0804w,
— —.+— — — — — r..... .. — �... -_
GTE REF.ER.LVCE; W.o. 043-31182-I
NOTE: LISL 11OWLR' Did AND SAI, PLDRO. S/W COR
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: 8-28--900 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTIONTSENHOWER DR AND SAN PEDRO SAI COR
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION DICONNECT TEMPOYNA.RY TO
DEL LA PAZ
DESCRIPTION OF CONSTRUCTION SPLICE PIT TL9 BE DUG
BY CONTRACT FORCES. FOR ADDITTUIv�AL INFU TION
(`ATT. r, /`flmr, nT ZA1—nr:Ir, ATaT1 L,7 n
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
SIZE OF EXCAVATION, IF NEEDED A ct#A I vn Ta-rm c!;Tr' TTACHZD
rVQ T TJ T T,V'
APPROXIMATE TIME WHEN WORK WILL BEGIN Q--^_Qn
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:
REF. 5543-31182—I
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 INCORPORAV-1D 83-793— DR CARREON BLV INDIO CA 92201
Name of Applicant (please print) Business Address i 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
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
$ 0
$ 0
Received by Date
0804
PERMIT VALIDATION
PERMIT NO. 0804
DATE APPROVED H—JU
r� 12-31-90
EXPIRATI-ON DATE -%
DATE 'ISSU•E-D f "90
By
Recorded by 11 TELEPHONE: (619) 564-2246
ministrative Authority
ar.+-�y.�''y�..u*q �`�,v"-�c�=fi C�.��"��1'�n �4,=.��1+'��,, �e y � "�''"'y�`'y,n+i'•SL:•�""� �i�i;+.,,. _ -,�' •-�`'.�'�w� ',y�3g,;.'u��,�,�1.'L'"WBk s�.''�.?:i'`T].q .t-.
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GTit REFERENCE W.O. #543-31182—I
E: F EISENHOWER DR AND SAN PEDRO. S/W COR �
' :y
With proper_validation
this form,constitutei an' _ ` CITY OF, LA' QUINTA
encroachment permit
APPLICATION
'� F 'r
• - APPLICATION :FOR PERMIT -
r;• tPUBL'IC WORKS 'CO_NSTRUCTI.ON• (ENCROACHMENT)
For 'the +construction of public or private `curbs;'driveways,•pavements,:sidewalk ,,parking lots, sewers •water•mains,
and other like'public'works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
- Subdivision,lmprovement Permit Class 111 ;
DATE: •` �' 5-28-900 +''` F f •t Minor Improvement Permit Class IV
..1 .,1,I i .F•;_z r Eby '•' -
' LOCATION OF, CONSTRUCTIONISENNOWER DR 'AND SAN PEDRO S/W GOR' '
(Street -a or Description of Location)'
*� PURPOSE OF CONSTRUCTION DZCONNECT TEMPORARY, TO Sketch (attach construction plans if appropriate)
'rI ; ,i�DEL LA; PAZ' SPLICE PX'� -TV BE DUG
s . DESCRIPTION OFCONSTRU•CTION,'
f�;Y,,BY -CONTRACT' FORCES. REF. •3543-31182—I
n� • ("AT 4..r'�+r-nh0M_ x8m �n7_h+;�F' AA171 T?T;'F'TrRT'TJ TO col n;. r �' r�i `j •,',
DIMENSION°SOF INSTALLATION OR REMOVAL' = • '
SIZE OF -EXCAVATION, IF NEEDED n VX41 vn Arm SVP nmTACHsD • ` �'� -
1''
r APPROXIMATE TIME'WHEN.WORK'WILL BEGIN--—��"'4
s.CAPPROXIMATE TIME,OF COMPLETION
ESTIMATED CONSTRUCTION COST $ ` '
,.(Including•removal of all obstruction;:materials, and debris, backfilling, com,
pact n 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'personsyor property ,
happening or occurring,as a proximate -result of any work.undertaken under the permit granted pursuant^to this application. r'
I 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.d.
+
' 'Signature of'Applicant or Agent. `
GTE CALIFORNIA INCORPORATED,,83:7�793— DR CARREON •BLV;-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
i, Public improvements: 3% of estimated construction costs�'�
.Private improvements: 3% of estimated construction costs '
=e 0804. ..
Minor Improvement Permit — Class IV: See attached scheduler .
d
Inspection,Fee $ 0 PERMIT VALIDATION
Permit Fee PERMIT NO.
0804
Penalty'
Cash Deposit Surety Bond DATE APPROVED' ? ,8-28'90
if required. 12-31-90 .
EXPIRATION DATE
TOTAL: $. 0 ���•• _
DATE ISSUED C i ''" 90
Receipt No.
