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0616
ti,a', .�+* • ,�.-.Y T.f ...y_.�.-i..-•.:�ratni.i......._weNw�.-,..,.N ..=✓.s.4 Lrr-•"^ :+1�rii.^t wiw. A�.._.�.../�w��ti•^+u+.14'New'-W+.R+r.'w.yy,:..at�..,.: ,i a••_ " r ti:Ls'. .. _...^+Ot}.*. .,. t' :rr :.�-.q.•a. - - - - .;.+Nr'G; `.r. =.�. ..., ..., �, ... .... - .�.......r ....r.. .... iw.r.........a�.r �..-w+.:.w,......�.� ... �. ... <w'r--i'�.� .�,.r i. ..n r--... ,, ' t NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC. WORKS CONSTRUCTION (ENCROACHMENT) _For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR. IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III DATE: Suter -,r 1 . 1 QQO Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ' North side of Miles'.Ave. 179'' east of Seeley Drive to 1287' east of Seeley Drive 613-40 A.M.B. Sec. 19 T5S, R7E (Street address or Description of Location) PURPOSE OF CONSTRUCTION temporary service to . Sketch (attach construction plans i -f appropriate) d'onstruction and sales trailers Ref:, W.O. 549-41338—I DESCRIPTION OF CONSTRUCTION place 1-12 pair cab&& and 2-'4!' QVC conduits SEE `attached drawing DIMENSION OF INSTALLATION OR REMOVAL trench 12"x42" SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 5/16/90 ' APPROXIMATE TIME OF COMPLETION 6/15/90 , 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: • 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 a 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 Quintaand to pay for any additional replacement' necessary as the result of this work. Mr. Cruz Gomez - Signature of Applicant or Agent , GTE Cal.ifarnia Inc. 83-793 Dr. CArremn Blvd. Indio 92201 .342-0.535 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements: 3% of estimated construction costs. Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ —0— Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ —�— Receipt No. Received by Date Recorded by a 0616 PERMIT VALIDATION PERMIT NO. 0616 DATE APPROVED 5/2/90 EXPIRATION DATE 10/31/90 DATE ISSUED ./' 5/2/90 By. Administrative Authority TELEPHONE: (619) 564-2246 1 ". ' .5ilrr*�!-�r.ri-a a. � � K+ rr i. �r .�.�. w r wr .i. w r r...:o w .r w.... +r .�w..rw. d- w .r.. -�r-a. �w..�a. �a .r r .r�w. q.. .r +w.� .a- r ..-w an .s�•w w e. —4N h a -��- 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 III DATE: MAU 2: 1qq n Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION North side of Miles Ave. 179' east Of Seeley Drive to 1287' east of Seeley Drive 613-40 A.M.B. Sec. 19 T5S, R7E (Street address or Description of Location) PURPOSE OF CONSTRUCTION temT)orary service to construction and sales trailers DESCRIPTION OF CONSTRUCTION ')lace 1-12 pair cab&& and 2-4" PVC conduits DIMENSION OF INSTALLATION OR REMOVAL trench 12"x42" SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 5/16/90 Sketch (attach construction plans if appropriate) Ref: W.O. 549-41338-I SEE attached drawing APPROXIMATE TIME OF COMPLETION 6/15/90 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: 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. Mr. Cruz Gomez Signature of Applicant or Agent GTE California Inc.. 83-793 Dr. CArremo Blvd. Indio 92201 342-0535 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: = Subdivision Improvement Permit — Class II I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ —0— Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ —0— Receipt No. Received by Date Recorded by S 6616• PERMIT VALIDATION 0616 PERMIT NO. DATE APPROVED 5/2/90 EXPIRATION DATE 10/31/90 DATE ISSUED ---• J 5/2/90 By Administrative Authority TELEPHONE: (619) 564-2246 M - NOTE: With proper validation this form constitutes an CITY OFLA QUINTA _ encroachment . permit APPLICATION. FOR PERMIT PUBLIC WORKS CONSTRUCTION' .1ENCROACHMENT) •. 'SOF Ti$� . 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:. Apri 1 30 , 1990 • Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION North s i de- of Miles Avenue 179'' east of Seeley Dri v.e ' to '1287' east of Seeley Drive 6.13-40 A.M.B. SEC 19 T.5S.,R. 7E (Street address or Description of -Location) Temporary service to.. ' PURPOSE OF GONSTR(JCTIQN Sketch (attach construction- plans if appropriate) construction -anCQl sal es , r—a ers DESCRIPTION OF CONSTRUCTION Place 1-12 pa.i r cable— and " PVC conduits. See attached drawing -for additional information. Call Mr. Gomez at 34Z-0b3b. Refer. to W.O. 549-41333-I DIMENSION OF INST,'.LLATION OR REMOVAL rent .. 