2135J 4 _
s 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 II I
DATE: 4/13/94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION City sidewalk on Sonesta Drive in La Quint& at Tract 23269 La Quinta
Del Rey Highlands
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION R & R dama>zed City walk Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
See attached Condtitions.
DIMENSION OF INSTALLATION OR REMOVAL approx. 430'sg
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/14/94
APPROXIMATE TIME OF COMPLETION 4/20/94
ESTIMATED CONSTRUCTION COST $ 2,300.00
(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:
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Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and againsmny 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 / V
Century Crowell Comm. 1535 South D Street, San Bernadino (909) 381-6007
Name of Applicant (please print) Business Address Telephone No.
Royal Concrete (909) 888-0816
Name of Contractor and Job Foreman Business Address Telephone No.
314473
Contractor's License No.
2120
City Business License No.
United National Insurance SMP4295
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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
$ 85.00
10.00
$ 95.00
Date
2135
PERMIT VALIDATION
PERMIT NO. 2135
DATE APPROVED 4/13/94
EXPIRATION DATE 4/30/94
DATE ISS E 4/14 94
By
Administrative Authority
TELEPHONE: (619) 564-2246
a ..
NOTE:
With proper validation
this form constitutes an
encroachment permit CITY .OF LA: _QU.INTA--... .
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION ANCROACHMENT)
For the construction of public or private curbs, driveways. Pavements, sidewalks, parking lots, sewen, we ter mains
other like public works improvements in Connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:
LOCATION OF CONSTRucTinu //.
(Street address or Description of Locatanl
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALL�ApTION IWREMOVAL
�/�s� .�
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION��
ESTIMATED CONSTRUCTION COSTS a5"G�7 _�
(Including removal of all obstruction, materials, and debris, backfilling, com•
Paetion and placing permanent resurfacing and/or replacing improvements)
Subdivision Improvement Permit — Chia 111
Sketch (attach construction plans if appropriate)
E f-T`G4�t+G_�D CX --J 6 i (r &'JS
In consideration of the granting of this permit, the applicant hereby agrees to:
Indernmfy. defend and save the City. its authorized sganq. offieart. representstiws and am0lpYea, harmlaa from and
patNues, liabilities or loss resulting from elgims or court action and are Out of a agsinn ww end an
h"Mn,ng or occurring a a proximate remit of a under
nV accident. 100 Or damage to persons or prppe%ty
any
wort undertaken under the permit granted Ourmant to this application.
Notify the Administratme Authority at iciest twenty-four 1241 hour in advance of the time when wort will be started.
Campy with 811 8001ieabla City Ordinantu. the terns and conditions of the permit and all applicable rola and nqulatgna of the CJty at
Ls Quints and to Day for eny additional repi&cantant ne=IwV as the result of this wort.
Signature of Applicant or Age �Do y 700
Nance of Applicant (please print)
Business Address Telephone No.
� . 57)_��
Name Contractor and Job Foreman l�
-3 1 q `4 1 3 Business Address Telephone No.
2� zv
i Contractor's License No.
L C,4111 ([ D A (, �i� 45 City Business License No.
Applicant's Insurance Company 12)r'l PL-( Z 6
Policy Number
FEES: Subdivision Improvement Permit _Class ill
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated constriction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee S B S p
Permit Fee / fl
?enmity
=ash Oeposit•Surety Bond
f required
TOTAL:
Receipt No.
'leceived by Date
'Recorded by
PERMIT VALIDATION
PERMIT NO. - i /SS
DATE APP dVVED
EXPIRA ON DATE _ .30
DATE WED
By
Administrative Authority
TELEPHONE: (619) 564-2246
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SPECIAL CONDITIONS --PERMIT NO. 2135
--- Century Crowell ---
In addition to the standard permit conditions, the following shall apply:
All work shall be performed in accordance with the latest edition of the Standard Specifications
For Public Works Construction.
Permittee shall be responsible for providing continuous dust and erosion control.
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 5:30p. m.
Saturday 8:00 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.
Work shall be prohibited on legal holidays including Sundays.
5. Permittee/contractor shall assume responsibility for repair of any pavement damage to any public
or private street and for any damage to other City streets or facilities as a result of work
performed under this permit.
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. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be
maintained with flagmen at all times.
8. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133.
9. Should additional work, materials, or modifications of the work be required in order to meet city
standards, safety requirements, signage requirements, or to fit actual field conditions, the work
shall be performed by the permittee as directed by and to the satisfaction of the City Engineer
at no cost to the City of La Quinta.
Special Conditions - Permit No. 2135 Page I of 2
. I It
SPECIAL CONDITIONS ---PERMIT NO. 2135
continued
10. All work shall be coordinated with the City's contractor and others working within the area as
directed by and to the satisfaction of the City Engineer.
11. All backfill and subgrade soil shall be compacted to 90% relative dry density, all backfill soil
within the top 2' of finish pavement surface shall be compacted to 95% relative dry density, all
base material shall be compacted to 95% relative dry density.
12. All excavations at or near the travel way shall be backfilled and paved at the end of every work
day as directed by and to the satisfaction of the City Engineer for the protection of the traveling
public.
13. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced
to its original condition.
14. Access and egress to all local properties shall be maintained at all times.
15. All improvements that are being removed shall be replaced per the approved plans.
Special Conditions - Permit No. 2135 Page 2 of 2