2544NOTE: ,�•
With properyvalidation
'this form constitutes an.
encroachment permit it;,
+' CITY OF LA-QUINTA
r 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
i . +Subdivision Improvement Permit• -•Class III•
DATE: 10/31/96 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Trt6t 2536$-4, -1A ft.iixr� Ai l' 'Pickv
(Street address or Description of.Location) ,
PURPOSE OF CONSTRUCTION Sketch'(attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION See i=rAyitr.law: InTantt
SNE A`1UCHM CONDITIONS
'DIMENSION OF INSTALLATION OR -REMOVAL
' Sita %p>I•ov�teax i�llttt8
d SIZE OF EXCAVATION; IF NEEDED '
APPROXIMATE TIME WHEN'WORK WILL BEGIN 10/31/96
`APPROXIMATE TIME.OF COMPLETION/ILO%96
ESTIMATED CONSTRUCTION COST $ r
• (Including removal of:all obstruction, materials, and debris, backfilling, �com,_ ,
paction,and'placing per resurfacing and/or replacing improvements),
-In consideration 'of the granting of this permit, the applicant hereby agrees to:
Indemnify, deferid 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 y
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-worlZ will be started. ,
-_•
Comply with all applicable City Ordinances, the terms and conditions of the'•permit;and all applicable•rulesAa'nd r`�'egulaiions of the City of
La Quinta• and to'pay for any additional replacement necessary as the result ofxthis work.
(.Signature oft`Applicant or Agent .
Century CTrawoll Construction �•' fi n:llai^ r�zd xt�.` CA% i4f'iQ) 'AA1_i AnT
Name"of Applicant (please print) Business Address .' { -'' Telephone No.
11.C.- Plialalfaiii, ll� i►ld Goviix li27Sq 0A*, l4t%ri1 ;rr- Vi;ctarvill,ia� GA (f�19'1 95(G-7►Qftb
Name of Contractor and Job Foreman Business Address ti Telephone No.
51157$, 2170
Contractor's License No. City Business License No.
GtSidCi� •��tgle! _ • . , . ,, •� �`� 2p�«:��7..f1i '
' Applicant's Insurance Company` Policy Number, Ni�TC9�$�0•-0$
'1
FEES .Subdivision'Improvement Permit - Class Ill 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 $ 921
r .10.
Permit'Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 931.
Receipt No
Received by Date
Recorded by
h NOV 01 1996
i
r
PERMIT -VKrtIBATI
PERMIT NO. 2544
..DATE APPROVED 10/31/96
EXPIRATION DATE 10/31/96
DA T€ I SUED / _ 31/96
V Administrative Authority
Telephone: (619) 777-7075
OCT -30-90 WED 4 08 PM CENTURY HOMES FAX NO. 909 331 0041 P. 2
r4>,M
With proper validation
this form constitutes an
encra.ttlment oermrt CITY OF LA OUINTA
_
APPLICATION FOR -PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the Zn:4►vMon of public cr private Curbs, driveways, pavements, sidewalks.
parkin a
and other like public works improvements in oonnecilon with MINOR IMPROVEMENTS and APPROV9 IOU EBDstar VISIONS
�l
DATE:
LOCATION OF CONSTRUCTION r
Sues addnu or 00 atotlon of Loci twos
IURPOSE OF CONSTRUCTION
tirr
Subdivision Improvement Permit — Class III
Minor Improvement Permit Chas IV
)ESCRIPTION OF CONSTRUCTION
)IMENSION OF INSTALLATION OR REMOVAL SAS I uA
07
IZiiE OF EXCAVATION. IF NEEDED
►PPROXIMATE TIME WHEN WORK WILL BEGIN
Sk' tch (attach cOnsuuction plans if appropnsipl
iPPROXIMATE TIME OF COMPLETION_
:STIMATED CONSTRUCTION COST S
Induding removal of all obstruction, materials, and debris, backfills
ngaction and placing permanent resurfaang and/or replacing improv mien
I consideration of the granting of this permit, the applicant hereby agrees to:
Ind,mmfy, datand arm Nva Me City, m and ermOlov
,utnn, *germ, 0N{pn,.rapreten"wa .a. harmless from and
patslt�a,, lubdinea or los rNs<rinnq from clalr.q or court carpo and arising �inn ant► and all
ha nine or oeturnng V a Draguffete retirlt bf ne out Of any e►cerdsnt. lop Per d&MW to Persona Per prtapa►ep
env wort unAertaken Yrww the permn granted ounuent to Ili, roplic"wt.
