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2517} • �..5.. .rte, ~ `f����cn.L � ' .,. - ._ -NOTE- 'Wih'proper validation t 4 s this form constitutes an; t S, • 'i '� - • CITY OF LA QUINTA encroachment permit, _< "* APPLICATION, FORPERMIT �{ `"•� ' S t PUBLIC WORKS 'CONSTRUCT -ION (ENCROACHMENT) OF TI��wS t. Vii. 1�• � '. � For;, the construction of public or, y rivate curbs, -driveways, p � 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: October' 1; f Minor Improvement Permit -Class IV LOCATION OF;CONSTRUCTION South-+woot coyer of Dung Pam Miles Ave. _ 1y 4 ' (Street address or Description of Location)' � �� PURPOSE OF CONSTRUCTION ,1 yy� Sketch (attach construction plans if appropriate) ' o --DESCRIPTION OF,CONSTRUCTION' 6111111 Ab011 SIM 'ATTACMA CCir DMONS - I DIMENSION,OF INSTALLATION OR REMOVAL ' i J ,SIZE OF,EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 11/1/96 , ` APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ 34370- r; (Ir'cluding,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: :` { n 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 z: happening or occurring as a proximate result of any work undertaken'under the permit granted pursuant to this application. i Notify the Administrative Authority, at least twenty-four (24) hours in advance of the Lime when work will be started. Comply with•all applicable City •Ordinances, •the terms'and conditions of these'ermit 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 - t eoreApplican3�not � _rax. u�ari�rc�waa iPa.? a. --v ac. mm Sernarciltto, ua— (VUV) 341"" JU7 Name of Applicant (please print) Business Address Telephone No. All A -m ( -' I -- A -:D.. •1..�r l�.�----r..l 66•f F �. �.. �_i__� w�__ w_—_ __. r�_ _ wa iwww♦ eaw• .w..w ti Name of Contractor and Job Foreman 136867 Contractor's License No. Business Address Telephone No. f. 3471 City Business -License No. ['.ammn�r�;�.al t��elcm • ' TdA'<,�2RR4l. Applicant's Insurance Company y : Policy Number r FEES: Subdivision Improvement Permit —Class III _ • Public improvements: 3% of estimated constructiocosl Private improvements: 3% of estimated constructiwicips Minor Improvement Permit — Class IV: See attached schZ Inspection Fee $ 2086. , Permit Fee 10. Penalty b Cash Deposit -Surety Bond ' if required TOTAL: $ 2096. Receipt No. Received by Date Recorded by c le V PERMIT VALIDATION PERMIT NO. 7SI� DATE APPROVED 10/1/96 EXPIRATION DATEt 1/30/97 DATE ISSU �D o By administrative Authority Telephone: (619) 777-7075 The following General and Special Provisions are attached to and made a part of Permit No.' v 5i GENERAL PROVISIONS The following shall always apply: ENROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within Cityof La Quinta right of way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, City. of La Quinta'shall request that these portions of road be resurfaced over their entire width. Resurfacing"shall consist of one coat of two inches (2') of A.C. surfacing plus appropriate seal cost as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City Engineer or La Quinta City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified.24 hours in advance of any traffic detours or delineations. CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving.' Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission., SPECIAL PROVISIONS The following shall apply when indicated: Rol NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours in advance of starting construction. CR2UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quints. right of way authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permittee. / KiJ UrELXrY CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities are clear of the proposed work site. The permittee shall notify all concerned utility companies of the proposed work. R4 PAVEMENT WIDENING: Area between the proposed concrete. gutter line and the existing road pavement shall be surfaced with inches of A.C. paving placed on inches of class aggregate subbase course having an "R" value of not less than and in conformance with