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With proper validation this form constitutes an, �O encroachment permit CITY OF LA QUINTA ` APPLICATION FOR PERMIT, W0 543=41171-R PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)c S ti c 0 TIiB�� 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:' May 21, 1990 „ Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenue. 50 S/S F/A Park (SVeet address or Description `of Location) -PURPOSEAFCONSTRUCTION change count of,Sketch (attach construction plans if appropriate) aerial cable - D.ESCRIPTION OF CONSTRUCTION bury cable—work to be performed by•a•contractor SEE ATTACHED SKETCH GTE:' 5.43-41171-R ' DIMENSION OF. INSTALLATION OR REMOVAL ' -•less than 2" cable SIZE OF EXCAVATION, IF NEEDED -.APPROXIMATE TIME WHEN WORK WILL"BEGIN 6/7190 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION'COST $ 319.0..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 resultingfrom;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 th-epermit,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 GTE California Incorporated 83-793 Dr Carreon Elvd,'Indio, CA°92.201 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 C FEES:, Subdivision Improvement'Permit Class III Public improvements: 3% of estimated construction costs ? 'Private improvements: 3% of estimated construction costs o 618 Minor Improvement Permit — Class IV; See attached schedule , Inspection'Fee $ " PERMIT VALIDATION' Permit. Fee 0648 PERMIT NO. Penalty DATE APPROVED' 5/21/90 Cash Deposit -Surety Bond if required EXPIRATION DATE 12/31/80 -0- TOTAL: $ " DATE ISSUED 5/24:/90 Receipt No. Received by, Date U Administrative Authority Recorded by TELEPHONE: .(619) 564-2246 ...ry;,�.;;�n:iN�'+.i'??xi'"3l`-J.�'3+"��'�::�A"�;.�?trJ,;a;.,t'�t�-,a..i...�.tler-..:+1`:.+'�,'�""t'"a'-r'�+`�t,:.:a,:;.,►.;�,. .-.%c:,ti,y—..:�-�--�ti.:.:.W'+b�C:'�ai..�"'"...:=�",�'�t1k^1v+�:!�.,-�.^-«�-jL��rw.�r �+4'��'�C .a •�- Y��"W � Y. M 1fr Y. �. � r r ti -V �Y W Y iY `M'�� ov ,w 1►�F,I..YI� ,W � Y �•Y t� ei�—�� aP 1`�� iYi ��+�.oi_..y ..W.-�'�.".� � � NOTE: With proper validation this form constitutes an encroachment permit WO 543-41171-R 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 DATE: May 21, 1990 Subdivision Improvement Permit= Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenue 50 S/S EIR Park (Street address or Description of Location) PURPOSE. F CONSTRUCTION change count Of Sketch (attach construction plans if appropriate) aer. cable DESCRIPTION OF CONSTRUCTION bury cable -work t0 oe perrormea by a contractor SEE ATTACHED SKETCH, GTE: 543-41171-R DIMENSION OF INSTALLATION OR REMOVAL less than 2" cable SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6/7/90 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ 3190.00 . (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 (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 GTE California Incorporated 83-793 Dr Carreon Blvd, Indio, CA 92201 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 II 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 —0— t Date 0544 PERMIT VALIDATION 0648 PERMIT NO. DATE APPROVED 5/21/90 EXPIRATION DATE 12/31/80 DATE ISSUED 5!/2./90 By / rAdministrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 ' " + ag The following General and Special F rovisions are attached to and made a part-of ermit No. ' 1 _ r{ x• ,; GENERAL PROVISIONS t. k The following shall always apply: • F " ' ENCROACHMENT ON PRIVATE PROPERTY:* This permit authorizes work to be accomplished within City of La Quinta rightof way 7 :' ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to a • • :secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on any „ paved surface unless fitted with smooth-faced street pads. All mechanical outriggers shall be 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-' t F that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. t 04 surfacing plus appropriate seal coat as specified above. Y + PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City s Engineer or La Quinta City Public Works lnspectors. Suitable detours and detour signs shall beplaced and maintained for the duration! •�. '.of the project. The City shall be notified 24 Hrs. in advance of any traffic detours ordelineations. i• f .+ CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert andr _ f • t " concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes, necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. ; RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the rightof ..•.. way. All paved surfaces shall be broomed clean of earth'and other objectionable materials immediately after backfill andcompaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed i 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 is felt bythe permittee that he must close a streetfor$ , any length of time, permittee shall contact this office to obtain the necessary permission. ' R SPECIAL PROVISIONS' r A +• [ _ The follwing shall apply ONLY when indicated: ` ) r. R1OTIFICATION..Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction., i� . • R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amountof not less than s L , shall be furnished in; the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta • �. f roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be a y, +" posted prior,to commencement of any work on this project R3. TILITY CLEARANCE: (Substructures) Prior to 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. y,. