0690t". . , ..:i., .. ,�.. _-.:.�.1•,-'�lrt,:- �.-�'�d %.,�•t..... •x� .,r`��u -"••''..,1.-.,. r � ": 3A# . 'a;• , �•.• 3...'�a •+"•+s.+.� . �., :-s`e'w='.vi..r:.-'G ..K�'.^ ',..£.,.W, r. ;:..+• `.ry;� - si�'L � .�,� } �.
NOTE:
With proper validation
'this form constitutes an
f U
**encroachment permit CITY OF _LA QUINTA _
APPLICATION FOR PERMIT
WO #549-71815-I PI IRI ICIAIl1RICC (YINCTRI ICTIMI /FIUf R�IA!'4J11AFAITIL L .a4�,
• L , ' i UF�
For the construction of. public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other likepublic works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II
DATE: .Tung 1.1 1.99 t1'• Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION' Dune Palms Rd.. n/o Miles Avenue • at 'Desert Flower Dr'.
SAO F
(Street address or Description of Location)
to provide.service to new.
• PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
tract and future tracts on Dune 'Palms Rd
1 DESCRIPTION OF CONSTRUCTION ..place conduit and See Attached Drawings
�ress ecnnPct nad Ref: WO #549.71815—I
DIMENSION OF INSTALLATION OR REMOVAL see attached
SIZE OF EXCAVATION, IF NEEDED ,
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/1/90 `
APPROXIMATE TIME OF COMPLETION 11/30/90
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, of -Joss resulting from claims or court'action and arising out of any accident, loss or damage to persons or pkooerty
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.
y
Cruz Gomez.
Signature of Applicant or Agent
.GTE California 83-793 Dr. CArreon B1Vd.•,' 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 III s
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule �'+® -0690
Inspection Fee $'' _0 'PERMIT VALIDATION
Permit Fee PERMIT NO. 0690
Penalty DATE, APPROVED ti X11 /gD
`Cash Deposit -Surety Bond
if required. EXPIRATION DATE 12%3190
TOTAL: $ _0_ DATE ISSUED �' 6/11/9.0
Receipt No.
By—
Received
y Received by Date v Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
,• �� -.dl t_�. � ""�'}+Y *"�'"' .,Z•�'1..-y �vJ—' -,�.. •_ ,-..,,hf.. l • -.n-.. y..-.� .... .�.d�-,!' _ ~, _ ...' � �-..��r.. ,rr ,Ls,...r._.--..ld..: r�Q.a..-_v �--. -^t�.- ei _
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NbTE: i
With proper validation 4 2
this form constitutes an
CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
t+u0 #549-71815—I PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
1�
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE: Juni+ 11, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Dune Palms Rd. n/o Miles Avenue at Desert Flower Dr.
(Street address or Description of Location)
to provide service to new
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
tract and future tracts on Dune Palms Rd
DESCRIPTION OF CONSTRUCTION Place conduit and See Attached Drawings,
cross connect nad - Ref: WO $549-71815-I
DIMENSION OF INSTALLATION OR REMOVAL see attached
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/1/90
APPROXIMATE TIME OF COMPLETION. 11/30/90
'1 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.
f
Cruz Gomez
-.�. Signature of Applicant or Agent ye
,GTE California 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
Or
xrt
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
Permit Fee —
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
$ -0-
Received by Date
Recorded by
Q 9699
PERMIT VALIDATION
PERMIT NO. 0690
DATE APPROVED • 6/11/90
EXPIRATION DATE 12/31/90
DATE ISSUED / 6/11/90
By
"r Administrative Authority
TELEPHONE: (619) 564-2246
.. Y !'
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'„ !-�
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PERM I T NO. 0690
WORK ORDER!. '549
.1837
City b.f.La 'O.L(i nta x>
78-1'05 01,1E EStado
Ad
(102/28/91
.