City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of 1/4 inch to one foot (1'). R6 GRADE CHECKING: City of La Quin shall check grades upon receipt of plan and profile and/or grades as established by a licensed engineer. R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (_feet) shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the properry line and the existing road paving shall be 2 1/2 inches of'A.C. paving placed on of class aggregate base. Driveway construction shall- conform to attached drawing. R9j .SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times. R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer.' Rate of application shall commply with the manufacturer's specifications. i COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State of City of La Quinta projects. 1U2 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified upon completion or replacement of all survey monuments for proper project clearance. R13 PAVIIIIQVT CUTTING: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cuttingof pavement.) Excavation material shall be placed in such a position as to best facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected. R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall not be used for backfill; but shall be supplemented o- -eplaced by an approved sand or gravel. R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be'placed in lifts of not greater than three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of 95 percent shall be attained with the structural section of the roadway. R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous. COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000 feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed after a maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of two inches (2') of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a inch class base shall be placed no later than days after completion of temporary road repair. R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. ®R23 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon completion of permanent repairs. R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be in sections which c-tr be Landled safely 4:hout interference or hazard to highway tn:cac. The entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where is becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen and or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. 1 2 3 SPECIAL CONDITIONS --PERMIT NO. 2517 --- CENTURY CROWELL COMMUNITIES . --- 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 1st to April 30: Monday -Friday 7:00 a.m. to 5:30p.m. 'Saturday 8:00 a.m. to 5:OOp.m. May 1st to September 30: Monday -Friday 6:00 a.m. to-7:00p.m. Saturday 8:00 a.m. to S:OOp.m. Work shall be prohibited on legal holidays including Sundays. Work is allowed on Saturdays only if special arrangements, including payment of overtime inspection fee, have been made two (2) working days prior to.the desired Saturday. 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. 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. 10. All work shall be coordinated with the City, the City's contractor and/or others working within the area as directed by and to the satisfaction of the City Engineer. Special Conditions - Permit No. 2517 Page I of 2 SPECIAL CONDITIONS --PERMIT NO. 2517 continued- 11. ontinued 11. When the work is within 500' .of a signalized intersection, the permittee shall notify Riverside County Signal Dept. at, (909) 275-6894 or Caltrans Signal Dept. at (619) 688-6845 as appropriate a minimum of 48 hrs prior to starting work. 12. 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. 13. Work authorized by this permit shall be for the concrete and.paving improvements to Victoria and . Bridgette Drive only as shown on the approved plan -for Tract 25363-1. 