r++-+F.�'n°i*1: .Y:�;,�y, -�;.;� +-.+=•.a*at�4s.?-�+r.�w!1^a+,-w!mrrrrci��v-tr., n.. r. r. -r.. �r�.���-+i.^.:a"w.r .....�,rr::`..w..�r:..4.. ,... .1.:.r.w.. �«....r r. ...,v...�..�.�..r ,.�, .-+� w..+...........-.:�+-w:....►...�,+t--r,.....w ..... r NOTE: With proper validation this form constitutes an encroachment permit 1 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 x DATE: April 30, 1990 Minor Improvement Permit Class IV -`---LOCATION OF CONSTRUCTION Jeffereon Street, Avenue 48 and Adams, TR 24230 (Street address or Description of Location) -- I PURPOSE OF•CONSTRUCTION Lake fill line _.,•. r{ DESCRIPTION OF CONSTRUCTION install 12" irrigation ..r;.. -dine from CVWD L-3 Pump station to Lake DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 5/7/90 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COSTS 97,985.00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Sketch (attach construction plans if appropriate) In consideration of the granting of this permit, the applicant hereby agrees to: see approved plans Dwgs 16868- 16869 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 A.G. Spanos Construction 944-Ciriars Rd. San Diego, CA 283-3964 Name of Applicant (please print) Business Address Telephone No. C.V. Grading and Pipe Co (Dennis Jones) PO Box 226 Thermal CA 398-4791 Name of Contractor and Job Foreman Business Address Telephone No. 585587 Contractor's License No. City Business License No. Cal Farm Ins. Co CAP0433946 EXP 6/1/90 Applicant's Insurance Company Policy Number FEES: Subdivision:lmproyement Permit -Class III 00518. AR 0 40q3 05-02-90. 10 1U e.i TO7AL .i 25 39.55 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs ?a c Minor Improvement Permit - Class IV: See attached schedule 06 " Inspection Fee Permit Fee Penalty . Cash Deposit -Surety Bond if required TOTAL Receipt No. Received by $ 2939.55 $ 2939.55 Date PERMIT VALIDATION PERMIT NO. 0611 DATE APPROVED 4/30/90 EXPIRATION DATE 10/30/90 DATE ISSUED By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-22'46 :�"'`�oi�wd+�.•C-+.�!`!r'+�'e:+.'1K•�•i. w.. .Y. +b w .r..� s. ra... .w. �i a...r w �cw e. w va r .a r M. 'w w u+ .� r r +a s^.+rw cy w'r �►-w '.r'... rt.:� ru.�rrw w.. ys•pp, r. Y 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 Subdivision Improvement Permit —Class II I x DATE: April 30, 1990 Minor Improvement Permit Class IV :LOCATION OF CONSTRUCTION Jeffereon Street, Avenue 48 and Adams, TR 24230 (Street address or Description of Location) PURPOSE OF'CONSTRUCTION Lake fill line Sketch (attach construction plans if appropriate) p"'P,DESCRIPTION OF CONSTRUCTION install -12" irrigat DIMENSION OF INSTALLATION OR REMOVAL 4 .SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 517/90 APPROXIMATE TIME OF COMPLETION ESTIMATEDCONSTRUCTIONCOST$ 97,985.00 (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: see approved plans Dwgs 16868- 16869 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. Z�_ Signature of Applicant or Agent A.G. Spanos Construction 94494riars Rd. San Diego, CA 283-3964 Name of Applicant (please print) Business Address Telephone No. C.V. Grading and Pipe Co'(Dennis Jones) PO Box 226 Thermal CA 398-4791 Name of Contractor and Job Foreman Business Address Telephone No. 585587 Contractor's License No. City Business License No. Cal Farm Ins. Co CAP0433946 EXP 6/l/90 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III 005181+r i0 404 05-02-90 W 10 CASH. 1 T AL 1 2939.55 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs �,© 061 1 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit --Surety Bond if required TOTAL Receipt No. Received by $ 2939.55 $ 2939.55' Date PERMIT NO. PERMIT VALIDATION 0611 DATE APPROVED 4/30/90 EXPIRATION DATE 10/30/90 DATE ISSUE / By— Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 line following General and Special Provisions'are attached to and made a part of Permit No. of,/ r • ! 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 ro ,, +secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. - r ., r TRACKLAYINGCONSTRUCTIONEQUIPMENT: Cleated trackliying construction equipment shall not be permitted to operate on any, paved surface unless fitted whth srnooth-f aced 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. City ' PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessaryby the 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 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 r + ' concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes Fe , 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. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the 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 A 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 back fill v `DE-WATER OPERATIONS: If de-watering operations are. required and pumps are forcing wateron Cityof La Quinta roads, it shall be Ifthe• responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. "CLOSING+STREETS: No treat §hell be closed. 'A minimum of one lane of traffic 'shall be maintained at all times to provide limited < ry " access for the adjoining property owners and emergency vehicles. In the event it isfeltbythe permittee that he mustclose a streetfor ` r 'ny any length of time, permittee shall contact this office to obtain the necessary permission. 