Loading...
1548NOTE: 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 II I DATE: September 16, 1992 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Eisenhower Ave 700' e. of Washington Laguna De La Paz (Street address or Description of Location) PURPOSE OF CONSTRUCTION Replace sidewalk Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF, INSTALLATION OR REMOVAL 6 $ 26 SIZE OF EXCAVATION, IF NEEDED None APPROXIMATE TIME WHEN WORK WILL BEGIN 9/26/92 APPROXIMATE TIME OF COMPLETION 9/18/92 ESTIMATED CONSTRUCTION COST $ 11,500.00 (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: SEE ATTACHED CONDITIONS Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all. I. 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 Dale Stone 78-365 Hwy 111 La Quinta, CA 776-4388 Name of Applicant (please print) Business Address Telephone No. Stone Construction 76-161 Sago Lane Palm Desert, CA 776-4388 I' Name of Contractor and Job Foreman Business Address Telephone No. _- >i 241317` 1� I Contractor's License No. City Business License No. :.E.. Averbeck Ins. Co. 14WC-183-21300-0792 Applicant's Irisurance Company Policy Number FEES: Subdivision Improvement Permit —Class 111 Ka: 54` 7 '�l 9— 6-92 i0 " �� �cas� � �i�r r�.:� 90, 00 p Public improvements: 3% of estimated construction costs A 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. $ 80.00 10.00 $ 90.00 Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 1548 DATE APPROVED 9/16/92 EXPIRATION DATE 9/18/92 DATE ISSU D 9/16%92 gy ', Administrative Authority TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an encroachment permit CITY OF .LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) J 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: �� �1�0-�2- Subdivision Improvement Permit —Class III . Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION r c gQo` � � er W m � 'lUO � � . O'� X11 ��S VU LACq i•�.N A �� l� � � (Street address or Description of Location) PURPOSE OF CONSTRUCTION _o 6!}cr? S [ e Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Gj 7/DC tLrD Ga l`J 0LTiac.�S . DIMENSION OF INSTALLATION OR REMOVAL 61! SIZE OF EXCAVATION, IF NEEDED �+-« APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ V7;1oo� (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 resul this work. Signature of. Applicant or Agent Q -T1 CD'� 77 O� Name of Applicant (please print) 1 �Business `Address ( Telephone No. �) V, ` �,(Q�d� l M �GL1 Y►�DOSn CO l4 ZZ Qt Zi�i 75 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License'No• City Business License No. ll� (D ecr 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 $ .610 Permit Fee 1,12 Penalty Cash Deposit -Surety Bond if required TOTAL: $ %o Receipt No.. Received by Date Recorded by' PERMIT VALIDATION PERMIT NO. - J8 DATE APPROVED g lG EXPIRATION DATE�— DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 ri ADDITION -'---ENCROACHMENT PERMIT NO.1548 ---- CONDITIONS R1 Work shall..be coordinated with the City of La Quinta•'s forces to preclude delay or interference with the City of L•a Quintals projects. R2 Contractor shall comply with the local noise ordinance. Construction operations and maintenance of equipment within one half mile of humanoccupancy shall be performed only during the time periods as follows: October 1st to April 30: Monday -Friday 7:00a.m.-5:30p.m.. Saturday 8:00a.m.-5:00p.m. May 1st to September 30: Monday -Friday 6:00a.m.-7:00p.m. Satubday 8:00a.m.=5:00p.m. Work shall be prohibited anytime on Sunday and Federal holiday. R3 Traffic control shall be as per Cal Trans Traffic Manual. Field adjustments in detouring shall be accomplished as directed in order to adjust to actual field conditions. It shall be the.contractor.'s responsibility to adequately barricade and detour this site. R4 All excavation at or near the travel.way shall be backfilled at the end of the work day, for the protection of the traveling public. R5 Street closures shall not be allowed at any time. R6. Ingress and egress for local properties shall''be maintained at all times. R7 Sidewalk to be replaced shall match the existing sidewalk that is functional.