NOT ICE OF yWORf:: ORDER
START
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. 690 i 4 HAS -JUST .BEGUN o ''• ,
WORK..ON .'F CRM I Tom* NO� 1
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AT ADDRESS." N/E/C'. MILES ' 4 ,DUNE- PALMS
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F'ERM LTTEE. REF'RESFNTAT I;VE o GTE CALIFORNIA
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he following+General and Special Provisions ere•attached to and made apart of Permit No. f l►(� D
`
GENERAL PROVISIONS
r
The following shall always apply:, !- ^ i -
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta rightof way
ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to
secure permission from abutting property owners: Such authorization. must be secured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on any
' •
paved surface unless fitted with smooth'-faced street pads. All mechanical outriggers shall befitted with rubber street shoes to protect
e' the paving during excavations. Rubber-tired equipment only shall'be used in backfill'operations in pavedareas, if the existing
'
pavement is scarred, spatted, or broken during the term of this contract, or if the pavement is marred, City of La Quinta shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. ,
surfacing plus appropriate seal coat as specified above. r.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly.lighted and barricaded as deemed necessary by the City
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for theduretion
'
of the project. The City shall be notified 24,Hrs. in advance of any traffic detours or delineations.
`
CARE OF, DRAINAGE. STRUCTURES:`Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be'replaced in kind. 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 sha It be removed from the right of
way. All paved surfaces sha 11 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"riginal standard or better. All excess material shall be removed
prior to paving. Water tanker shall be-used, as required, to sprinkle the job site to keep down dust conditions and shall be used
-
-'immediately after backfill.
' *
DE-WATER OPERATIONS: If de _watering operations are-required and pumps are forcing water on City of La Quinta roads, it shall be
the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No street shall. be closed:'A minimum of one lane of traffic shall be maintained at all times to provide limited
^• access for the adjoining property owners and emergency vehicles. In the event iris felt by the permittee that he must close a street for
any length of time, permittee shall contact this office to obtain the,necessary permission.
r c SPECIAL PROVISIONS `o
.,
The fo�llwiinng shall apply ONLY when indicated: '•' - >'
{.,R1 POTIFICATION, Permittee shall notify the City at 564-2246 at least 48 hours to advance of starting construction. ,
"
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than $
' shall be furnished in the name of City of La Quinta to cover' all work involved in the restoration of the various La Quinta
r
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be,
osted prior to commencement of any work on this project . '
r
y
i r•r
TILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way authorized.
Oby
permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.'
Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility
• `.
of the permittee , . a:-
QR4UTILITY 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: Arealbetween the proposed concrete gutter line and the existing road pavement shall be
' .
surfaced with - inches of A.C. paving placed on 'inches of class aggregate subbase course ,
having an:'R"value of not less than - "and in conformancevJith City of La'Quinta Road Improvement Standards
+° •. and Specifications: Ordinance #461:
AR6 'PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
t
1/4 inch to one foot (i'): `
R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
•
construction.
_
138' RADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
': : • a licensed engineer. 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
- -
` 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 atter'existing drainage pattern. Surfacing between the
`L ' 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"at+ached drawing. +
-
+
R 11 CULVERTS: A inch diameter ( )culvert shall be installed with the invert approximately 1-1./2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. ,
` R12 SIGHT CLEARANCE: Sightclearance of 600 feet .in either direction shall be assured and maintained. `
SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the
manufacturer's specifications.
14 OORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or _
City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. -s
R15 RVEY MONUMENTS: Prior to excavation or beginning of construction' all survey monuments which exist on the, '
enterline of all streets or property lines when involved shall be completely tied out so they maybe readily and correctly
be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the' '
ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall '
,.
be notified upon completion of replacement of all survey monuments for proper project clearance.
RD
Rli URVEY MONUMENTS: Prior to excavation or beginning o truction, all survey monuments shall be tied out by City
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 pffvement
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.
18 AVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
ravement straight edge shall be corrected.
R19 IMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feet of open trench before backfill operations must
egin. 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
aterial is actually on the work site.
R20 ACKFILL 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 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.
Pb
CKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
ore flooding or a maximum offive-foot (5') liftswhere trenches are of excessive depths. Care isto be exercised that theckfillmaterial is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
ulting 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 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 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
f 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
he placement of the temporary pavement exceed a five (5) day limit.
R26ERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch
consisting of two inches (2") of SC-800 shall be placed immediately. A permanent patch of inches A.C.
surfacing placed on a inch class se still be placed no later than days after completion of
4_4U temporary road repair. (:," S
R27 PAVEMENTREPAIR: F.A.S.: Upon completibn of backfill and ompaction,atemporary patch consisting oftwo inches (2")
of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (W) of A.C. surfacing shall
be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary
paving. Concrete base shall be of five-sack mix and shall conform to the City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461.
