10045 (2)ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
See below for Finance Revenue Codes
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
Minor Improvement Permit - Class IV
DATE: 8/16/2010
LOCATION OF CONSTRUCTION: Lago La Quinta; Avenue 50 between Lago Drive and Avila Drive
PURPOSE OF CONSTRUCTION: Traffic Control for Tree
DESCRIPTION OF CONSTRUCTION: See Traffic Control Plan
and/or Removal of 2 Trees for Power Pole Installation
DIMENSION OF INSTALLATION OR REMOVAL: See Traffic Control Plan
APPROXIMATE TIME WHEN WORK WILL BEGIN: 8/17/2010
TIME OF COMPLETION: 8/17/2010
ESTIMATED CONSTRUCTION COST: Less than $5,000 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
permanent resurfacing and/or replacing improvements)
COMMENTS
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 occuring 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 at (760) 777-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
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 wo
Signature of Applica or Agent
Ken Peters - Asplundh Tree Expert Co. 2120 W. Mission Rd.,, Escondido, CA 92029
Name of Applicant Business Address
Ken Peters- Asplundh Tree Expert Co.
Name of Contractor and Job Foreman
344767
Contractor's License Number
Liberty Mutual Fire Insurance
Applicant's Insurance Company
FEES Subdivision Improvement Permit - Class I
Minor Improvement Permit - Class I
2120 W. Mission Rd., Escondido, CA 92029
Business Address
Finance Revenue Code
Inspection Fee E_1
0.00
Permit Fee E_1
$0.00
As -Built Deposit E-A
$0.00
Cash Deposit -Surety Bond, E -B
$0.00
if required
TOTAL
$0.00
(760) 427-3056 /(760) 489-1135
Telephone No
(760) 427-3056 /(760) 489-1135
Telephone No.
106364
City Business License No
TB2-631-004328-030
Policy Number
Public Improvements: 3% of estimated constriction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 10045
DATE ISSUED: 7ojva)uS4- f $ , 20 /0
EXPIRATION DATJ=-:- /9,1011
BY:
-1NORK INSPECTEDG%
PERMIT COMPLETION DATE": 19
If the work is covered by a Subdivision Improv entgreement, Subdivider
shall request final acceptance of improvements from the City Council.
AUTHORIZATION SLIP K.
IMPERIAL IRRIGATION DISTRICT - POWER LINE CLEARANCE SECTION
JOB / CIRCUIT:
CITY:—L(4 O L4 /t// / `7 - IDATE:
ADDRESS OR ROUTE: �'� a �7` 64/ (ti /r5�►< I/��7GiA �!
I/We do hereby give authorization to Imperial Irrigation District (IID) to
Q Trim Tree(s) EXCut Down Tree(s)
Q Top Tree.(s) a Cut Spans of Brush
for the purpose of cutting or trimming tree(s) or vegetation which may presently interfere .or due to
expectant future growth interference with the overhead lines of -'Imperial Irrigation District.
I/We authorize whatever is reasonably necessaryto accomplish the purpose as described above.
The undersigned hereby represents that he/she is authorized to execute the foregoing.
• �R
I understand that the utility company will pay for the cost of the work. /
NOTES / COMMENTS: 0-5 dhllIr`l
OCCUPANT:. OWNER: Lel,
PHONE: PHONE:
IID Power Line Clearance office phone number (760) 339-9532
POWER LINE CLEARANCE:
NOTES / COMMENTS:
SIGNED PLC
I .Z,
DATE: /e0 /Q
ITAT E
PL -J 6 l upe haO /e
White - Customer Pink Inspector Canary - Office
IID -847K (6-02)
2193.