2846NOTE:—._Y '...
Wlth.proper validation 2
O
this foam constitutes -an
encroachment permit CITY .OF LA QUINTA
:. APPLICATION FOR, PERMIT
,.
t ..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 IMPROVEMENTSand APPROVED SUBDIVISIONS
Subdivision Improvement Permit — -Cl ass. lll
DATE:, 1029198. Minor Improvement Permit Class IV
. remudas at La Fonda .2. Tampi,ca .at Washington .St.;:
LOCATION'OF CONSTRUCTION — 3. Aver 50 a.t-Eise�aha4' I2x, 4. fired Warix�a Dr. at
riQr'i2ox� 'a Circles 5. Fred War ug Ar. at:, Vash#gton St.; and b.: Duue Palms ;Ad.
at Iif ahwav 111:
(Street address or. Description of Location)
Construct various cit.a�ie
PURPOSE OF•CONSTRUCTION sidewalk. hanrlick � dcnai, Sketch (attach construction plans if appropriate)
rayins. arid. ;I us. turnout i�mor*6vet�snt�l�f
DESCRIPTION OF- CONSTRUCTION• -,Construct And install.
.•handi;cao :tamog. construct; PCC sidewalk
DIMENSION OF INSTALLATION. OR REMOVAL SRe Ulan
SIZEOFEXCAVATION, I F NEEDED Ste dal -axe
APPROXIMATE TIME WHEN WORK WILL -BEGIN 11/2•198:
APPROXIMATE.TIME'OF COMPLETION
ESTIMATED CONSTRUCTION COST $
.(Including removal' of•all obstruction, materials, and debris, backfilling, com r
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
Granite Construction/Carlay' Cechin 3,8-000 WonrooSt. 0 Indio, CA 92203 - 760/775-7500
Name of Applicant (pleaseprint) Business Address' Telephone No.
Gtantte Constituct .ou (John Sehmidt) . 760/775-75900�Okc
Name of Contractor and Job Foreman Business Address Telephone No.
t .
g9: : 2501.
Contractor's License No..1 City.Business License No.
American y�s�utilgya. Co.. of t2eadink,. FA ,
Applicant's Insurance Company Policy Number.•
i FEES:. Subdivision Lm'provement Permit -Class II 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 . PERMIT VALIDATION
Permit Fee PERMIT NO.. 2846
Penalty .. -
Cash Deposit-Sureiy Bond DATE APPROVED
if required EXPIRATION DATE 12/31/98
TOTAL: $ .- DATE I SUED 10/39/.9
.Receipt No., .. BY ��.��-"i��'r'�'d•,�",`�
Received by Date, ! Administ ative Authority
Recorded by Telephone: (619) 777-7075