2823NOTE"'.. . With proper validation.
this form: constitutes.ari
r - - 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.Improverne;r t'Permit — Class] II
DATE: l0/8%9F3 Minor'Improvement Permit Class IV
LOCATION OF CONSTRUCTION _Tract 24890, Avenue 52. La Quinta. West ,of ,lefferson'and.
East .of Calle Rondo
(Street'address or Description of Location) '
PURPOSE OF.CONSTRUCTION Construet'Sidevalk Sketch (attach construction plans if appropriate)
' 'fir►ancsv�mt�n•t�e _ '
DESCRIPTION OF CONSTRUCTION 81, Vide Meandering Sidewalk,
_ SEE ATTACH CONDITIONS.
DIMENSION OF INSTALLATION OR REMOVAL 80 x 54491 Lj.
Auyrox. 43.935 8.8. Plus drive Approach., SEE APPROVED PLANS.
SIZE-bF EXCAVATION; IF NEEDED- 8/A
'APPROXIMATE TIME WHEN WORK WILL BEGIN 8 00am • 10/12/98
•APP.ROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ °59,102
(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.
Signature of Applicant or Agent
KSL Land Corporation .55-920 PGA Vied. 760/564-7189 \
Name of Applicant (please print) Business Address Telephone No.
i:. D. seer t Corahunities. Canettete . 79-301. ' Country Club..,.. 700/345-4598
- c.
Name of Contractor and,Job Foreman Business AddressL";><u."%&" Telephone.No.
11. #536422 ,#291.7 .
Contractor's•License No. City Business License:No.
Zurich ' lnsuranca Co', _: GI'.0683881504 F
Applicant's Insurance'Company Policy.Number - 1 '
FEES.:^ Subdivision Improvement Permit =Class, II I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs OCT. 1 2 1998 ;
Minor improvement•Permit — Class IV: See attached schedule ``-�/ =
Inspection Fee ., $,.1773 "1 i i ®F MAW�TTION
Permit Fee Intl PERMIT NO: 2823
Penalty.
Cash Deposit -Surety Bond
DATE'APPROVED Inca•/.a9
if required 10/9./99
EXPIRATION DATE
• TOTAL: $ 1873.
DATE' i SSU E D
Receipt No./�>lrl.�! ,✓'trC f� �•t
Received_ by Date By y Administrative Authority
Recorded by' Telephone: (619) 7.77-7075