0907,`'NOTE
;• h' '.Vith pr6pe •validation
r, •+this form co stitutes an CITYOF` LA' QUINTA
f 1i .. t. • >A` i `
encroachment permit' • v :�
7.. ri . • ~, '' �. 'APPLICATION FOR PERMIT"
,.- ,. ;� ,.� • • ,� PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT)
.«TWO GT4:°i_543"-71174=la�,�,' �
Fo ; 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
'. :ti.
�.;x�,', • .�, yam• w � + .
y r'. �� r •,i! ` �vr Subdivision Improvement Permit — Class II I
DATE: NoVeniber -8 �" 1990., Minor:fmprovement Permit Class IV
•' LOCATION OF CONSTR' UGTION' "e. 50 W/O' Was hi nerton IC rin ♦ � ^'
+ ' `(Streetaddress or Description of Location)
to'plade ,phone .cable -
PURPOSE OF CONSTRUCTION,- Sketch (attach construction'plans if appropriate)
DESCRIPTION_OF CONSTRUCTION ,' tr'ran12h i«n inl a1,0 i. 4
.►tt b `�' is tai' . tn� xrpi ni t- see attached drawing
ret. WO 543-71174-I
yr DIME'NSION'OFYLNSTALLATION;OR:REMOVAL 270.' X -1 X1, -
"y t'K�€�ixp�6P7l"• .'and �12 � 44; 4 �zS`
fi7.A'••.. of :. - Q.H ,,,, - - •.,r. , •, ." � ,
�SIZE OF EXCAVATION, IF NEEDED' a
APPROXIMATE TIME WHEN WORK WILL BEGIN ti
APPROXIMATE TIMEOF COMPLETION
ESTIMATEO�CONSTRUCTION COST. $:�a nnn nn
` ;
�•
'-(Including removal of all obstruction, materials, and debris, backfilling, com •
r pac'tion and placing permanent resurfacing and/or replacing improvements) , '
y ln.consideration•of�the•granting.ofi� phis permit, the applicant hereby agrees'to:
' �-•�, ,Indemnify,-cleferid•and save the City,. its authorized,agents;' officers,, representatives'and employees, harmless from.and against `any and all
?� ' • 'penalties, liabilities,oriloss'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 undertaker'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. Y
? Comply ,withall applicable City Ordinances,- the terms and conditions of the permit and all applicable rules and -regulations of the City of
`} 1: La Quinta and to for any additional replacement necessary as the result' of this work. ,
. . ,
ley, ..
all
t• ' z .fi • I •.
' !!' _ ya y • '"' `iii k Signature of Applicant or Agent
i
TX Ca ifornia, In66ri aoratpd•' ' �'�-7�-� ter rar,�Ann r�1.r.� `~ TnAin IA7_n9;Zr,
Name ofApplicant (please print)Business Address i Telephone No.
t •. Name of Contractor and Job' Foreman, • , ' Business Address Telephone No.
Contractor's' License No.� City Business License No.
Applicant's.lnsurance Company V, Policy Number ,
FEES: SubdiJision Improvement Permit _ Class.11.l
Public improvements: 3% of estimated construction costs - :*
Private improvements: 3% of estimated'constrbction costs .
r W66r Improvement Permit = Class;lV: See_ attached schedule, del"P,O}
` "Inspection Fee ' + $�0_.. ` r r' + • PERMIT VALIDATION
W,, ,
Permit Fee`." �* �. •;PERMIT NO. 090.7• .
,
Penalty
Cash Deposit -Surety Borid '' _r
DATE APPROVED 4 11/9/90
if required EXPIRATION DATE 9�30�91
TOTAL: $ .:n_ 11/9/90 '
DATE ISSUED -
Receipt No. d
1-4
Received by Date t
.; ,Reco'rdedty
14
By A /, I ./.--n
Administrative Authority
TELEPHONE: (619) 564-2246
P-IPARIWIC
r+`^.-,.`q----.--"'s:;�r#.. °_.:-.,..'rr..±�h?�"".t+" .. `�..x?i '-.a ..: - �•=�,.:� r+f::i�:' t, • .�.+s�-r.�i-.�.-....f=.:c_-.: .� ir:.+= . �.t:. •�,' ���-aJ�µr�",� � +.i '.^:ava a •.v..1'. .. . ;:
'ka-�Yy�!�•na.r �i. .r w`�_ .� ....w .�.-�. w �as c..+w^w•s..ya..�!!.�.,�,w.w�t .F!...�-�..... �e...2:-.o3+rr .� s. .w. sw-.r.�. w. ...w � ..r w. ..-�
. .iii'' e' \�'�• �. \
'~s NOTE: r ~
With pcoper validation
this form constitutes an
encroachment permit
' WO
r
CITY OF LA QUINTA
a
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
GTE 543—'71174—T
For the construction of public or private curbs, dr`i�waysepavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection witAINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
-� �� C Subdivision Improvement Permit —Class I I I
DATE: November 8, 1990 Minor Improvement Permit Class IV
LOCATION.OF CONSTRUCTION Ave. 50 W/O Washinaton f: *rept n
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION to place phone cable Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION trench to nlanc
cable with snlica -oit see attached drawing
ref. WO 543-71174-I
DIMENSION OF INSTALLATION OR REMOVAL 2701 X 11 X3
tronch' and 121:5'x5'
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1 ��
APPROXIMATE TIME OF COMPLETION 6 /3n /q1
ESTIMATED CONSTRUCTION COST $ 3 -- RDR . DC
(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 Oar Caarr_eon Blvd. Tndin ,42-n5i5_
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 1I
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No
Received by Date
Recorded by
N's 01907
PERMIT VALIDATION
PERMIT NO. 0907
DATE APPROVED 11/9/90
EXPIRATION DATE 9/30/91
DATE ISSUED 11/9/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
'REFER'ENCE GTE W.O. #.54<1174- I
{a. mrd'
NOTE:
With -proper validation
this form constitutes an CITY -OF. LA QUINTA
encroachment permit
APPLICATION FOR PERMIT.....