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility ' of the permittee. E R4 TILITY 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. - } YRS"�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 ' "R" having an value of not less than and in conformance with City of La Quinta Road Improvement Standards i and Specifications, Ordinance #461.. +- " r. Y , k y .. ��'• A R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of h ; 174 inch to one foot (1'). 137• GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter Y'> n construction. _J ", '�.'Rg GRADE 6ECKING: City'of La Quinta shall check grades upon receipt of plan and PFofile and/or grades asestablished by a lirensed engineer. { _ R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( cfeet) shall be , " removed. Curti and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and i w r4 concrete drivewayapproach shall be constructed in conformance with City of La Quinta Standard #207. - r" R10 DRIVEWAYS, A.C.i•Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the ' property line and the existing.road paving shall be 2-1/2 inches of A.C. paving placed on ( ") of class - aggregate base. Driveway construction shall conform to attached drawing. ' ', yr ,R11 CULVERTS:A inch diameter( )culvert shall be installed with the invert approximately I-1/2 { " • .. inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing.',, `in "•� , w 6 R12 - IGHT CLEARANCE: Sight clearance of 600 feet either direction shall be assured and maintained. 5 ` SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the ` r, r ` "'*' manufacturer's specifications. r ` i • '' 7. , ,. j R14' RDINATE WORK: The proposed work shall be subordinated to any operation which the State'of California or' ,• ` City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or ` y L'City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. +° } + i ` - R15 URVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the • '• i �'' centerline of all streets'or property lines when involved shall be completely tied out so they may be readily and correctly j be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the, tiestotheie monuments shall be furnished to the City Engineer prior to the 4moval of any monuments. This office shall ' be notified upon completion of replacement of all survey monuments for proper project clearance. ~ �+ tir v r+ • . r. R16Y MONUMENTS: Prior to excavation or beginning of con ion, all survey monuments shall betied out by City o Quinta and suitable payment or guarantee of payment sohal be made as reimbursement for all work involved. 817 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. R18PAVEMENT 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 to 1,000 lineal feet of open trench before backfill 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 material is actually on the work site. R20 BACKFILL MATERIAL: Backfill shall be free ofbrush, 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 may be 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') liftswhere 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 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 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. t4)COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filedprior 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. R25 - EMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed . after a maximum of 3,000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch . onsisting of two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacingplacedona inch class base shall be placed no later than days after completion of temporary road repair. ` R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, 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 #461. R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City. Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas where such seal coats existed prior to issuance of this permit. Seal or armor coats shall be applied as specif ied 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 liandled spfely without interference or hazard to the traveling public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed in sections which can be handled safely without 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 in thefollowing 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 necessaryto restrict traffic, the work shall be restricted to a maximum of 500feet 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, beat the shoulder of the crotch to insure even, fast healing in all"cuts of two inches 17"1 and ahnvp in vise. 9palant shall he'annlied to all rut sections as direrted by the City Public Works Insnector. 17 ADDITION ----ENCROACHMENT PERMIT N0.0648 ----CONDITIONS.' R33' Survey monuots shall bei protected ' in *ace or re-established pursuant ' to City standards. ,and ,the State of '. California' Land Surveyor.'s Act. R34 Work shall *be coordinated with -the City of..La Quinta' s forcesr to `preclude. delay `or, interference, with the City of -La, Quintals projects. t R35--- Contractor • shall" comply,',with the local noise ordinance, ,and construction operations and maintenance of°dquipment,within one half mile of human -occupancy shall be performed only • during the time periods as follows:, October lst'•to'Apri1,30 Monday -Friday 7:00a.m.-5 30p.m. Saturday 8:00a".m.