12 X.42"_,.work will be done by.contract labor SIZE OF EXCAVATION, IF NEEDED rent APPROXIMATE TIME WHEN WORK WILL BEGIN 5/16/90 APPROXIMATE TIME OF. COMPLETION 6/15/90 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and* placing permanent resurfacingand/or. replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents,{ officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify- the Administrative Authority at least twenty-four (24) hours in'advance of 'the time when work, will be started. Comply with all applicable City Ordinances,•the terms and conditions of the permit and all applicable rules and regulations of the City.of La Quinta and to pay'for any.additional replacement necessary as the result of is'work. . • 'Signature of App `cant or Agent. GTE California Incorporated 83-793_Dr. Carreon Blvd., I dio, CA 92201-7. 619-342-0535 Name of Applicant (please print) Business -Address Telephone No. s , Name of Contractor and Job Foreman Business Address Telephone No. Contractor's. License No. City Business License No. Applicant's Insurance Company- Policy Number FEES:- Subdivision Improvement Permit — Class III . Public'impt6vements:'3%of estimated construction costs Private improvements:- 3% of estimated construction costs Minor Improvement Permit - Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee PERMIT NO. Penalty ; Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE t TOTAL:. $. DATE ISSUED Receipt No. Received by Date By IAdministrative Authority Recorded by TELEPHONE: -1619) 564-2246 =+ •Th ing General and Special Provisions are attached to and part of Permit No. GENERAL PROViSfCNS .• The following shall always apply: T ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way t t ` ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to i 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 bepermittedtooperateon any sS paved surface unless fittedwith smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoestoprotect 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, Cityof 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 excavation's -and work areas shall be properly lighted and barricaded as deemed necessary by the City Engineer or La Quinta City Public Works Inspectors. Suitable de -tours anddetoursigns shall beplacedand 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 S„ concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes } +y; necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. f Drainage, structures and open drains shall be kept free of debris at all times for proper drainage. ' y 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 ' prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used ' y 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 1 : 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 must close astreetfor ,•'K r rTG� , any length of time, permittee shall contact this office'to obtain the necessary permission. SPECIAL PROVISIONS 4 { The follwing shall apply ONLY when indicated: at , OTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. �• i ` , - (i,M CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than S r 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 . t R3, TILITYCLEARANCE:(Substructures) Prior to making anyexcavationwithin the City ofLaQuinta right ofway authorized ' e 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 bethesole responsibility f the permittee. t r ' i R4 �ILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities an 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, gutter line and the existing road pavement shall be t „ surfaced with inches of A.C. paving placed on inches of class aggregate' subbase course �• having an"R"valueofnot lessthan and in conformance with Cityof La Quinta Road Improvement Standards • - and Specifications, Ordinance #461. ' + R6 'PARKWAY GRADING: Area between the property line and topof the proposed concrete curb shall be graded to a slope of 1/4 inch to one foot 01. 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 ofplan and pvofileand/or grades_ as established by; Qi>. _ licensed engineer.. ` titr• t',' •- 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 ` K 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 - 4.1 aggregate base. Driveway construction shall conform to attached drawing. R11 CULVERTS: A • inch diameter(' M )culvert shall be installed with the invertapproximately1-1/2 inches below and in line with the existing flow line: Culvert installation shall conform to the attached drawing. , • 12 IGHT 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 }.