PUBLIC WORKS CONSTRUCTION, .(ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit— Class III
DATE:_ November 8,-1990 Minor Improvement Permit Class IV
LOCATION OF.CONSTRUCTION Avenue 50 W10 Washington .Street
(Street address or of of Location)
PURPOSE OF CONSTRUCTION 10 place phone cable Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION trench to place cable
with splice pit SEE ATTACHED DRAWING
REFERENCE W.O.#543-71174-I
DIMENSION OF INST.-.LLATION OR REMOVAL 270' xl' x3
trench and 12'x5'x5'
SIZE OF EXCAVATION, IF NEEDED RECEIVE[I NOV U 9 i ilia:
APPROXIMATE, TIME WHEN WORK WILL BEGIN 1-1-91
APPROXIMATE TIME OF COMPLETION 6-30-91
ESTIMATED CONSTRUCTION COST'$ 3,000.00
(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 actiomand arising out of any accident, loss or damage to persons or property '
happening or occurring as a proximateresult 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-Ouinta and to pay for any, additional replacement necessary as the result of this work.
Signature of Pipplicant 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 III
Public improvements: 3% -of estimated construction costs
Private improvements: 3% of estimated construction costs
- ,...� Nlinui! liTipr{Jveracm Permit • —C!asS !V: See attached sched'.0-
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT NO:
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authori-
TELEPHONE: (619) 564.2246
W
.'' ADDITION-=-=ENCROACHMENTtPERMIT N0.0907 ----CONDITIONS
'
.,
shall+ be `protected iplace.
R33
Survey moi�ents or
•,re-established
pursuant to City standards and the State of '
California Land, Surveyor':s,h Act:' 1 `
-,R34
Work shall be' coordinated with the` City of ,La _Quintals
-forces to -preclude delay, or interference• with the City of. La . .
Quintals projects. - •
R35
Contractor'shall~'comply with. the 'local noise ordinance -,and
operationsand•maintenance of, equipment within,-
,.
•construction
one ,half inile of •• human occupancy shall be.performed- only
'
during the time periods as, follows
October lst.,to April .30:,, ,,Monday-Fridag�' 7 :'OOa.m. -5: 30p.ni.
-Saturday
` 8 00a:m.-5:0Op.m. •:
May 1st to September 30: Monday -Friday 6: 00 a.m.,-_7:OOp'.m.
Saturday• '" 8:00a.m.-5 0OP. m.
"•
_
Work shall be prohibited ,,anytime• on Sunday,. and .Federal F'
'
holiday.
R36
Traffic control`r'shall- be. as per Cal' Trans Traffic --Manual.
'Field adjustments in -"detouring shall be`accomplished as "
•
directed in order to adjust actual field conditions. It
• t
,tto
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 ot,near..the travel way -shall be, backfilled .
_
at 'the . end 'of the work day, for', the protection 'of the r
traveling .Public.,.
R38
Street closures ' sh'all= not 'be . allowed at any time
R39
All operations''shall be conducted outside..of,the paved-
-
travelway of AvenueM 50 . +`
„ '. , ,
'
All landscaping; •irrigation.` and, any.,,other affected-.-'
"
improvements shall. be, restored to `the satisfacti`on,.of the
City Engineer .within 15 days•..following,,completion. of,,the
,
work 'performed under:-under,'permit. ,•. • • -
.•. z
R40.
• _
All work • to be performed- wi•thin,.the existing .paved. section_
'shall be"temporary''paved and',maintained by'*the'Permittee, c
'
permanent; pavement shall be ' placed no later than •15, days-
,.
after. completion ;.of the •temporary road"repair::;
R41
Ingress and egress for..local'properties - shAll,.'be, maintained .
at all times.'
- R42•
Prior to work starting, Underground,. Service Alert: shall be., 4'
F
contacted at•1-800-422-4133,•-and an!,"inquiry'number" shall.be .:
+'
-provided to the' City. Public.Works Inspector.'
,
' R43
A Pavement shall bexsawcut,•prior to removal. '
`.`Additional Conditions - Enc•roachment ' Permit' No
Page 2 ;
. R44 All 'backfill sUbgrade:soil shall be 'compacted to nothing ,.
less "than 905 relative. dry, -,density, all backfill soil within .
the top 2'.._of finish pa'v'ement surface "shall. be' compacted to
'nothing less than 95%' relative, dry density, ' all base
` material shall., be compacted to, nothing' less'" than. 95 0
relative;_ drys -density. 1�
R45 `Replacement•' pavement: sectionsy shall. be 4 "1 AC ,over 61.' Class
R rs II -a ggregate -bas.e. 1 f
r ,R46 Existing landscaping shall be, "replaced'in kind to the`�' }
satisfaction, of, the City 'Engineer within 15 days following
t " completion;' of the work:' authior,ized 'by''this permit.. r ,
R46, If, the` work'is to be performed by forces other •than that'of'.
' = the utility company; the contractin company will be '
r," required to =apply for '=an• additional encroachment permit
and_ . pay':�the appropriate fee : '
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_.. TL WASHINGTON ST 91' ' CONLIA(T TSO M H'5:T, + ._ �; 1j_�
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