R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas
where such seal coats existed prior to issuanceof this permit. Seal or armor coats shall be appliedas specified in Section
37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repair to
be accomplished by a licensed contractor engaged in the business of pavement repair.
R30 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard tothe 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 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 toa 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.
ADDI'T'ION ----ENCROACHMENT PERMIT NO.000--==CONDITIONS•
R3 311 Survey monuments &all be` protected - in placer"
' re-established pursuant; to 'City "standards Fand,.the State' of
' California _Land Surveyor:; s Act.,
R34- Work sh_all,be%coordinated with the City of -La Quintals
forces to : preclude delay or interference' with the City_, of Lal ..,7
s Quintals -projects.
R3 5 � `' r Contractor- shall 'comply with the local,noise ordinance and;=
construction•operations and.mantenance•of,equipment within,,
-° one'half mile of-human:occupancy.shall be;iperformed only -'
>. -during the'time periods,--as,'follows: '
"T „October:1st to April 30: Monday,=Friday--7:00a:m.-5:''30p.m.
Saturday; 8;:00a.m.-5:00p.m.
Maylst:to September 30: Monday-Friday',6. a.m:.-7 OOp.m:
Saturday. '8 : 00a,.m. -5 : 00p.m-.
Work shall be prohibited anytime on Sunday, -and Federal
t. ry holiday.'
R3 6;. 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 Ic6ntractor's responsibility t6 -adequately.
barricade+and detour this= site A; Traffic control 'plan shall
• be submitted for approval'by the` City Engineer:
R37,' All excavationi.at'or near the travel`w*ay shall be backfilled
at' -,the end =of.. the, work day,, for ,the :protection of the -
traveling' public. -.
,•.
1 , R3 8,-, Street closures -shall not be allowed :at any ' time . R
R39 A minimum of one-•travel,,lane shall- be• maintained, at call E
times,with flagmen during working.,hours. k
R40 -All work,'to 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. ,i ,•, r'
R41: Ingress and egress for local properties shall be maintained z
.. at:all times: r
,R42.,, Prior.t to' work. starting','Underground Service Alert'shall be.''
,,r contacted at 17800-422-4133 " and an "inqui'ry ,number': " shall Abe
e„ provided,to the City Public Works Inspector
�., ', '
R43 Pavement,.shall. be . sawcut ,prior to; -removal. •.t • ' -
• ' . - !3 ', - . -� . r '! - .. .. -..may, ..
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APPROVALS
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"'-AREA":GENER'A'L-MANAGERF=----
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DWG., NO.
RELATED DWGS.
WORK ORDER
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FORM 609540. -.
V' "REFERENGE:W.0'.•#549=71815-lie
With proper validation .
this form constitutes an
encroachment permit CITY OF. ' LA, QUINTA .
APPLICATION FOR PERMIT" &
PUBLIC, WORKS'CONSTRUCTION 4ENCROACHMENT)
- .
For the construction .of public or private _ curbs, .driveways, pavements, sidewalks; parking lots, sewers, water. mains
andother like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
.Subdivision Improvement Permit - Class III
GATE: - June 6, 1990 t . Minor Improvement Permit -Class IV
LOCATION OF CONSTRUCTION, DUNE PALMS RD N/0 MILES AVE. AT DESERT FLOWER DR
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION TO PROVIDE 'SERVI•CE TO NEW .TRACT Sketch (attach construction plans if appropriate)..
ANn FIITURF TRACTS ON' DUNE PALMS RD
DESCRIPTION of CONSTRUCTION PLACE ' CONDUIT AND CROSS
C(1NNFCT :PAD '
SEE.ATTACHED DRAWING
-DIMENSION OF INST:,LLATION OR REMOVAL SEE ATTACHED REFERENCE: W.O.#549-71815-I .
DRAWING
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME, WHEN WORK WILL BEGIN .8-1-90
APPROXIMATE TIME OF COMPLETION 11-30-90
ESTIMATED CONSTRUCTION COST $ S .
(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 resultM this work:
' r
- Signature of Ap icant or Agent
GTE CALIFORNIA 83=7.93 DR- CARREON BLVD., INDIO, CA- 92201
` Narne of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job'Fore-man. Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company. Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated.coristruction costs
,Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule
Inspection.Fee 5 -� PERMIT VALIDATION_
Permit Fee PERMIT N0.
Penalty '
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE
TOTAL:. $ -
DATE ISSUED
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564.2246