2794 (2)NOTE:
With proper validation '
th' f t•t t
is orm cons I u es 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
Subdivision Improvement Permit —.Class III
DATE:-- 8131/9$ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — r11- n1a Tr -pet 496900—A
(Street address or Description of Location)
'PURPOSE OF CONSTRUCTION Begin residential construction Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Finish gradinjit previously.
developed lots. SEB ATT,A,CKBD CONDITIONS.
DIMENSION OF INSTALLATION OR REMOVAL 21.80 acres
SIZE OF EXCAVATION, IF NEEDED N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN -8/31/98
'APPROXIMATE TIME OF COMPLETION 12/4/98
ESTIMATED CONSTRUCTION COST $ 58.,639.00
(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 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.
lee,
Signature of Applicant or Agent
(949) 25.1-6192
Desert Romes LLB, Catelleus Residential Graupp - 5 ?a$k Plaza, Ste. 400, .Irvine,,m. CA 92614
Name of Applicant (please print) Business Address Telephone No..
GL Gaylor Con;<stnuction Inc. P.O. Box 403 Thermal, CA. 92274 (760) '399-5308.
Name of Contractor and Job Foreman Business Address Telephone No.
A524011 F 1232
Contractor's License No. r ,, City Business License No'.
Evanston Insurance Co. GLI' 1003258
_Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III PAID
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction cosfs7) 1 1998
Minor Improvement Permit - Class IV: See attached schedule. p 1 41
' •. Inspection Fee ' $ 1759.17 -j1T i ;®� �-� �� INTA, PERMIT VALIDATION
.
100.00
Permit Fee PERMIT NO
Penalty 4�
Cash Deposit -Surety Bond' `
if required
TOTAL:
Receipt No
Received by
Recorded by
$ 1859.17
Date
DATE APPROVED+
EXPIRATION DATE
DATE ISSUED
Administrative Authority
Telephone: (619) 777-7075