1661;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: 1/29/93
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION NORTH WEST finRNnR IV AVE 50 9 'PARK
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION nom* j!FR S !pREES Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION SEE ATTACHED CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 1 DAY
ESTIMATED CONSTRUCTION COST $ 2000-00
(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:
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.
SignatureblA,qpI'cannior Age
YOUNG'S LAND CLEARING 67-683 HWY 86 THERMAL CA 92274 (619) 398-0854
Name of Applicant (please print) Business Address Telephone No.
ROCKY YOUNG 82-910 BECKMEN DR. THERMAL CA 92274 (619) 398-0854
Name of Contractor and Job Foreman
Business Address
I Telephone No.
632630 2809
Contractor's License No. City Business License No.
NORTH AMERICAN INS Q CQ - 1 R'A q 0,-1 _ U 0
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 r
Inspection Fee 1 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
u
$ 0
Date
f
�.7
PERMIT VALIDATION
1661
PERMIT NO. -
DATE APPROVED 1/29/93
EXPIRATION DATE2/15/93
1/29/93
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
lF,
_4
I
SPECIAL CONDITIONS --PERMIT NO. 1661
--- Boys & Girls Club ---
In addition to the standard permit conditions, the following shall apply:
1. Ali work shall be performed in accordance -with the approved permit.
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, ie, Caltrans, CVWD, City of Indio 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 1st 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 CalTrans'Standards. It shall -be the contractor's/permittee's
responsibility to detour and barricade this site.
8. Permittee shall notify the City Engineering Dept. at 564-2246 at least 24 hours
in advance of starting construction.
9. 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.
10. Ingress and egress for all local properties shall be maintained at all times.
Property owners in the area shall be notified in advance of any inconvenience.
11. When work is within 500' of a signalized intersection the permittee shall notify
Riverside county Signal Dept. at (714) 275-6894 or Caltrans Signal Dept. at (619)
688-6845, as appropriate, 48 hours prior to beginning work. This is in addition
to the Underground Service Alert (USA) notification.
Note: USA does not locate signal conduits or other city owned facilities such as
storm drains, electrical services, median sleeves, etc.
12. Access or egress shall not be permitted from or onto Ave 50, contractor/permittee
shall use Park Ave.
13. Contractor/permittee shall be responsible for the removing any material from the
site -that is a result of his work, such as tree trimmings, leaves, trash, etc.
Special Conditions - Permit No. 1661
Page 1 of 1
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 III
DATE: l�2 %— 9,3; Subdivision
Improvement Permit Class IV
LOCATION OF CONSTRUCTION 7�4 7L - 5',:::-
(Street
C
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 111,220-ve
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN �17i-Q c/.gYlp/_T
APPROXIMATE TIME OF COMPLETION l do,,
ESTIMATED CONSTRUCTION COST $ D -o CC. _
(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)
_'6- �'�7/kG l l-1✓O Co lj)Pl7(oAj 1
Indemnifv,-defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or lou 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 Quints and to pay for any additional replacement necessary as the result of this work.
Celt-' L't 0Ife?
Name of Applicant (please print)
Name of Contractor and Jo
_z/,3 2 a3c
Contractor's License No.
SignaturIfpplicantoCr Agent
768 3 fi�cc i, k1
Business
Sly
-?/d /�Pe
Business Address
Telephone No.
Telephone No.
City Business License No.
11"t 7A /" ?Y, ,c 4!A
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.
$ 0
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 4
DATE APPROVED Z,7 —93
EXPIRATION DATE Z " t 5 —C 3
DATE ISSUED
By
TELEPHONE: (619) 564-2246
13F
Administrative Authority
;'0 7 SY