14. All excavations at or near the travel way shall be backfilled and paved if necessary at the end of each work day for the protection of the traveling public. j Page 2 of 2 '-SEP-30-96 MON 0? FM I_ENT!itY HOMES FAX NO, 909 38' 0041 NOTT: With proper validation this form constitutes an e'croaehment oermrt CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the oonttrutZlgn of public or private curbs, driveavays, Pavements. sidewalks and other like public works improvements in connection with MINOR IMPROVEMENTS and rnairta APPROVED SUBDIVISIONS DATE: Subdivision Improvement Permit — Class111 LOCATION OF CONSTRUCTION nor Provement Permit Clap IV _ IStre" •odnn of O•sanptlon or Locauobl PURPOSA OF CONSTRUCTION —ZA-) VIN attxt (attach c-0nstMetlon plans if apptpprigl OESCRIPTION OF CONSTRUCTION DIMENSION.OF INSTALLATION OR REMOVAL i1ZE OF EXCAVATION. IF NEEDED kPPROXIMATE TIME WHEN WORK WILL 6EGIN t1i I bt �PPROXIMATC TIME OFCOMPLETION :STIMATED CONSTRUCTION COST S Incfudinq removal of all obstruction materials, nd debris, baekfilli action and placin9 Aermanent resurfadg and/or r n , Corn. Imorovements► I consideration of the granting of this permit, the sPolicant hereby agrees to: Inderrtnlrv. d•f•no •ro m,,. tis• C; N. r+•ud►orir•d te, oftigrs, r�re•an4uand empioYe". nam+,•,• frost, ono •yaorot env and an perMlaM, I��bllitla or lova •sWpmq from ct•,rtq or. eoCourt erxoom and an*;nq tn,t o of env accident. Iow or hettpemu+g or oiXurrtrre u o pran n nisi result o) anv wont urtder,elt•n uebar til• P•ftrtlt dame" to ve soM or pfttp@rtV Noti►v the Admtlm•tratrve Author vented ouMuent to This spalketton. Authority at Ices, sweterms r C na,r■ 'n .@*Oine• of the tome •►flee vrorx vnil be nartW, Canav rhd ell epolla4t• city Ordinarorto•, the ,•isms •ro coronions of the La 0uinta end to pay for •my additional mrptar@rft rrj m •11 •op,itah,e files •nd r•9Vletrorq or the G1b of Iry as the it OI Mit ,me of Applivitt (df ase printf ��( ►. tit - Ima of Conti o and Job Foreman l Intractor's License No. of Applicant or Address y4Q.oI.`�tD Telephone No. Talophc No. City Business License No. - VNto� Plicant's Insurance Company Policy Number ES: SI/btLvttlon Improvement Permit Clap 111 Public improvements: 396.0/ estimated construction cotta Private improvements: 3% of estimated construction costs Minor Improvement Permit — Clap IV: See ettarh•,s .,.a..a..r. " r A �4 _ __���v av1�VY1• /— ' )ecnon Fee mit Fee* PERMIT VALIDATION .fey PERMIT NO. N ONpotrt Surety Bond DATE APPROVED quir4�d `. TOTAL: S &C I to EXPIRATION OATS �O not No, DATE ISSUED Iivetl by )rcl,-d bV Adminjttntivo Authority TELEPHONE; (619) $64.2246 1 S SEP -00-96 MON' 3:03 FM CENTURY HOMES FAX NO. 909181 0041 P. 7 ""-�. - - v -"p c 4 1':! 10 A. P. A1JST1rt4 ENG CL)NT, PAGE 01 to ].aim A. t'7. Austin Eitwins aring Contractor SINCE -1952• - 387 S. Arrowhead 1%09 San 8,Wr*1*no,.CA9240s (714)"4-9410 rAX(714)$$4.1970 uA I.: : AGE{!_' .2). 1@9p CA11f. Lic. v 13MI 77 A: go Pre.,.oij ti,. TRACT 4 2;3354; DESERT AIR ADPr0A1014(tly 1048 LF ul 61119, CURB & bVTIIER F S 5.75 PLF APPr9yiNketv .7b4 SF, ADoroxleatriv ?• PSF = 1 !W.bb 5F :r ; ";!;. ii;' RE;:;; ;Sate Unknown I t 1 1.64 PSF TRACT 111931 -Pt , KStRI vIEN Apf"Imatei y 1049 LF of 691jjb CVRF 6 GUTTER. 1 5 5.75 PLF S Approki0itply 5764 SF of 5.51 SIDENALX 1 11 1,299 M = S ;435.56 AW0139ittly -?- SF of V THICK APPROAC4 I Site UQkno"n i F S 4.66 PSF S -- ? -- TRACT # 23715-4; DESERT Sm APPrOxIbattly 1048 LF ct beltab CURL I gUTcf, �M PLF W 6016.00 Approlisatply 544 SF of 5-5'1 11DE1►AILt 1.2? PSF - S 7433.A6 A00"Alaittiv -?- SF of 6' JHICa APPROACH 11.65 PSF 4 S ,Jmc . T_1_*,5ymrr_ I .. .... . ... .. .. . . .... . .. _... Approxiiately 1908 LF of 8.118° CURB & QJITF.A 11 1 '.S PLF U0911.00 Approximatpl! 1568 SF of VCROSS PUTTER 6 SPANDREL #/9-CLIJ EASE 1 1 4:25 PSF 5'6664.00 Approxilattly 160 LF of CURS RETi,�IPh irk 31- MML 1 $ 5.00 PIF 0 806,00 Aoor9,,94 SF of S;0E%ALX F a f 6. INIC! 4P 4 �'20 S PIOA, R 5 1.79 FSF $12113.26 ApProxiiattly 2420 SF of 60 ]NICK ppROA-4 H H 1,66 FSF 1 4 017, k,.;E E111 TP,;S PpDjE,,T 1'.51q TN;S 0-625C01. .2 S 'Col. 5.5 SACK T T ., A EE, P.AF:IC AV 15 V K OF VNE r v 7-1 ;.N� L - �'-N YOUR ZDAFACTED SOIL, MSCRE 7 . . : 'E, �iCE55 IrA01bC 'p� -;E CAAP�CE; ;T j 2 5. ALL L r j" ^,0 9' r1VE I L F: Ak.. k THIS PROPOSAL TRE(LUDES 4 -IS81ON ISTINI OF: I FOR CURB I 6UTFER, 1 FOR SIDEWALK 6 APPROACHES.