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NOTE:
•' With proper validation els!'""'_74* '. '•
• this form constitutes an f ;
encroachment permit �1, r •,. a':. CITY. OF.`'LA. QUINTA
!gyri' +r - „ APPLICATION FOR PERMIT
F+Ir
PUBLIC' WORKS CONSTRUCTION (ENCROACHMENT)
" t y • OF
4.
For. -the, construction' ofepublic or private- curbs, driveways,• pavements, sidewalks, -parking -lots, sewers, water- mains .'
and'other'like public vvorks improvements in connection with MINOR,IMPROVEMENTS and•APPROVED SUBDIVISIONS
f, • Subdivision Improvement Permit — Class- III -
DAT
II- -
DATE: January 14, 1991 Minor Improvement Permit Class IV
- '"f ,E/S/0_.Eisenhower N/O,,Tampico .see -attached-.drawing •_
�a Y LOCATION -OF CONSTRUCTION
(Street address or Description of, Location)
PURPOSEnF CONSTRUCTION replace existlncr 304 ai�Sketch (attach construction plans if appropriate)• '
•cable' --- ,.' ;'_ ,,
trench 1135for
.- DESCRIPTIONiOF•CONSTRUCTION ' •
remlacement buried cable
see attached drawing.
' DIMENSION OF INSTALL'AT(ON OR REMOVAL 30" -deer-- references WO 543-314.49-I•
` 1135' lona • ,.. , - •, ;
5 r SIZE OF'EXCAV.ATION, IF NEEDED 5x10 sAlice pit i t F yK
r +.. _ _
�+
OXIMATE,TIME•WHEN WORK WILL BEGIN 1/2?/81APP.R•
a• ,-AAPPROXIMATE•TIME OF COMPLETION 2/28/91 ' ► i - Yx' i.•
f� ESTIMATED'CONSTRUCTION COST, $' � A•
/?:(Including removal of ali-obstruction, materials, and debris, backfilling, com=
paction and pia lcic ng'permanent resurfacing and/or:`replacing improvements)
In consideraYtion of the granting of this permit, the' applicant hereby ;agrees to:
3Indemnify, d
� defend and save the. City,+its authorized agents' officers, representatives and employees, harmless from and against any;and all.
t • penalties, liabilities or loss�resuiting from claims or court action•arid•arising out of any accident; loss or damage,to-persons,or property'
�•.ihappening or-occurring`as a proximate'result of any work undertaken under the permit granted pursuant to,:this application.' .. _
'j•�. {'' Notify the Administrative Authority.at least twenty-four (24) hours �iri,advance+ of',tlie timewhen; work.will;be 'started.
z
,. Comply with all applicable City Ordinances, the terms and coniiitions of the permit and all applicable rules and regulations of the City of
ti "•La Quinta and to pay for any additional replacement necessary as the result of this work:'
A Cruz. Gomez
-Signature of Applicant or Agent. ,
•GTE ealifornia ,Inc. 83-739 Eir 'Ca:rreon 'Blvd, -Indio;,, CA 9220.1;
Name of Applicant (please -print).' Business Address Telephone No. a
Name of Contractor and`Job Foreman Business'A•ddress �' + Telephone No.
' Contractor's License No.'`City Business License No. '
Applicant's Insurance Company '` Policy Number
• FEES: Subdivision Improvement Permit — Class] l l
Public improvements: 3% of esti mated'construction costs ^
' Private improvements: 3% of estimated construction costs 0.t
:•:r Minor Improvement Permit -= Class IV: See attached schedule
Inspection Fee $ ` —0— '" ' t Y PERMIT VALIDATION"
Permit Fee ;PERMIT.NO. 0983`
Penalty ,l/15/�1 ,
Cash Deposit -Surety Bond i . DATE APPROVED
if required6 / 3 0 / 91
EXPIRATION DATE'.
TOTAL: $. 1/15/9]
, DATE ISSUED
Receipt No. .�-
i By
Received by Date 'Administrative Authority.
