1620`NOTE
-=With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
y'
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
ti.
Subdivision Improvement Permit— Class III
DATE:' December 3, 1992 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51-289 .Desert Club Drive, La Ouinta
(Street address or Description of Location)
Parking PURPOSE OF CONSTRUCTION Par>3 Lot Sketch (attach constructio plans'f appropri te)
?85Yts�A A i' f8ire
TAt _ '290,0013
DESCRIPTION OF CONSTRUCTION Per Approved grading 6 paving pian
DIMENSION OF INSTALLATION OR REMOVAL 46` x 46'
SIZE OF EXCAVATION, IF NEEDED 611
APPROXIMATE TIME WHEN WORK WILL BEGIN 1217192
APPROXIMATE TIME OF COMPLETION 12/18/92
ESTIMATED CONSTRUCTION COST$ 6000
(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
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 an.d.�al.-eppf' able rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of itwork.
ature of Applic t or Agent
Dobco Construction 8,0. Box 1012 La Quinta, CA 564-6478
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
391830 1375
Contractor's License No. City Business License No.
Golden Eagle Insurance Co. CCP17.8797
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 $ 280
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 290
Receipt No.
Received by Date
Recorded by
I_221 0
PERMIT VALIDATION
PERMIT NO. 1620
DATE APPROVED 12/3/92
EXPIRATION DATE 12/18/92
DATE JSSUf D 12/3/92
By .
Administrative Authority
TELEPHONE: (619) 564-2246
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
DATE: I Z - 3 - c/Z Subdivision Improvement Permit - Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION S^ - Z iI q Or, s it'c f C/11G
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION - P�rz iw9 Io /-
DESCRIPTION OF CONSTRUCTION N
DIMENSION OF INSTALLATION OR REMOVAL `fi ' X 440
SIZE OF EXCAVATION, IF NEEDED to
it
APPROXIMATE TIME WHEN WORK WILL BEGIN 12- - - 7Z
Sketch (attach construction plans if appropriate)
TIM- A frao-AID
G,✓L14-01 P Ct 4 12"'j
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 time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all Is les and regulations of the City of
La Quints and to pay for any additional replacement necessary as the result of this r .
Sigof pplicantont
r ge
0 0C o co f Po 1, , � Q s--/.' y .1,' v 7,P
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
3a� 0 30 l 3 7
Contractor's License No. e- City Business License No.
t4 , (7 79 -7
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 $ C
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ a�0
Received by Date
PERMIT VALIDATION
PERMIT NO. �oZC7
DATE APPROVED ��- q 2 -
EXPIRATION
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Recorded by TELEPHONE: (619) 564.2246
r
SPECIAL CONDITIONS --PERMIT NO. 1620
--- DODCO ---
In addition to the.standard permit conditions, the following shall apply:
1. All.work shall be performed in accordance with the the plans for 51-289 Desert
Club Dr. prepared by Coachella Valley Engineers and approved by the City of La
Quinta on
2. This permit is only for work.within the City of La Quinta and it's R/W.
Permittee/contractor shall aquire a permit from any other abutting agency and/or
jurisdiction, is, Caltrans, CVWD, etc.
3. Permittee shall be responsible for providing continuous dust and erosion control.
4. Streets shall be kept clean. They shall be completely cleaned at the end of each
working day and more frequently if required.
5. 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 following time periods:
October let to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m..to 5:00 p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays including Sundays.
6. 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.
7. Advance warning signs and traffic control.shall be installed and maintained in
accordance with Cal Trans Standards.
8. Permittee shall notify the City Engineering Dept. at 564-2246 at least 24 hours
in advance of starting construction.,
9. In advance of excavation, Contractor/permittee shall submit to the city for
acceptance.a detailed plan, .in accordance with Labor Code Section 6705, showing
the design or shoring, bracing, sloping, or other provisions to be made for
worker protection from the hazard of caving ground during the. excavation of any
trench or trenches five feet or more in depth.
If such plan varies from the shoring system standards, the plan shall be prepared
by a registered civil or structural engineer. As a part of the plan, a note
shall be included stating that the registered civil or structural engineer
certified that the plan complies with the Cal OSHA Construction Safety Orders or
that the plan is not less effective than the shoring, bracing, sloping, or other
provision of the Construction Safety Orders.
Special Conditions - Permit No. 1620 Page 1 of 1