1846•NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
I -
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
8--20-93
LOCATION OF CONSTRUCTION One Eleven La Quanta Center
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Removal Of stockpiled dirt Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
see attached conditions
see attached sketch
DIMENSION OF INSTALLATION OR REMOVAL approx 5000 cpda.
SIZE OF EXCAVATION, IF NEEDED ;0]1993 APPROXIMATE TIME WHEN WORK WILL BEGIN 8-x0-93�_-�AUG
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 000
(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.
Signature of Applicant or Agent
Desert Cities Dev. 39-725 Garand #A palm Desert, CA 92260 345-2472
Name of Applicant (please print) Business Address Telephone No.
Riverside Grading — Mike Meaner
Name of Contractor and Job Foreman Business Address Telephone No.%,,
620242 2108
Contractor's License No. City Business License No. `1
Calif. Casualty WC 6801093701
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
Recorded by
240
10
$ 250
Date
1848
PERMIT VALIDATION
PERMIT NO. 1846
DATE APPROVED
EXPIRATION DATE
8-20-93
8-25-93
DATE ISS ED 8 25-93
By
Administrative Authority
TELEPHONE: (619) 564-2246
. 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
Subdivision Improvement Permit — Class III
DATE: _ p 3 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION WAS 141'" TO 113 S -r + n( �� ) -F
(Street address or Oescription of Location)
PURPOSE OF CONSTRUCTION a(lAt. 01 STnCK191 I:,f—jj
-D((2-T- s�,� Sketch (attach construction plans if appropriate)
DESCRIPTION OF
LIE
DIMENSION OF INSTALLATION OR REMOVAL S o
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSTS -
(Including removal of all obstruction, materials, and debris, backfilling, com-
Paetion and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
I xh". nnfy, defend and save the City, its authorized agems, officers, representatives and employees, harmleo front and against any and all
Penalties. liabilities or lost resulting from claims Or court action and arising out of any accident, loss or
happening or occurring as a proximate result of any work undertaken under the damage p persona Ot props
matrty
permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four 124) 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
City of
La Quints and to pay for arty sdditionanecessary of the result Of this work.
l replacement n a�S'C'�cT Ce 776-r �I� ions of the
10Zr_
�L_",Wuv� pdgz�_,,_ ,
Signature of Applicant or Agent
Name of Applicant (please print)
Ate,/
Name of Contractor and Job'Foreman
l.;2oa c�-
Contractor's License No.
r
Applicant's Insurance Company
Business Address
Telephone No.
3; a, y-22,
Business Address Telephone No.
,21OF
City Business License No.
FEES: Subalvlslon 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 $ oC'
Permit Fee / b
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$_ -719U
Received by Date
Recorded by
Policy Number
PERMIT VALIDATION
PERMIT NO. 11�
DATE APPROVED 6 R�
EXPIRATION DATE S
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
n
SPECIAL CONDITIONS --PERMIT NO. 1046
---Rancho La Quinta---
In addition to the standard permit conditions, the fallowing shall
apply:
1. All wart:: shall be performed in accordance with the latest edition
of the "Standard Specifications For Public Works Construction"
and the plans approved by the City of La Quinta.
No fill shall be placed which will cover or obscure asphalt
concrete, petroleum product spillage, or other non-native
materials.
2. Permittee shall furnish the name(s) and phone number(s) of the
individual (s) responsible for maintaining the project site from
any situation that is a -public nuisance, after- hours, weekends,
holidays, etc.
3. Permittee shall notify the City Engineering Dept. at 564-2246 at
least •24 hours in advance of starting construction.
4. All streets shall be kept clean of all trackage.or- spillage from
vehicles using this site. The road=_• shall be completely cleaned
at the end of each work: day, if necessary, and more frequently if
required.
5. 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 5:30p.m.
Saturday noo a.m. to 5:00p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to '7:00p.m.
Saturday 8:00 .a.m. to •5:00p.m.
Eqdipment may not be operated or maintained on legal'holidays
.including Sundays.
6. Permittee is responsible fog repair of any pavement damage or
other- damage to access roads and other public facilities.
7. Should additional work: or modifications be required in order to
meet established City Standards or in order to fit field
conditions, the work: shall be performed by the permittee as
directed by and to the satisfaction of the City Engineer at no
cost & the City of La Quinta.
e. Any on-site haul road shall be effectively destroyed at the
conclusion of the work: to prevent use by unauthorized vehicles.
Special Conditions -.Permit No. 1846
Page I of '2
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