-ei^�+•y :• .` . ; • y . y , . ' , sP49nufacturer's specifications. + a , RDINATE WORK: The proposed work shall`be subordinated to any operation which the State of California or _ . •y of, La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or ti of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. R15 SU EY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the s' terline 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 i tiestothese monuments shall be furnished to the City Engineer prior to the renioval of any monuments. This office shall, t, be notified upon completion of replacement of all survey monuments for proper project clearance. w. RD=31 ` .. o+ SURVEY MONUMENTS: Prior to excavation or beginning of rnnctruction, all survey monuments shall be tied out by City of La Quinta and suitable payment or guarantee of paym all be made as reimbursement for all work involved. PAVEMENT CUTTING: Pavement will be mechanically cut :raight 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 Pcorrected. 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. R19 LIMIT OF EXCAVATIONS: Excavations shall be limited tot,000lineal feet ofopen trench before backfill operationsmust 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 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 greaterthan three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any ase a relative compaction of 95 percent shall be attained within the structural section of the roadway. j)iefore ACKFILLPLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench flooding or a maximum of f ive-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. R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervalsof not morethan 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 pprovaI and filed prior to making permanent repair:'Co . Compaction tests shall be made as outlined in Section 6.3.01 of the S ..card Specifications, Division of Highways, State of California, dated January 1973. R24 C 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 I California, dated January 1973. aR25?EMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch onsisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed CR26�.fter a maximum of 3,000lineal 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. 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 c ssbase hall b placed no later than days after completion of temporary road repair. J�J,C,Xn g5 R27 PAVEMENT REPAIR: F.A.S.: Upon compleRn f bac fi lancompaction, 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: Wherestreet striping isstill visible on streetstobe excavated, such stripingshall be replacedupon 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 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 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 anyone 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 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. 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. :;,y,,.,�w*a�sx�7�:7�ip�:�'�t.1,r���^=.✓`t�:P�.�Ji"' j, "'*•�+1.�`,', . ��,1"i.�.v'+,.-�a;..1�4�,�.�,a,'N''�k%'=s`•'.It.+:�.�"it�.�'"A..*�'�':..�•bi•Ni^�F.�•irr-•..e^•.nr,,,.-�ir.i+.—t.�..+.r.-1k.,. ��. i A. With proper validation this form constitute's an E encroachment permit CITY OF LA QUINTA 1• J, APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP OVERSIZE LOAD PERMIT 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 L Subdivision Improvement Permit — Class II I DATE: May 1 1990 r Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION MOVE EQUIPMENT (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if•appropriate) DESCRIPTION OF CONSTRUCTION 824 B Dozier HAUL ROUTE: Jefferson and Ave. DIMENSION OF INSTALLATION OR REMOVAL 52 to Washington and HWy 111 p Pilot Cars will be required (2) SIZE OF EXCAVATION; IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN May 2, 1990 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: Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from.a6d against any and all penalties, liabilities.oi• 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 Quinia and to pay for any additional replacement necessary as the result of this work. Si 'gfiature of Applicant or Agent KemmiS`Lowbed Inc. PO Box'422 Temecula,. CA 92390 Name of Applicant (please print) Business Address Telephone No. ` Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. on f ile 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 costsg51 �O� A0 1-90) 0.00 f0 Minor Improvement Permit— Class IV: See attached schedule Inspection Fee $' Permit Fee 10.00 Penalty Cash -Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 0615 DATE APPROVED 5/1/90 EXPIRATION DATE5/2/90 DATE ISSUED, .n 5/1/90 By Administrative Authority TELEPHONE: (619) 564-2246 _ 7 -r.i- ti...:... Y +�.O.!a..