- E'ATAA MOVES, TO BE CHARGED T 1190_0�1/ ArN f'V'1,1 CURE 6U 44'.AND 165030 6A A FOR REMINDER. F;�m , . - m C," .V No COST ESTIMATE; SEVENTY FOUR THOUSAND 4114"DIN)RED W!"i 'FilYE DOLLARS AND 141100 fliCkuDINS 6- APPROACHES) f1 71.959,11; FV2-t to ;j mad& wj�'Jn _0 QZys i;zey 611jina At vftxj Z%cts by acto , vitPlin 30 days after coaDiption of aoovR ' a' Retention to be 101 Davable eUi0pltr: Z2 or 'a 65 g;: - ' Ciel gill e­S'tl'mt,?. All scrivent's lar.tincen't am st":,m. iccldent!. acii ot k-4 ;Ii Of CjUr worker, are jLI!y :t%-ere6 br bc.kmv Estia-itorJEARY NEIDEN Opmoral N11a4er:111I55ELL, BORE Datt: V20i% ACCEPTANCE Of autharliod to do thu Mork, ­�� �Cl fi EAt tons and co"Ati#0 M 6?# iShclor, and are noreby ac(pDZqo. Paysent will tw as outlined aboya vithout doljv*. Yt-u are Author0ld Signatures I AFL fitlei .r -Dote: SEP -30-95 MON 2:59 PM CENTURY HOMES FAX NO. 909 381 0041'P;_ ATTACHMENLIA . 3 C V TRACTS -1 rkNY7 -13g3 F .. d��vsi.n •..v w.-.� .. _._...._.. ��Vi O L��.�IIJO IY{%. �y ITEM #IV 3" Asphaltic Concrete 36,000.00 SF @ 0.61 21 960.00 ITEM #2 ITEM #3 4-1/2" Class.2 Base 36,000.00 SI~ @ � 0.35 ' 12 600.00 ITEM #4 Sawcut 80.80 LF @- Redwood Header ?.00 160.00 .80.00 LF @ 3.00 SU13TOTAL SCHEDULE T 34,960.90 TRACT 23915-F ITEM #1 3" Asphaltic Concrete' 63,000.00 SF @ 0.61 38,430.00 ITEM #2 4" Class 2 Base 63,000.00 SF @ 0.31 38.530.00 SUBTOTAL SCHEDULE II 57,960.00 TOTAL BID $92,920.00 DEDUC $I, FROM BID TOTAL IF CONSTRUCTION OF ALL TRACTS IS PERFORMED IN ONE MOVE 1N. .. d��vsi.n •..v w.-.� .. _._...._.. ��Vi O L��.�IIJO IY{%. �y �h( J L L L �b 'j,- .. _'�tEP-30-96 'MON NOTE: With proper validation this form Constitutes an encroamment oermn 2:58 PM CENTURY HOMES For the Constructton of public or privets curbs, driveways, pavements, sidewalks, parking and other tike public wortsa irrtp►ovements in Connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISONS FAX NO. 909 381 0041 CITY OF LA QUINTA APPLICATION FOR PERMIT 'PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) P, 2 9• OATS: LOCATION OF C Subdivision Improvement Permit -- Claes III _ Minor Improvement Permit Clare IV 'Sum address or t)aaarptron of l - PURPOSE OF CONSTRUCTION Sketch (attach construct DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR AEMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN t ion plans if approprilq) APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST S o ;Induding removal of all obstruction, materials, d -deb , Afton.and PlacingImo, Com• permanent resurfacing and/or replacinq Imorovemenis! n eAnsideratlon of the granting of this permit, the applicant hereby agrees to; (ndentnrty, defend and wvo the City, its euthorreed ageme. oMiters reprefanlatroea and tnnmoyeoa. patnuao front and agarnn env antl ell pM ilm. liabilities OF lot resulting trot. elurrq or eAury ,Oh and wising put of any decedent, lova or 11"venrng or ooeumng as a Proauntte result of env wo l ml*nUnderta ltd under ane �msga t0 persons or aerao.:ty wnnrt granted pursuant to O1la aoOlie stion. Netify the Adminrrtretrvs Autnonty at hate WWn V.fdU, (24) how& in &vanco or the theta when wore Voll be s4read. Comoly vAth all 1 WkWO C;tv Ordinaftm, the tants and etirwlteons of th U Quints and to peer for any edditbtae all et>06cawa rola end rageimiona of the City of r�'Deat�t+ent, ha0aadry as the r@Ite.i o1 th; lama of Applicant (pleasep bent lame bl Contractor and Job Foremen ZTl of Appl Business Address 6usineas Address Telephone Nq, Telephone No, oneractar's License No. City Business License No. -PPlicant's Insurance Company Policy Number EES: Subdlvislori Improvement Permit —Class ill Public improvements: 3% of estimated construction Cosu Private improvements; 3% of estimated constriction costs Minor Improvement Permit — Clad IV: See attached schedule 4 R l ". aptct ort Fee S !rmie Fee PERMIT VAODATION neity PERMIT NO. ash Deposit -Surety Bond DATE APPROVED requirod TOTAL: $ EXPIRATION DATE caipt No. DATE ISSUED . wived by Date 8y Corded AY Administrative Authority TELEPHONE: (8191564-2246 V