2977Rath 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: 5-25--99 Minor Improvement Permit Class IV
52-900 Ramirez
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Inatall Sidewalk
DESTRIPTION OF CONSTRUCTION Construct sidewalk
a jacent to curb
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 5-29-99
ESTIMATED CONSTRUCTION COST $ ZUO.UU
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
In consideration of the granting of this permit, the applicant hereby agrees to:
Sidewalk is to be constructed per
Riverside Count* Std No. 401
Indemnify, • defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
I
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,.al,l.appl cable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the resultF6fjt,work.
Jack Donlin
`Signature off Applicant or Agent
52-90O venid; Ramirez La Quinta, CA 92253 564-4399
Name of Applicant (please print) Business Address Telephone No.
Omer Builder
Name of Contractor and Job Foreman Business Address Telephone No. .
Contractor's License No. City Business- License No.
0ieco 241-012467
Applicant's Insurance Company Policy Number,
t
FEES: Subdivision Improvement Permit —Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction coggy 2 51999
Minor Improvement Permit — Class IV: See attached schedule IWITIA M7
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ :1
100.00
$ 100.00
Date
is uu
PERMIT NO. _
PERMIT VALIDATION
DATE APPROVED
2977
5-25-99
EXPIRATION DATE 13-31-99
DATE ISSUED A 5 -99
,41
Administrative Authority
Recorded by 11Telephone: (619) 777-7075
NOTE:
With proper validation ' ak
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT � !$
PUBLIC WORKS- CONSTRUCTION (ENCROACHMENT)
. C`o`�oF TR80`vS
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 I I I
DATE: �+ ^ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION �(✓ vlL Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ Zov,
(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 -arid 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 Quints and to pay for any additional replacement necessary as the result of this work.
Signature of pplicant or Agent
Name of Applicant (please print) Business 4
dress Telephone No.
1-9 Ir—
Name of Contractor and,Job Foreman Business Address Telephone No.
License No.
City Business License
I NO
Applicant's I fisurance Company t Policy Number
FEES: Subdivision Improvement Permit — Class III
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 Fee
Penalty
Cash Deposit -Surety Bond
if required .
TOTAL:
Receipt No.
Received by
Recorded by
$
Date
. 2774
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED 2
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Telephone: (619) 777-7075
Project
Job No. 2977
Client
Contractor Jack Donlin
Project Mgr
DAILY CONSTRUCTION
REPORT
DATE ###
WEATHER
TEMPERATURE
HUMIDITY
DAY
S
M
T
W
TH
F
S
x
Brite
Clear
Overcast
Rain
Snow
a
To 32
32-50
50-70
70-85
85 up
a
still
High
Report No.
Dry
Moder
Humid
x
AVERAGE FIELD FORCE
Name of Contractor
2 Jack donlin
Non -Manual
Manual
x
Remarks
Sidewalk pour only
VISITORS
Time
Representing
City of La Quinta
Representing
Remarks
ESMITH
AT THE SITE
CONSTRUCTION ACTIVITIES
Sidewalk formed with not enough fall, Modified forms to allow 2% fall to top of curb.
now OK to pour.
Distribution: 1. Project Manager
2. Field Office
3. File
4. Client By: Marcus Fuller
F:\pwdept\staff\fuller\inspections\DailyConst.xls
Page 1 of Pages
Title Assistant Engineer I
i ti t t I
4.1
NOTE:, • ,_4w •,`
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
DATE: 3-25-99
32-900 Ramires
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install. Sidewalk Sketch (attach construction plans if ap
propriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION Gousrruct v7tC1ow"x
au3 acearc to curb
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN I—A*—VY
APPROXIMATE TIME OF COMPLETION 5-4y—vv
ESTIMATED CONSTRUCTION COST $ d%)V*U y
(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:
Sidewalk is to be constructed per
Riverside County Etd No. 401
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
4
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 f9this,work.,
Signature of Applicant or Agent
Jack Uonlin 52-900 Avenidm'Ralsirez La Quints, CA 92233 564-4399
Name of Applicant (please print) Business Address Telephone No.
Omer Builder
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
Gieco
City Business License No.
r41--012667
Applicant's Insurance Company 3 Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs NI
Private improvements: 3% of estimated construction costs 9
99
Minor Improvement Permit — Class IV: See attached schedulAAM ��'
Inspection Fee $
100.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
100.00
$
Receipt No.
Received by Date
. J
i
29TT
k.
®r QUt�v� PERMIT VALIDATION
2977
PERMIT NO.
DATE APPROVED .
EXPIRATION DATE
5-23-99
13-31-99
f 3 -73-99
DATE ISSUED
By —
Administrative Authority
Recorded by Telephone: (619) 777-7075
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ALL CONSTRUCTION SHALL BECLASS "B"CONCRETE. `
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NOTE
AGGREGATE BASE OR APPROVED SELECT MATERIAL WHEN
SOILS REPORT INDICATES PRESENCE OF EXPANSIVE
SOIL CONDITIONS.
APPROVED BY: .,.Of COUNTY OF RIVERSIDE
DIRECTOR OF TRANSPORTATION
SIDEWALK AND CURB
REVISIONS REV. - BY: APR'D DATE REV. BY: APR'D DATE