2841With proper validation
this form constitutes 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
DATE
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION La Quinta Reoort, Tract 28545
October 27, 1998
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install Street InDrovements.
DESCRIPTION OF CONSTRUCTION Curb, Cutter, Sidevaltt,
DIMENSION OF INSTALLATION OR REMOVAL See Plans.
SIZE OF EXCAVATION, IF NEEDED Sco Plants.
APPROXIMATE TIME WHEN WORK WILL BEGIN Oct. 29, 1993
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION Oxon
ESTIMATED CONSTRUCTION COST $ 262.000.00
(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:
SEE ATTACHED CONDITIOXS'.
SEE APPROVED PLANS
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 conditioris 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. y't
Signature of. Applicant or Agent
KSL land II Corporatiou
Name of Applicant (please print) Business Address Telephone No.
James Rue Construction P.O. Box 13810, P �Im Desert, CA 760/568-50OG
Name of Contractor and Job Foreman Business Address Telephone No.
516895
Contractor's License No.
796
City Business License No.
Zurich GLO683881504,
Applicant's Insurance Company r. Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3�1/16 of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ 7,060.00
100.00
$ 7,960.00
Receipt No.
Received by Date
r�CT 2 8199g
PERMIT VALIDATION
PERMIT NO
2841 �,
DATE APPROVED 10/28/98
EXPIRATION DATE 10/28/99
DATE ISSUED �10/28/9C
By
Administrative Authority
Recorded by 11 Telephone: (619) 777-7075