Recorded by , ' :' TELEPHONE: (619) 564-2246
¢._"�ylr� �M�i.`AiAOL+M,-aVw'r�E� fy r V aw � a r�r M� w � r. K?lh.►'M �!•Rb rtl !1�-MJF-M�i+ I' Yf�M'w Mtll ANd.�i �R F Ma+l� Mei lM" M-.r+�: a w /�, M �r'!�'aA.l�a
v4
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 II I
DATE: January 14, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
E/S/0 Eisenhower N10 Tampico see attached drawing
(Street address or Description of Location)
PURPOSE.'O.F CONSTRUCTION renlace existing 300 ��airSketch (attach construction plans if appropriate)
cabld
DESCRIPT ON OF CONSTRUCTION trench 1135' for
renlac&ent buried cable see attacYed drawing
DIMENSION OF INSTALLATION OR REMOVAL 30° decT) reference: L.O 543-31449—I
1135' loner
SIZE OF EXCAVATION, IF NEEDED 5x10 sAlice 17it
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/22/81
APPROXIMATE TIME OF COMPLETION 2/28/91
ESTIMATED CONSTRUCTION COST $
, (�1hcluding 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.
Cru% Gomez
Signature of Applicant or Agent
GTE ealifornia Inc. 83-739 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
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ —0 II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. 0983
DATE APPROVED 1/15/91
EXPIRATION DATE 6/30/91
1/15/91
DATE ISSUED
_ t
Bye''
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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The following General and Special Provisions are attached to and made a part of Permit No. • =
"'.
�'�'' GENERAL PROVISIONS
. s
.y
The following shall always apP1Y: •• "'•..
ENCROACHMENT ON PRIVATE PROPERTY:., This permit authorizes work to be accomplished within City of La Quinta rightof way
o -r r• �` w '
QNLY. Whenever construction extends within private property, n 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:
.. � . d,'�t`` r
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— - - -Q• _
'TRACKLAYINGCONSTRUCTION EQUIPMENT: sCleatedtracklayingconstructionequipmentshallnotbepermittedtooperateonany
^t
,'• , r • - _r
•
pav'ed'suiface unless fitted with smooth faced stree't pads. . All mechanical outriggers shall be filled with rubber street shoes to protect
{ r
t the paving during excavations. Rubber -tired equipment only. shall be used in backfill operations in paved areas. if the existing
'
pavement is scarred, spilled. or broken during the term oithis contract, or if the pavement is marred. City of La Quinta'shall request
•+i
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C.
_
v
-
surfacing plus appropriate seal coat as specified above.
OF TRAFFIC: All areas be properly lighted and barricaded deemed
r : -
PROTECTION excavations and•work shall as necessary by the City
Engineer or La Qui nta. City Public Works Inspectors.Suitable detours anddetour signs sha11beplaced andmaintainedfor the duration
)' h' "" r "'
a
of the project. The City shalt be notified.24 Hrs.'in advance of any traffic detours or delineations. .. y
CARE^�OF DRAINAGE STRUCTURES:•Any 'drainage structure including corrrugated metalpipe, concrete pipe. steel culvert and ,
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the e4ent.it becomes '
necessaryto remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of,this work'
-free
Drainage structures and open drains shall be kept of debris at all times'for.proper drainage.
M`f
'RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of
"
way. All paved surfaces shallbebroomedclean ofearth and other objectionable materialsimmediately after backfillandcompaction.
Existing gutter line and drainage ditches shall be replaced to their original stanblard or better.'All excess material shall be removed
pritir,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 r , .. r; '' •« �' ,
•
City 6 buioads, it shall be
DE -WATER OPERATIONS: If de -watering operation's are required and pumps are forcing water on y onta r
ter.
Ai
-the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
j.
" CLOSING STREETS: No street shall be closed. A minimum of one lane of -traffic shall be maintained at all times to provide limited
41
• •` t • ,
access for the,,adjoiningproperty owners and eme'rgency,vehicles. In the event it is felt bythepermittee that hemust close astreet for '
9
�:`, • -Y` ��.:�a,_
' r any length of ,time, permittee contact this office to{obtain the necessary permission. -
.� SPECIAL PROVISIONS `++
follwing-shall apply ONLY when indicated:`
„The
n R NOTIFICATION: Permittee shall notify ttie City at 564-2246 at least 48 hours in advance of staining construction.