3 , SPECIAL PROVISIONS r , ^ '" c s i - - L' The follwing shall app(y.ONLY when indicated: DR1OTI'FiLA*(16N: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. t t T CASH DEPOSITS OR BONDS: A'cash'bond or an approved surety bond in an amount of not less than $ r .. • r • shalt 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. PR3TILITYCLEARANCE:(Substructures)PriortomakinganyexcavationwithintheCityofLaQuintarightofwayauthorized y permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. +<• t < ^ " a. ' ' Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility ' of the permittee. ,, t 64R4 164 CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are clear 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 line the shall be gutter and existing road pavement surfaced with' * ' ' inches of A.C. paving placed on � inches of class aggregate subbase course r:-�• _ haviitgan"R'Yvalueofnot less than and in conformance with City of La Qui ntaRoad Improvement Standards and Specifications, Ordinance #461. 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 VSTAKES: City of La.Quinte shall establish grades and stakes for the proposed concrete curb and gutter construction. t.. .'.d. +r ` » » RB RADE CHECKING: City of La Quinta shall check grades upon receipt of plan and pFofile and/or grades asestablished by a linensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter( feet) shall be c. • �r 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 J • k 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 beinstalled with the invert approximately 1-1/2 f inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. r , (✓/ 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 comply with the y ' manufacturer's specifications. i w R14 OORDINAATE WORK: The proposed work shall be subordinated to any operation which the State of California or may City of La Quinta conduct in this area during the period of this permit. Work shall be coordinated with the State or ' City of'0 Quinti forces to,preclude delay or interference with State or,Crty of La Quinta projects.. y R15 URVEY MONUMENTS: Prior to excavation or'beginning of construction, all survey monuments which exist on the r •� . - centerline of all streets or property lines when involved shall be cornpletety tied out so they may be readilyand correctly be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the I 4 ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall +A '- ' 7! -f - •" be notified upon completion of replacement of all survey monuments for proper project clearance. R16 S r MONUMENTS: Prior to excavation or beqinning of construction, all survey monuments shall be tied out by City of La Quinta and suitable payment or guarantee of payment 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 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. q1 g PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R19 LIMIT OF EXCAVATIONS: Fxcavatior.s shc:l be I'mi'­d to 1,000 lineal feetofopen trench before backfill operations must 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 material is actually on the work site. R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimentalto its usefor 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 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. 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 thatthe 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 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. R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervalsof 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 tandard Specifications, Division of Highways, State of California, dated January 1973. R24 OMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One (1) copy of eachtest shall be forwarded to the CityEngineerfor approval andfiled prior to making permanent repairs. Compaction tests shall be made asoutlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State f 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 j.000lineal feetof trench has been excavated and backfill operations completed, but in no case shall tr he ; Inca-ca of te�"pc-a-y paverne�it exceed a live (5) day limit. R26 ERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch onsisting of two inches (21 of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed ona inch class —7�—base shall be placed nolaterthan days after completion of temporary road repair. W / - _() e R27 PAVEMENT REPAIR: F.A.S.: Upon completion of back-fill and co paction, a temporary patch consisting of two inches (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 11461. 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 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 safelywithout 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 sectionswhich can be handled safelywithout interferenceor 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 inthefollowing 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 compactedto 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 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. 