►1gRifv the aomm�rtntrv. A„y,onty at haat t~ty.(ov► 424) hour, in advance of
Ca+nOld with all • s"R `a '"r'eR��rk mu be rsac,�.
p0 1. ruble COY Ordinenesa, the term, and conoltions of to
La Quints and to pay for any eddltlonsl "rad and all applipble rules
end regulations of the ui 01
rsDla4rtlent necess". eZQ
n.
M^� _ Applicant ol..
cense of Applicant tl b�—
Business Address Telephone Ne.
tat of Contreotor and Job Foremen
Business Address Telephone No.
trIVACtor's License No,
1plicant't Insurance Company
sutlolvislon Improvement Permit — Class II I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction Cos"
Nino► Improvement Permit. —Class IV: Sa. arr—k—d —k -A.—
-21
1
City Business License No.
U
Virilon Fee s
Fee
PERMIT VALIDATION
»jryPERAAIT NO.
Lh,!]epotit Surely Bond DATE APPROVED
squired �—
TOTAL: g ` EXPIRATior4 FjA r t
Wot No. DATE ISSUED b
dived by BY G
Date
.corded by
Administrative Authority
TELEPHONE: (619) 564.2246
t '
! - i
OCT -30-96 WED 4: 09 PM, CENTURY HOMES PAX SIO, 909181 0041 P.
Gouin Excavating • Backhoe
SPECIALUING -IN UNDERGROUND UTILITIES
12755 CARDINAL GT.
VICTORVILLE, CA 62352
PHONE (618) 956-7064
FAX (619) 956.1136
June 25, 1996
Janie Wisslaad
Century Crowell COMMunitie9
1535 South "D" Street Suite 200
San Bernardino,, CA 92406
Tractf 25363-1
Storm Drain
(1) CB W-14 D-30 1 0 4100.00 4100.00
(2) CB W-14 D-24 1 @ 4100.00-- 4100.00
(3) . CB W-20 D-24 2..@- 4700.00 - 9400.00
(4) Meet exi3int plugs 3 @ 200.00 - . 600.00
(5) 24" RCP 307 ft. 0'25.00 - 7675.00
(6) 30" RCP 161 ft @ 30.00-a 4830.00
TOTAL - $33.60
Q
' J
1
OCT-30-96•WED 4:07 F
CENTURY HOMES
FAX NO. 909 381 0041
CENTURY CROWELL CONEVIUNITIES
I SSS South D Street
San Bffmrdlno, CA 92408
`r Telephone 909-381.6007
Facsimile 909-381-0041
Page of ---pages
Date : Lb , 1996
FACSIMILE TRANSMISSION
5
To • Fax Number:
Company
Message:
Sent. by:
if you hiied to receive any portion of Ws farimile, Dkm conwt sender and we will retransmit.
P. 1
0
SPECIAL CONDITIONS --PERMIT NO. 2544
--- CENTURY CROWELL COMMUNITIES. ---
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 continuou's 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
May 1st to September 30:
Monday -Friday
Saturday
Monday -Friday
Saturday
7:00 a.m. to 5:30p.m.
8:00 a.m. to 5:OOp.m.
6:00 a.m. to 7:OOp.m.
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.
K. . 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. 2544
Page 1 of 2
SPECIAL CONDITIONS --PERMIT NO. 2544
continued
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 Storm Drainage improvements only as shown on
the approved plans 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.
Special Conditions - Permit No. 2544
Page 2 of 2