-5:00p.m. M . May'1st to September, .30: Monday -Friday :6: OOa.m. -7: OOp.rh - ' Saturday ;8: OOa.m'. -5: 00p :m. Work shall be'.prohibited anytime •on:Sunday and'Federal holiday. ti R36" . Traffic,control shall be as per Cal, Trans Traffic Manual. r Field adjustments'in-detouring•shall be accomplished as directed in order to adjust to actual.. field conditions. It-'' -. shall:be•the contractor' -s responsibility to"adequately ` barricade' and detour this 'site.. A Traffic control-, plan shall be submitted for approval by the City Engineer. ; f .R37 All excavation.at or 'near,.the travel way -shall be 'backfilled" at the end of :'the work 'day, for, the protection of the traveling public. i r R38' Street closures shall not: be;: allowed 'at,, any time. R39. A minimum of one -travel• lane' shall be maintained at all tirnes- with flagmen during -working hours. R40:. All work. to be performed1 within• the texisting paved section shall be temporary paved. and -,maintained by the,,' Permittee, r- " permanent pavement 'shall' be placed no later -than 15 • days ` of ter,,, completion ' of the . temporary ^road repair.:, ` :R41 Ingress and egress,'for local properties shall be maintained ' at a -1 -1 -..times. ~R42 Prior,.' -to work starting, Underground Service,'Alert shall- be' contadted at 1-800-42.2=4133 and an. -"inquiry number" shall, be 'r _provided to . the City; Public Works Inspector .' ;�• R43' _ Pavement shall Abe. sawcut� prior .to 'removal. ` t. `:. • , ; ns f - ' ' . Additional ConditioE Fncroachment Permit. No. 0648 • Page -2- 2 -,All -­All backfill :rsubgrade, soil.'shall-`be '.compacted` to- nothing . less than 90% relative •dry.density; all backfill'toil within , the top 2` -,of finish 'pavement ,surface ,shal`i .be compacted ,,t,to_ " —nothingless.: than `95% =relative dr d'ensit -,' y, y,,,- all':'base �= material, shall,be compacted to nothing less than 950•, relative dry -density. .'`1i I R4-.5'( ° Replacement*.,., pavement` : sections .shall.be 3 '' 'AC over' :4"+ Crass II -aggregate -base :_ r - 4 .. - i . r , : . .R46 ' If the .work ,is 'to, be erfor [ 7 p. med by forces other than .that of ' the .utility company, theicontracting company will be r. .-required to 'apply for an additional;,encroachment permit ' • and pay the appropriate fee . . ^ t .. s { +. ; .ice • ,`` . . + ' ,r., x a , ,�.i ti' .. J • a t' + �_• y ,,_a., - - ,� .. 4. •1 t a ♦ i r1y - s , • f 4_ • e � FORM wow - ": fry �. .'� � � '^ ti • ,l: � ...,. , Ll LJIJ LL It ot Yl �, 3Z -f Sc CWT= } ^ "'• i '..�–.-�— � • t } •. i �' 1. • T 1 . . - _ �.-��H rl - , ' , r: + :�' •d "'G—� —moi _ ° • _ !•. •, ^- , ,. y t , • v r''r. ,�+ YY t� SEVERAL TELEPHonE OF CAUFORmA LOCATION ;AVE S D f/,0 /0/5R& • �.. y w :. - EXCHANGE Z'N.QL C.O. Lfl Q/(J. =+.� ISSUE DATE. APPROVALS' DWG SIZE �. AREA'GENERAL MANAGER: ' OWG. NO., RELATED OWES. F WORK ORDER A NONE •1 t a ♦ i r1y - s , • f 4_ • e � FORM wow 0 -------------------- --------------------- --�------------------ NOTE: With proper validation this form constitutes an encroachment permit WO 543-41171-R 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 II DATE: May. 21, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION AventlP 50 US ' ./Q Park (Street addressor Description of Location) PURPOSE'PF COJVTRUCTION change count of Sketch (attach construction plans if appropriate) aeri.a caAAle DESCRIPTIOONN OF COONS�TTRUCTION bury cable . -worto be performed by a.contractorSEE ATTACHED SKETCH GTE: 543-41171=R DIMENSION OF INSTALLATION OR REMOVAL less than 211. cable SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6/7/90 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ 3190. 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 (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 Quints and to pay for' any additional replacement necessary as the result of this work. Signature of Applicant or Agent GTE California'Incorporated 83-793 Dr Carreon Blvd, Indio; CA 92201 Name of Applicant (please print) Business Address Telephone No. i a 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 N2 643 Inspection Fee, Permit Fee Penalty Cash Deposit -Surety Bond if required _ TOTAL: $ — 0 Receipt No. Received by Date Recorded by PERMIT NO, PERMIT VALIDATION 0648- DATE 648 DATE APPROVED 5/21/90 EXPIRATION DATE 12/31/90 DATE ISSU D. By ' ell Administrative Authority TELEPHONE: (619) 564-2246 ' REFERENCE:GTE W.O.#543-41171-R NOTE: With proper validation this form constitutes an CITY O.F. LA QUINTA encroachment permit APPLICATION FOR PERMIT".; PUBLIC ' WORKS CONSTRUCTION (ENCROACHMENT) oSw� • OF Tf� 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 — C_!ass I11 DATE: May '18, 1990 Minor. Improvement Permit Class -IV LOCATION OF CONSTRUCTION AVENUE 50 ,S%S E%0 PARK (Street address or Description of Location)- PURPOSE OF CONSTRUCTION CHANGE COUNT OF AERIAL CABLE Sketch (attach construction plans if appropriate) 135Eg gg PTION OF CONSTRUCTION BUR CABLE WORK TO BE PEF�RMED BY A CONTRACTOR DIMENSION C'F INST,7.LLATIONppR REMOVAL LESS THAN 2" CtiBLE SEE ATTACHED SKETCH REFERENCE:GTE W.O.#543-X41171-R ` SIZE OF EXCAVATION, IF NEEDED X APPROXIMATE TIME: WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 6-7-90 ESTIMATED CONSTRUCTION COST $ 3190.00 (I'ncluding removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing. improvements) In consideration i'of the granting of this permi> the applicant -ac :c:: _ - -_ Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any arid 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 wor . Signature ' Applicant or Agent GTE CALIFORNIA INCORPORATED 83-793 DR CARREQN RLVQ_ TNnTQ, r -A Q22Q1 '.'�' 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 r Minor Improvement Permit — Class IV: See attached schedule ° Inspection Fee. $ PERMIT VALIDATION Permit Fee J PERMIT IVO. Penalty Cash Deposit -Surety Bond DATE'APPROVED if required EXPIRATION DATE TOTAL: $ DATE,ISSUED r. Receipt No. By Received by Date 4 Administrative Authori� Recorded by TELEPHONE: -(619) 564-2246.