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 shalt 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. f. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches i2'1 and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector. ,. ADDITION---,ENCROACHMENT PERMIT,Nb.0611=---CONDITIONS + R33 Survey monuments shallii be µprotected>„in' place or' re-estabhished• pursuant -to A.City standards and the State 'of» ` Calif ornia Land Surveyor.' s 'Ci y 1 R34 �. . Work 'shaYll be coordinated with the ty of La Quintals -forces to _preclude 'delay-. or, interference• with the City of La Quintal s . `. �. 9, • R35 •projects Contractor shall comply with the local•noise•:ordinance and construction operations ands maintenance `of' equipment within _ Y one 'half 1e,.of human occupancy,•shall be ,per formed, .only during the . time periods asfollows` October, 1st to April 30' `-- MgndayFriday 7: 00a:m.-5:30p.m., ” ry - Saturday. •8:0'Oa.m.-5.00p.m. ' , y x, May '1st..to September 30: _Monday=Friday 6:00a.m.-7s00p.m. j t 'Saturday,:, 48 GOa.m.-.5:00p.m. ,. --Work shall.'be prohibited anytime on Sunday. ,arid'Federal ' ;. :holiday. s, R36 '•Traffic'control.'hall be gas per 'Cal.r Trans `Traffic Manual: :Field adjustments°,in detouring-shall, be accomplished as. f; •t directed in order'•to adjust .to actual%field conditions.. It shall be' the. contractor IsP,r.esponsibi•lity:to. adequately barricade and-detour this site...'A- Traffic-Fcontrol:.plari shall, 4 be' •submitted• for approval''by the 'City Engineer: ' a•tl R37 � The crossing at Jefferson Street shall'.~be made... in-such a t manner as to allow a minimum of :one paved. lane, of traffic, r { open' 'a`t. ,all times. during operational 'hours .,., " .. Temporary pavement will be placed at the end of- each work ` -_=-day, and traffic returned to,normal traveled lanes.''. 's R38, All excavation at'-or near 'the, travelwaypsl all`.be backfilled at the end of . the i4ork 'day, f or the protection of • the w � 'traveling,, public. ; " R39 'Street closures shall not be` allowed` at',Any_time. f. r , R40 r'rr .All work .tot be, performed within ,the `existing paved section. shall--be temporary paved 'and maintained by. _ the Permittee, • '- `,permanent pavement shall .be placed`-no later than 15,days ;.; after-completion of the temporary road repair:.:. �- R41,.'Ingress 'arid egress for local properties sfia11 be maintained At all times. R42'_.. Prior to work" starting; ' Underground• Service. Alert shall be .,contacted.at 1-800-422=4133 and aii. inquiry number" sha1L be' .' provided to the .City •Public Works ' -R43 ,,Inspector. Pavement shall be sawcut prior to removal. " 'Additional Conditions—'Encroachment Permit No. 0611 Page 2 = TR 24230 Irrigation..,Lirie R44 All backfill,subgrade soil shall•:be`compacted toynothing less .than 90%. relative 'dry 'density,,all backfill soil within " the'top 2' of finish,;pavement surface shall be compacted to nothing`-less 95%:relative dry density; all; base -than materal. shal'1 bei compacted to nothing less than'95% relative dry'•density: ` . A45 ' Replacement, pavement "- sections shall'. be.4" AC' over 6" Class II aggregate.base. , R46 All work,shall be completed'prior`to.the construction of a �T ' street improvements�-on Avenue'48,ind`Adams',Street. R47' The Engineer shall provide an ,erosion. control plan' to the ' City Engineer for approval tb protect the work area ar following backfill and the completion-,of the work. - ) u. r ti '• _. it r •.- ... ' , •r. + , 3 •. NOTE: With proper validation a this'form constitutes an CITY OF LA QUINTA encroachment permit 'APPLICATION FOR PERMIT, EB 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: % gC% Minor Improvement Permit.Class IV LOCATION OF'CONSTRUCTION'S�E POIPix.El1 G_LIAW n. A-AAj S - z � r , (Street address or Description of Location) w PURPOSE OF CONSTRUCTION ��� L L L IAJ�' Sketch (attach construction plans if -appropriate) ppropriate) DESCRIPTION OF CONSTRUCTION ZU6-64 62'�' /Q�1GATbt� - L t u0� 1Y1 C i i 1T40, /--3 Pv nit A - S- AT/6A1 Ta DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF,NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN AV7.1 7 o APPROXIMATE TIME OF COMPLETION ' ESTIMATED CONSTRUCTION COST $ 5'74 99r,00 ` (Including removal of all obstruction, rnkerinis, z,nd debris, b1.ackfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of .the granting of this permit, the applicant hereby agrees,to: 47 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 plicant or Agent S�.4No.f C,5,sT. r.�S6. yP_ 0A Name of Applicant, (please print) . Business Address _Telephone No. a,64,Q/N6 .E AA2- C1 (0, - nvm, S - 0�� Name of Contractor and Job Foreman BusX ess Address Telephone No. Contractor's License No. City Business License No. 0,474, Aftl,4Vehl zr;v : CO ('A 05'3 3 915'6 Applicant's Insurance Company Policy Number. FEES: Subdivision Improvement Permit = Classzl II Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit -7N Class IV: See attached schedule ' "'O Y Inspection Fee $ `„ J PERMIT VALIDATION Permit Fee ! PERMIT'NO.. Penalty DATE APPROVED Cash Deposit -Surety Bond if required EXPIRATION DATE TOTAL: $ a DATE ISSUED Receipt No. ♦ B 1 y .Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246