By / f�
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Received by Date ► v �'` Admnstrate Authority
• �. �•
t' Recorded by TELEPHONE: (619) 564-2246
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PERMIT .NO.,'08�
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WORD: ORDER:
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City of La. QUinta
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WORK ON F'ERih 7 7 SIO e c_�Sc_�4
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�A** `ADDRESS E: I SENHOWER ` DR
AMID
• SAN . PEDF;O; S/W COR
k' PERM I.TTE'E REPRESENTAT I VE ti `'-
GTF_
CALIFORNIA
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"PERM I T 'NO.7 0604
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ORDER
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city o+.•L-,-k QU,lfl't (
78-100 Cal Ie Estado
La Old1 F1ta q.,'CA 92253,
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OF WORK ORDER START
-NOTICE
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AT ADDRESS:~ EISENHOWER UR AND
SAN PEDRO; S/W- COR .•F
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- 'PERMITTEE `REPRESENT ATI VE.", GTE
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NOTE:
With proper validation
this form constitutes an
encroachment permit
G. kEFERENCE W,O.#543-31182-I
EISENHOWER DR AND SAN PEDRO,• S/W COR
CITY OF. LA QUINTA . AM.
_ .• =.
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 Ill
DATE:- lict. 24, 1990 F
WSJ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION EISENHOWER DR -'AND SAN'PEDRv;'- S/.W': COR .
(Street address or Description of Location)
PURPOSE OF'CONSTRUCTION DISCONNECT TEMPORARY TO LAGUNA Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
f'IINIRAC I Fl1Kl. F N, 1- UK AUUI I IUNAL iiirUKI'INI IUIV WILL, U. U
AT 342 11535 AND REFER -TO W.O. #543-31182-I -
DIMENSION OF INST,%LLATION OR REMOVAL '
SIZE OF EXCAVATION, IF NEEDED 4` X4' X4` .PIT SEE D
nDALIT Klr
APPROXIMATE TIME WHEN WORK WILL BEGIN 9-4-9U
APPROXIMATE TIME OF COMPLETION -10-4-90
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 (241 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 ell applicable rules and regulations of the City of
La Quints and to pay for any additional, replacement necessary as the result,of his work.
Sig ure of Applicant or Agent
GTE CALIFORNIA INCORPORATED 83-793 DR CARRED LVD, 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 !mprovement Permit — Class !I! -
t Public improvements: 3% ofestimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee S
Permit Fee
y
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
i
By
Administrative Authority
TELEPHONE: (619) 564.2246
ADDITION=---ENCROACHMENT;PERMIT NO.0804---=CONDITIONSS, z
`
R33
Sur.vey monume ,shall be, protected in e 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 .Qdinta' s
•
forces 'to preclude.delay or interference.with the City.of La,
Quintals.projects..
' R35 _
Contractor shall comply with the local.noise'ordinance'and .
construction.,operations and•maintenanceof°equipment within
one- half mile of human occupancy•'st all be performed only,
_
during the""time periods as follows: ,.
October.1st.-to April 30: Monday-Friday 7:00a.m.-5c30p.m.
Saturday 8:00a.m.-5:00p.m.
'
--May 1st to.September 30:4 Monday-Friday 6:00a.in.-7:00p.m.
-Saturday 8:00a.m.-5:00p.m.
Work shall be prohibited anytime on Sunday. and.Federal'
holiday..
R36
Traffic control shall be as per Cal Trans Traffic Manival.i
- •
Field adjustments'in detouring shall-be accomplished as
directed in'order to• adjust to actual field conditions. It 4
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. '
R37
-,All excavation at•:or near the travel way shall be backfilled.
at. the end 'of the' work day, for the' protection of the
W
traveling public.
` R38
Street closures shall not•be allowed at any time.
;
R39
A minimum of one travel lane shallsbe-maintained,a_t all "
times.with flagmen during.working hours.•'
R40
-All work t6,-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.-
epair:
R41
R41
Ingress and egress for'local'properties shall:,be maintained
at all times-. ,
R42
Prior to work'starting, Underground Service Alert, shall be
contacted•at 1-800-422-4133 and an"inquiry number" shall-be
provided,to the City Public Works :Inspector..
z. R43
Pavement"shall be sawcut.prior.to 'removal. -
.
,. • ' C
V.
Additional_ Conditions -'Encroachment Permit No. "0804
.. page. ?
R44,' All•backfill subgrade" soil;'shall`,be compacted to, nothing;.'
` ,less than 90% relative "dry density, all backfiil •soil' within z
`
f the♦ tbp., 2' of,Iinish pavement surface shall be compacted:to
nothing,,less-,than 95 a relative dry density,; all base
material, shall be compacted .to ^nothingless `tlian, 95%
`relative density..: F.
,dry.
R45. '-.'Replacement -Pavement, sections shall be 4 1/2 " -AC over 81 •
4'
Class II aggregate base. VR
R46 • If the work: is to, be .performed 'by.,.forces other than that,'of
` ,ithe `utility' company, the` •cdntracting! company. wifll,.be x`
required, to.apply for an,additional..encroachment:permit,*_
E
s and 'pay the appropriate` fee .
it
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