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3042NOTE: ' - 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 Subdivision Improvement Permit — Class I I DATE: 9/10/99 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 51015 CALLS ORTSPA (Street address or Description of Location) PURPOSE OF CONSTRUCTION CONSTRUCT BUILDING PAD. DESCRIPTION OF CONSTRUCTION GRADE. COMPACT & CERTIFY PAD Sketch (attach construction plans if appropriate) SEE ATTACHED CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 39-8' ± -V APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of thegranting 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. A Signature of Applicant or Agent RIGOBERTO REYES 51615 CALLE OBISPO, LA QUINTA, CA. 92253 398-4901 Name of Applicant (please print) Business Address Telephone No. OWNER/ BUILDER Name of Contractor and Job Foreman Business Address Telephone No. ALLSTATE INS. CO. Contractor's License No. a City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement 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 Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ 100.00 300.00 (duet control:) $ xi4*ftA* 400.00 Date J'ou I TN 304 P 13 1999 PERMIT VALIDATION air+ PERMIT NO. DATE APPROVED 9/10/99 EXPIRATION DATE NONE DATE ISSUED By 10//i�,G�,•" Administrative Authority Telephone: (619) 777-7075 I ----------------------------------------------------------------------- r NOTE. , With proper validation �7 this form constitutes an T� LA QUINTA encroachment permit S p QIAVICATION FOR. PERMIT L� C WOR.CONSTRUCTION (ENCROACHMENT) C OFO�S� 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: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION / (Street address or Descr�i7p (fin of Lo ation) r J� PURPOSE OF CONSTRUCTION 2 2; 1104 O 414"ketch (attach construction plans if appropriate) DESCRIPTION OF QNSTRUCTION /) D �ti�l�lAd,S AA11) ti% 1 i fi'f� f� DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDFD� / APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanerit iesurfacing' 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 Quints and to pay for any additional replacement necessary as the result o/thfslwork. Signature of Applicant or Agentt n� AfA�.C14 QZt $13 1 to O lL� P_'tc7 �' S .�%SDI S CAGLIE DlglsQo 1¢-.GYL4 ;70P - `i 9 O / Name of Applicant (plea a print) t Business Address Telephone No. L3. it [-Dfr-iz- ' Name of Contractor afid Job Foreman Business Address Telephone No. Contractor's License No City Business License No. f CLS�_j= Z ra. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 2774 Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date PERMIT VALIDATION PERMIT NO. — T DATE APPROVED EXPIRATION DATE - DATE ISSUED By Admihistrafive Authority Recorded by Telephone: (619) 777-7075 SPECIAL CONDITIONS --PERMIT NO.3042 '. ---Rigoberto Reyes --- In addition'lto the standard permit conditions, the following shall apply: 1. Pursuant to Section 14.16.320 of the La. Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the ' latest edition of the Standard Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the.CityEngineer. 2. Rigoberto Reyes, hereinafter referred to as "Permittee", shall be responsible for providing continuous . dust and erosion control. All area's shall be kept watered down daily including weekends. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4: Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 1.8 §.1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m.. to 5:30 p.m. Saturday 8:00. a.m. to 5:00.p.m. May 1 st to September 30: Monday -Friday , 6:00 a.m to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. 5. Pursuant to Section 14.1'6.110 of the La. Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 6. Permittee shall notify the City of La Quints Public Works Department a minimum of 48 hours prior to commencement of any construction at (760) 777-7075. 7. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982).the.City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e.,-streets not partof the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment.. 8. This permit is to construct building pad per the permit description. 9. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. . Special Conditions - Permit No. 3042 Page 1 of 2 SPECIAL CONDITIONS= -PERMIT NO.3042 ---Rigoberto Reyes--- 10. If grading is performed prior to Building Permit issuance, a $300.cashiers check shall be posted with the City at the time of grading permit issuance as a security deposit to ensure dust control stabilization. If the Building Permit is issued within ninety (90) days after grading permit issuance, the security deposit will be returned without charge. 1 L If the Building Permit is not issued within ninety (90) days after grading permit issuance, the Pemittee shall apply a dust.control soil stabilizer to the entire lot, including portions not impacted by the grading operation. The soil, stabilizer shall have a durability rating of not less than twenty-four (24) months. If the soil stabilizer is applied without City involvement, the security deposit will be returned without charge. 12. It is hereby understood and mutually agreed that if the Permittee fails to apply the soil stabilizer within the required.ninety (90) days, and further fails to apply the dust control soil stabilizer within 15 days after receiving written notice from the City, the City will cash•the cashiers check and make. arrangements as necessary to have a dust control stabilizer applied to the lot and charged against the security deposit funds. • Page 2 of 2 TO: Greg Butler, Counter Technician FROM: Hector Guzman, Assistant Engineer I DATE:' October 15, 1999 SUBJECT: Grading .Permit #3042, Dust Control Security Since the grading that was authorized under the subject permit is has been completed; and the dust control will be enforced under the building permit," the $300.00 deposit that was collected with permit #3042 is no longer required. Per -the request of the 'ppii%,LUit, 1=1 Prt R�nn(i ac discussed with John Falconer, a credit in the amount of $300.00 may be applied to the building permit from the encroachment permit account (101.-000-443-3.17).