2793Nolte.R�
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 III
DATE:
._� Minor Improvement Permit Class IU'
LOCATION OF CONSTRUCTION I Citrus Tract X28719
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Begin resido:ntial. eolistruetiOn Sketch' (attach construction plans if appropriate)
'DESCRIPTION OF CONSTRUCTION Finish grading Areyiously
developed lots. SEE ATTACHED CONDITION$..
DIMENSION.OF INSTALLATION OR REMOVAL 15.45 acres"
'SIZE OF EXCAVATION, IF NEEDED N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/31/913
APPROXIMATE TIME OF COMPLETION 12/4/98 "
,ESTIMATED CONSTRUCTION COST $ 51. 670.00
(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: '
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'oi 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
(949.) 2516192
Dssert Domes LLC, Catelleua P.esidential Croup, 5 Park Plaza, Ste. 400, Irvine, CA 92614
Name of Applicant (please print) Business Address
Telephone. No. .
GL Gaylor Cbnstructiot INc. P.O. Box 403 Thermal, CA 92274 .(760) 399-5308
Name of Contractor and Job Foreman Business Address Telephone No.
A524011 1232
Contractor's License No. City Business License No.
Evanston insurance Co. GLP 1003255
Applicant's'lnsurance Company Policy Number 1
FEES:.. Subdivision Improvement Permit — Class I.I I >
Public improvements: 3% of estimated construction costs PAID
Private improvements: 3% of estimated construction costs SEP 1 199 `
• Minor Improvement Permit.— Class IV: See attached schedule
Inspection Fee $ 1550..1A %.V� 0• LAPERIVIIlf aVALIDATION
100.00. y
Permit Fee • PERMIT NO. 7��`�
1
Penalty
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE
'TOTAL: $ 1650110. DATE ISSUED
Receipt No. #y
" By— 2�4-
Received by Date Administrative Authority
Recorded by / Telephone: (619) 777-7075