2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than S
• «T 5
shall be furnished in the name of City of La Quinta to cover all 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
' f r
posted prior to commencement of any work on this project . _
*�
R3 TILITY CLEARANCE: (Substructures) Priortomaki�irg any excavation within the City of La Quinta right of way authorized
'
ay
permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
! CE "• ,,' - ; `
. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility
_. •aU �, ti . S �, t
of the Permittee..
` "t _
r 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. ,
n k
• R5' PAVEMENT WIDENING: Area between the. proposed concrete gutter. line and the existing road pavement shall be
�_•.� surfacedwith 7"'inches ofA.C.'pavin�placedon inches of class aggregate subbase course
• ",, a
having an"R'`valueofnetlessthan andinco_nformancewithCityofLaQuintaRoadlmprovemen[Standards
and Specifications, Ordinance #461."
' +-•
"� �R6 PARKWAY GRADING: Area between the propertyline aind top of the proposed concrete curb shall be gra'dedto a slope of.,
-• 1 /4 inch to one foot 11'1
'f
ydr
R7� GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
., rr construction.
CHECKING: City of La Quinta shall check grades upon receipt of plan and prof_ ile and/or grades as established by
•f aRADE
licensed engineer. - p \
�•
139 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter(, feet)shall be
rrernoved. 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.
>� +
✓ R10i 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
.'
aggregate base. Driveway construction shall. conform to.attached drawing.
R l l CULVERTS: A inch diameter ( ' •)culvert shall be installed with the invert approximately 1-1 /2
t
`* inches below and in line with the existing flow Iine�'Culvert installation shall conform to the attached drawing. v `
}y%
'
SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
3 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the
anufacturer's specifications. ! 3 ^ ' • r. " v T 1
+
R14 OORO_ (NATE WORK: The proposed work shall}be subordinated to any operation which the State of California or
City of La Quinti 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. .,
.
R15 URVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the "
centerline of all streets or property lineswhen involved shall be completely tied out so they maybe readily and cottectly
:-
be replaced by y a licensed civil engineer or surveyor at the expense of the permittee. A complete setof notes showing the
f ties to these monuments shall be furnished to the City Engineer prior tothe removal of any monuments. This office shall
be notified upon completion of replacement of all survey monuments for proper project clearance. T
R16 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments shall be tied. out by City
of La Quinta and suitable payment or guarantee of payment shall 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.
R� )PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations. any damage to
avement straight edge shall be corrected.
F
MITOFEXCAVATIONS:Excavationsshallbelimitedto1,000linealfeetofopentrenchbefosebackfilloperationsmust
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
material is actually on the work site.
RY0 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
casea relative compaction of 95 percent shall be attained within the structural section of the roadway.
22 ACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
beforeflood ingoramaximum offive-foot (5') lifts where trenches are ofexcessive depths. Care istobeexercised thatthe
badtfill 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
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.
k____0ne (1) copy of each test shall beforwardedtothe 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
o alifornia, dated January 1973.
5 T PORARY 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
2 the placement of the temporar, F,.veircioi t:XLXeu d iiia 15) day iimit.
!\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 h class T�- base shall be placed no later than � days after completion of
in
temporary road repair. X
R27 PAVEMENTREPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches (2"1
of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (31 of A.C. surfacing shall
be placed on six inches (6") concrete base as directed, but not later than fifteen (151 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 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 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 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 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 necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at any onetime.
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.
I. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches
(2'1 and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector.
'
ADDITION--NCROACHMENT.PERMIT N0:098 --CONDITIONS,' y{
R33
Survey._monuments shall":be protected in' place- or •',
re' -established pursuant, to City.standards.and ther,State'of�s,
•California:'` Land Surveyor I's Act: f .
R34.