+c.M�1.i<cry.+c�!-M=e!1F"�'i►f?+'M'.k`�y"l-'w�:.r w.:,1r rY.. w Y .r .�+rtr i r i:.:..w � .a Y. r ti r..r .:. cu�e..w B4 �:..► -.. r .«�. w. ... ... wf i. r. nr .rte .r r. a4 ��. w •«:.� w r" w NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT _ PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP OVERSI7E LOAD -PERMIT 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 May ]., 1990 Subdivision Improvement Permit— Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION MOVE, EQUIPMENT (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 824 B Oozier HAUL ROUTE: Jefferson and Ave DIMENSION OF INSTALLATION OR REMOVAL 52 to Washington and Hwy 111 Pilot Cars will be required (2) SIZE OF EXCAVATION, IF NEEDED APPROXIMATE.TIME WHEN WORK WILL BEGIN may Z, Y r 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 ofthe 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 . t penalties, liabilities or loss resulting from claims or. court action and arising, out of any accident; loss, or"darflage.to persons or ,property;, happening or occurring as a proximate result of any work undertaken under the perAt 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 l` KeMMis Lowbed Inc. PO Box 422 Temecula, CA 92390 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. „0 ` ! City Business License No. on file rt Applicant's Insurance Company Policy Number i FEES: Subdivision Improvem brit Permit — Class I II . Public improvements: 3% of estimated construction costs Priiate,improvements: 3% of estimated construction costs �� g' Q � 015-0i'"' 'n f© Minor improvement Permit — Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond . if required TOTAL: $ 10.00 �• Receipt No. Received by Date. Recorded by 0615 PERMIT NO DATE APPROVED 1 5/1/90 EXPIRATION DATE 5/2/90 DATE ISSUED- r 5/1/90 By Administrative Authority TELEPHONE: (619) 564-2246 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: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description-of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) " DESCRIPTION 0 ' DIMENSION OF INSTALLATION OR R MOVAL EFm� SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all oby.ractiun; materials, end debris, backfilling, com- paction and. placing permanent resurfacing and/or replacing, improvements), i 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 my 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. t6is`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. Signa re of Applicant or Agent Name of Applicant (please. print) Business Address., Telephone No. Name. of Contractor and'Job Foreman Business Address" Telephone No. Contractor's License No. ." City Business License No. 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 *TD Minor Improvement Permit = Class IV: See attached schedule lel '' Inspection Fee' $ PERMIT VALIDATION Permit Fee PERMIT N0. ' Penalty DATE APPROVED Cash Deposit-Surety Bond if required EXPIRATION DATE TOTAL:" $ DATE ISSUED Receipt No. By Received by Date Administrative Authority` `.• Recorded by TELEPHONE: (619) 564-2246 ,; Ir y w i > 18 19 20 11 12 13 14 15' 16 17 • TRACT 23 2 18 _ S %iCFlCI A c.oNsr. si y � _ A : I B C'II D - : T TD :LLICATC UTILIi-IES C�NTAC "GCI 421 .4133 E NLC) T E : .- E TRENCH1120 � A N _ D PLACE 11 PAIR BU2117_D CACiLC_.BUEF/1X 24GTB 1415_ - f T [ _ wtrH PULL ROPE ...PLACE-2--4- _C�h1DUi S liQ u1 E REI ovc FIND R PL/� E 5'l� t _ /ISPH/�LT I } I F 1 �F , �I _ h „+ 1-r o _1 may. ``'' i : G G - I v I H H EOF r] B . 9 IU - I I !2 : � i Qlze <3: _. M 2 � a i -4 W A J o K _ K InN _ L. LITS 0 �-A \WM TV, - I W VY M EDP.._. ..._ ' T. C.. 'a14 E [ M.. ln� LJ r I I , AFt=TEGIN Gf11T 17)E S Y -R S N N , ioo T� o0 O. - OF EEELEY D ,- I , Califof't'1 �a N MMR-LEEVia/fE : ,: 1 � • ♦. LOCATION 1171L_FS A E V E/n WASNIUGiON S r! /W EXCHANGE PLDS C.O.WASN(IJGTU4S , ISSUE DATE APPROVALS R NJ 'I 0 h PERM IT h RAW l N 6 DWG SIZE - F-- r AREA GENERAL MANAGER DWG. NO. RELATED DWGS. _ WORK ORDER 1 2 3 4 . 5 6 7 8. 9 '10 11 _ 12 13 14 15 _ 16 '17 I RM 535 5-0 FORM 809 ( 'n 18 19 20 1