2229NOTE:
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
8-11-94
LOCATION OF CONSTRUCTION Miles & Adams Tract 2399
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Provide Construction water
DESCRIPTION OF CONSTRUCTION place 3 waterhose in
gutter to back of barricade on Adams parallel to
IID substation into Inco property
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 8-11-94
5
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
The Reunion
Sketch (attach construction plans if appropriate)
1
Cl r-�i
/ J
APPROXIMATE TIME OF COMPLETION 12-31-94
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:
See attached conditions
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
Inco Homes 250 E. Rincon Corona, CA (909) 736-0700
Name of Applicant (please print) Business Address Telephone No.
Allen Wood Const. P.O. Box 556 Nuevo, CA 92567 (909) 928- 9560
Name of Contractor and Job Foreman
584639
Contractor's License No.
Golden Eagle
Business Address Telephone No.
3286
City Business License No.
CCP -213241-01 Exp 1-95
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 $ 80
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 90
Received by Date
PERMIT NO
2229
PERMIT VALIDATION
2229
DATE APPROVED
8-11-94
EXPIRATION DATE 12-31-94
DATE I SUES A 8-11-94
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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
and other like public works improvements in connection with MINOR IMPROVEMENTS a dAPPROVED BDIVIS ONS
DATE:
LOCATION OF CONSTRUCTION a
(Street address or Oetrnption of Locatlonl
PURPOSE OF CONSTRUCTION PL
RIPTION OF CONSTRUCTION
NJ —5T('-Kc:T (on1
Z
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
r
Subdivision Improvement permit — Class III
Minor Improvement Permit Class IV
-Sketch (attach construction plans if appropip)
Tia, i n! Tv P2epW_ry
Cj OE�"T'%tr tvr� C co tie r
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:
Indent nrfy, defend and save the City. Its authorized agents. officers. representatives and employees, harmless from and
Penalties. liabilities or Ion restating from Cliime or court action and arise +garnet any end ell
happening or occurring as a proxwn"@ result of a w out of any aeutO lots or damage persons o► prppejty
any work undertaken under the permr granted pursuant to this aoptieation.
Notify the Adrninistratrw Authority at lean twenty-four (241 hours in advance of the time when work will be Started.
La Guy vwra all applipble City Ordinances, the terms and Conditions of the permit and all applicable renes and regulations of the City of
La Quints and to pay for any additional n?plaewn@M necessary as the result of this wok.
Name of Applicant (please print)
Name of Contractor and Job Foreman
ss��639
Contractor's License No.
Signature of Applicant or Agent
�- ON � (Clog) 7 ( 07Co
Business Address Telephone No.
X5"6-6 /U ualo `7zs� 7 C go9) 909- 95'60Business Address Telephone No.
City Business License No.
CSP
Applicant's Insurance Company _ 613Zyy-0
Policy Number
FEES: Subdivision Improvement Permit —Class II 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
TOTAL:
Receipt No. ,
PERMIT VALIDATION
PERMIT NO. 222
DATE APPROVED I V
EXPIRATION DATE Z �I' q `[
DATE ISSUED g �% 9 (
T
Received by Dats By
Administrative Authority
recorded by
TELEPHONE: (619) 564.2246
j
SPECIAL CONDITIONS --PERMIT NO. 2229
--- Inco Homes ---
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 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.
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. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be maintained with
flagmen at all times.
8. If the work is to be performed by forces other than that of the utility company the contracting company shall apply
for an additional encroachment permit and pay the appropriate fee.
9. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133.
10. 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.
11. All landscaping, irrigation, decorative rock etc. shall be replaced to its original condition.
12. 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.
13. 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: '
14. No pavement cutting shall be permitted, all work shall be performed in earth.
Special Conditions - Permit No. 2229
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