Work shall be 'coordinated with. the' City of La Quintijllsp
forces to preclude delay' or.interference with the' City .of La
Y:• - r
Quintals �proj,ects . } ..
pT.. _R35
Contractor .shall '`comply with, the local.,,noise,. ordinance.` and fir-
Y
construction operatons`and�mantenance of eq uipment,.with'in
- -' .one half -"mi -le of ,human, occupancy shall be' performed only
_
during .the' time as, follows : .- .
�.. -
;period's
October 1st oto ,April -30:.--,!,'Monday-Friday 7 OOa':m. -5}• 30p.m.
-Saturday
, 8:00A "r
May. 1-st -to `September 30:,,: -Monday -Friday 6:00a.m:-T:0Op.m:
r > M It
, r' 8.06a.m.-5:00p.m. ,4
`t
,-,Saturday
,Work shall -be prohibited anytime on Sunday. and Federal .. .
�?
'holiday'.• j - •.;• ;
R36
-Traffic control,s'hall•be as- per, Cal Trans Traffic -Manual.
"Fiell.adjustments in detouring•sh'all be accomplished as
_
directed in"order to'�adj.ust to;actual ;field conditions. It
` � •
�>
shall. -be the. contractor's responsibility t.b'• adequately ,�
• ,�
4
barricade: anddetour iEs site. A Tr-affic� control -plan shall
'be.,sub mitted for:.approval* ,by_- the. -City Engineer.,- '
_.R37 R37
All 'excavation at .or near the 'travei way shall be. backfilled
at .the end' of the work da -, for, the=ry rotect on o f',the J, -
-traveling•publicl-
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• R38
4
'Street.closures shall not -be allowed at.'any-time. 4
"minimum Stravel;
"R39; 9'"-,'A
of two •paved. lanes'shall•`be-•maintained. at • '.
all" -times with flagmen.•'during,Iworking hours.
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 -
a�
after completion of. the temporary road''re_ pair .
�R41.
Ingress 'and egress«for,,local-properties shall be maintained - r.
at all'
.times
R42.
Prior• 'to work starting,•,, Undergrounds Service Alert shall
'an-
,'be
:?contacted' at ,1-800' 422=4133 and. "'inquiry number" shall be '
provided-, to tYie .City Public Works -Inspector .
R43
Pavements shall . be ;sawcut prior .to remov a,. " ,
..., ., if
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WOFi�•-.. ORDER _ a 5A'
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PUBLIC WORKS xl+`
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Al" ADDRESS e'. E i SENHOWER
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La, Quinta, CA
/27/91
NOTICE OF" WORE: • ORDER
START
j - (4ORK ON -PERMIT NO. o98. '-HAS JUST
BEGUN .ON"
011/30/91 fi
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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
January 11 1991 Subdivision Improvement Permit — Class HI
,
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION E/S/0 Eisenhower N/0 Tampico. See attached drawing.
(Street address or Description of Location)
PURPOS�A OF CONSTRUCTION Replace existing 300 pair Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION I rencn 1135' for replace-
ment
epIace-
ment buried cable
DIMENSION OF INSTALLATION OR REMOVAL 30 deep 11T5r 1 ong
SIZE OF EXCAVATION, IF NEEDED 5 x 10 splice pit
APPROXIMATE TIME WHEN WORK WILL BEGIN 1-22-91
APPROXIMATE TIME OF COMPLETION L -LO -71
ESTIMATED CONSTRUCTION COST $
(Incduding 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:
SEE ATTACHED DRAWING
REFERENCE: W.O.#543-31449-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 appticable rules and regulations of the City of
LA Quinta and to pay for any additional replacement necessary as the result ofAhis work. ,
7
Signature ofcant or Agent
GTE CALIFORNIA INCORPORATED 83-739 DR Carreon B1ff. Indio, CA 9'201
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
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.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
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ISSUE DATE APPROVALS tr.S.D �1-�0•..0�) O i
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A.C. DWG SIZE
c AREA GENERAL MANAGER
DWG. NO. RELATED DWGS. WORK ORDER
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