1799r
NOTE:
With proper validation
r
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 I II
DATE: 7/12/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION La Quinta High School
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION tie in fire main to city Sketch (attach construction plans if appropriate)
main Water
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 50 sections
sidewalk
SIZE OF EXCAVATION, IF NEEDED 5' deep x 10' Wide
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/14/93
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 3$00.00
(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:
SZE ATTACHED CONDITIONS
p A X V JUL 13-1993
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.
s 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
Buck Walker 6990 Mission Gorge Sam Diego 92160
Name of Applicant (please print) Business Address Telephone No.
Pr4ce Coast Same As Above
Name of Contractor and Job Foreman
Business Address
Telephone No.
350955 2927
Contractor's License No. r City Business -License No.
Golden Eagle CCP -215215400
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
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
$ 40.00
10.00
TOTAL: $
50.00
Receipt No.
Received by Date
(
Recorded by
9
PERMIT NO.
1799
PERMIT VALIDATION
1799
DATE APPROVED 7/12/93
EXPIRATION DATE 7,11 R/Q1
DATE ISSUED 7/12/93
By 4 zln��
Administrative Authority
TELEPHONE: (619) 564-2246
t
w
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: -7//-3 9 i Subdivision Improvement Permit — Class ill
Minor Improvement Permit Class IV
L�O7CgATION OF CONSTRUCTION — t3 Q v ,g S'CHoo L Po" Phz;,j s'
L14 -c
/ ?.S� eSf GJ A fz j 14 -c /L ea r .,,.-A. __ �-� n� � �' 2
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION ne Sketch (attach construction plans if a
W P PPropriate)'n-
DESCRIPTION OF CONSTRUCTION P I�✓� �u^���V"
DIMENSION OF INSTALLATION OR REMOVAL —SX yee_- ,Yo i. SIZE OF EXCAVATION, IF NEEDED POe P a' /d ' Ahj cl-,-,
APPROXIMATE TIME WHEN WORK WILL BEGIN 0 2"
7 le, Z/ /Gi 3
APPROXIMATE TIME OF COMPLETION r,")AWc_- >f
ESTIMATED CONSTRUCTION COST $• r 6 0
(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 savethe City, its authorized agents, officers, representatives and employees, harmless from and against any and all
Penalties. liabilities or Ion 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 (241 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
Ls Quina and to pay for any additional replacement neoesnry as the result of this work.
9 U 1 < ti -),4 o< C iZ
ell
Name of Applicant (please print)
.l.
-e
Name of Contractor and Job Foreman
,�sa7ss
Contractor's License No.
Signature of Applicant or Agent d 1 �5 o y2 %60
�-'ssia z-7Gaxa,� Rd re, SIX tin02G
Business Address Telephone No.
-/�3 9 - 8.5- 2. 1:�
Business Address Telephone No.
29z�
City Business License No.
CCS- 2-1
Applicant's Insurance Company Policy Number
FEES: Subolvision 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 $ Z/O
Permit Fee /0
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 15-0
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564.2246
Administrative Authority
J 0
l CL Q v," -�c- '�(,y A 5c�o6 L_
BUSINESS LICENSE CERTIFICATE NOT TRANSFERABLE
CITY OF LA DUINTA
The Licensee named herein having paid tot he City of LaOuintaal I fees required, license is hereby granted said Licensee to transact the PLEASE POST INA
business herein set forth, for the period stated in conformity with the Provisions of Ordinance Na 2 of this city. This license is issued CONSPICUOUS PLACE
without verification that the licensee is subject to or exempt from licensing by the State of California
FOR PERIOD 1/01/9 3 TO :I. /:3:1./9 3 BUSINESS/LICENSE NO. 29 27
. G)AN DIA -H30 CA 9210L.3
LIDA . PR*.1J'1:i: CONST TYPE OF BUSINESS
)N 1' 1:1".'150 I::a�Lla:l 't�iF."%!'T' ra :�•l'r'AI_�a"
P.O. BOX 600248
G) -)N X!:I:I:::(:;(:1 ,A 92:1.60 l.fT':IA :CY'Y CIONTRAc;TOR
L J
SPECIAL CONDITIONS --PERMIT NO. 1799
In addition to the standard permit conditions, the following shall apply:
1. All work shall be performed in accordance with the latest edition of the Standard Specifications
For Public Works Construction.
2. Permittee shall be responsible for providing continuous dust and erosion control.
3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day
and more frequently if required.
4. 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 1 st 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.
5. 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.
6. Advance warning signs and traffic control shall be installed and maintained in accordance with
Cal Trans Standards. It shall be the permittee's responsibility to detour and barricade this site:
7. All landscaping, irrigation and decorative rock shall be replaced t6 its original condition.
8. ' Prior to excavating, permittee shall contact Underground Service Alert at 1800-422-4133.
9. Street closures shall not be allowed at any time a minimum of one travel lane on paved surface
with flagmen shall be maintained at all times.
Special Conditions - Permit No. 1799
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