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2347NOTE: With proper validation this forr5constitutes 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: May 8, 1995 LOCATION OF CONSTRUCTION Tampico & Washington (Street address or Description of Location) PURPOSE OF CONSTRUCTION Bus Stop Placement DESCRIPTION OF CONSTRUCTION Place shelter, bench, & trash receptacle DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 4/95 APPROXIMATE TIME OF COMPLETION 4/95 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV In consideration of the granting of this permit, the applicant hereby agrees to: Sketch (attach construction plans if appropriate) See attached sketch 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. Leslie Groslean Signature of Applicant or Agent Sunline Transit Agency 32-505 Harry Oliver Tr. Thousand Palms, CA 92260 (619) 343-3456 Name of Applicant (please print) Business Address Telephone No. f Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. 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 2347 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. -0- $ -0- Received by Date PERMIT VALIDATION PERMIT NO. 2347 DATE APPROVED 5-8-95 EXPIRATION DATE 5-8-95 DATE ISSUED 578-95 By ;);�� Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 Name of Applicant: SUNLINE TRANSIT AGENCY 32-505 Harry Oliver Trail Thousand Palms, CA 92276 (619)343-3456 Date: April 21, 1995 NOTE: All work will be performed by Sunline Transit Agency. Sunline Transit Agency agrees to do all bus stop installation work in accordance with your rules and regulations and all work will be subject to your inspection and approval. Page 1 of 1 ` Bus AMENITIES TO BE INSTALLED AT SITE (Refer to attached illustrations) Estimated Cost of bus stop installation Pole Trash Paint Sign Routes(s) & Recep- I Cement Existing (inclusive of Requested Bus Stop Location Corner Facing Served Brief Description of Work Sign table Bench Pad Curb Red labor/materials) Within La Quinta city limits, in the County of Riverside, request bus stop placement. Amenities would be placed as to provide sufficient space for pedestrian and wheelchair passage. Bus stop # 869 WB Calle Tampico/farside NW 70 Encroachment permit for new SunBus shelter bus X X $130.00 Washington stop. SUNLINE TRANSIT AGENCY IS A GOVERNMENT ENTITY. REQUEST ALL PERMIT AND INSPECTION FEES BE WAIVED. -TRASH RECEPTACLE - 36" Bottom View (with hole for drainage) TRASH RECEPTACLES will be standard concrete, finished semi -smooth, and will be available in four colors (dusty. green, cognac (mauve), sky blue, desert sand (tan)). For easy maintenance, receptacles will be painted with a graffiti deterant type paint. Per bus stop, when applicable, receptacles will be painted to correspond with the color used on the bench. They will be round, approximately 23" in diameter, and be approximately 36" in height. Included with each receptacle will be a 20 gallon galvanized liner, manufactured so as to fit easily into the concrete receptacle. Minimum weight of the concrete trash receptacle will be 550 pounds. The finished product will have a hole centered in the bottom to allow for easy drainage. This drainage hole will be not less than two inches in diameter. SunLine Transit Agency will be responsible for the maintenance of the benches, trash receptacles, and signs. Trash removal will be provided on a daily basis. Any damaged or graffiti covered benches, trash receptacles, or signs will be cleaned up, replaced or repaired within a 72 hour period. SUNLINE TRANSIT AGENCY 32-505 Harry Oliver Trail Thousand Palms, CA 92276-9988 O 'PaIQhs Lnkr tro��r� OA5 --hop I She�$Gc` turnaw4- a.:33 � ' BUS STOP AMENITIES, IDENTIFIED, BELOW, WILL BE PLACED AT TETE PROPOSED SITE: I YES NO �. ❑ - i ❑ Pole and Sign (Refer to attached illustration) i ❑ Trash Receptacle (Refer to attached illustration) C D Bench (Refer to attached illustration) ❑ D Cement Pad (Refer to attached illustration) ❑ ❑ Existing curb is already painted red ❑ Paint curb red to signify no parking. Cl Sidewalk currently exists at this site. Width of sidewalk is: Street width from curb to center line. SUNLINE TRANSIT AGENCY 32-505 Furry Oliver Trail Thousand Palms, CA 92276-9988 (619) 343-3456 DRAWING APPROVED BY DATE (For Use by SuriUm Staff Only) I 9 • I B A N S/ f A G E N C Y Hector Guzman, Engineering Technician City of La Quinta P.O. Box 1504 La Quinta, CA. 92253 Dear Mr. Guzman: MEM8-ERS: Cathedral City Indian Wells Palm Springs Coachella Indio Rancho Mirage Desert Hot Springs . La Quinta Riverside County Palm Desert A Public Agency May 1, 1995 CITY OF LA QUINTA MAY 0 41995 PUBLIC WORKS Enclosed for your review and approval, please find an encroachment permit application requesting placement of one (1) SunBus stop within the City of La Quinta. SunLine Transit is a government entity and therefore, requests that all permit fees be waived. Thank you in advance for your assistance. If you should require further information, please do not hesitate to contact me. Sincerely SunLine Transit Agency Leslie D. Grosjean Service Development Assistant Attachments 32-505 Harry Oliver Trail, Thousand Palms, California 92276 Phone 619-343-3456 Fax 619-343-3845 NOTE: With proper validation this form constitutes an ai. 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.-- LOCATION ATE: LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION BUS STOP PLACEMENT DESCRIPTION OF CONSTRUCTION SEE ATTACHED DIMENSION OF INSTALLATION OR REMOVAL SEE ATTACHED Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) SEE ATTACHED SIZE OF EXCAVATION, IF NEEDED SEE ATTACHED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION Lq I Ciff ESTIMATED CONSTRUCTION COST $ SEE ATTACHED (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 Le Ouinte and to pay for any additional replacement necessary as the result of this work. G _ iii P.fj ►''1 Signature of Ap Icant or Agent Thousand Palms, SunLine Transit Agency, 32-505 Harry Oliver Tr., CA 92260 (.619)343=3456 Name of Applicant (please print) Business Address Telephone No. NOT APPLICABLE Name of Contractor and Job Foreman Business Address Telephone No. NOT APPLICABLE Contractor's License No. City Business License No. NOT APPLICABLE 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 Date Recorded by PERMIT NO. DATE APPRO EXPIRATION DATE ISSUE[ PERMIT VALIDATION By Administrative Authority TELEPHONE: (619) 564.2246 13