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1466°OTE: ,,.With N-oper 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 DATE: June 17, 1992 Subdivision Improvement Permit— Class III Minor. Improvement Permit Class IV LOCATION OF CONSTRUCTION Adams & La Palma Tract 23269 Park Site (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION Grading, Storm Drain improvements to retensien basin & Dark site DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 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: Sketch (attach construction plans if appropriate) See attached conditions) per sheet 5 of the rough grading p=ans 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 I 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 conditionsthe permit an all applicable r les and reg ions of the City of La Quinta and to pay for any additional replacement necessary as the =esu of this ork. S gnature of 4, pplicant o Agent Triad Pacific Desert Development 2800 W, March St., Stockton, CA 209-474-1911 , Name of Applicant (please print) Business Address Telephone No. David Hall 78080 Calle Estado La Quinta, CA 92253 5644850 r Name of Contractor and Job Foreman Business Address Telephone No. 505699 B-1 1383 Contractor's License No. City Business License No. r Royal Insurance Company PLA 222916 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 1466 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. 1466 DATE APPROVED 6/17/92 EXPIRATION DATE 7/2/92 DATE ISSUED 6 17 92 By - Administrative Authority TELEPHONE: (619) 564-2246 ,. SPECIAL CONDITIONS--PERMIT-NO. 1466 --- ROUGH GRADING' -=- The following 'conditions shall be met to the satisfaction of the City Engineer. 1. Permittee shall be responsible for providing continuous dust and erosion control. 2. Streets shall be kept clean. They shall be completely cleaned at'the end of the working day and more frequently if .required. 3. Contractor shall -comply with the local noise ordinance. Operation and maintenance of equipment within one half mile of human occupancy shall be performed only during the time.periods as follows: October 1st to April 30: Monday -Friday 7:OOa.m.-5:30p.m. Saturday 8:00a.m.-S:OOp.m. May 1st to September 30: Monday -Friday 6:OOa.m.-7:OOp.m. Saturday 8:OOa.m.-5:OOp.m. Work- shall be prohibited anytime on Sunday and federal holidays. 4. Permittee shall assume responsibility for repair of any pavement breakdown at the haul road access to 'any public or private street and for any damage to other City streets or facilities. 5. Any on-site haul road. shall be effectively destroyed at the conclusion of the work to prevent use by unauthorized vehicles. 6. Construction traffic shall 'be permitted a single access point from Adams only, subject.to the approval of the City Engineer. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards. Permittee shall submit •a traffic control/ circulation plan for approval by the City Engineer prior to the start of any work. 7. Permittee shall notify the City Engineering Dept. at 564-2246 at least 24 hours in`advance of starting construction. 8. Prior'to the start of the clearing and grubbing operation the permittee shall pre -water the`area to -be cleared to prevent airborne dust. r,r 7 �y a. 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 DATE: l0' 7%— qz- Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION tVff AAva .c 41 1::4 WW 7,2 Z 211/ y A�,ee Sj (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCT DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) �c> f�TT�C' � ��NDITDIJ 5 0 A� � G 2-kDt 3G FANS 2 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: 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 'me when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permi and all applicab rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the suit of is work. Signatu a of Appplicant or Agent � %- NI_cf/ sT l.t�'iiIAItO t1_1;V//_/✓ .giaC/cra>..Ji/�11, Z19y 41N -/9/l Name of Applicant (please print) Business reser_ Telephone No. 7.0,10 �/� dZ 411MSZ Name of Contractor and Job Foreman Business Address Telephone No. 5 prK99 j.3-/ /a?3 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 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ ��— Receipt No. Received by Date 138 PERMIT VALIDATION PERMIT NO. % yLl� DATE APPROVED _�ar l 7 EXPIRATION DATE 7--P _Q Z DATE ISSUED (�, — 17 ~� By. Recorded by 11 TELEPHONE: (619) 564-2246 Administrative Authority