3052NOTE: .,
With 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: 9/30/99
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION W CORNf'R nV Tr> virRvoy, r. Aim. Si
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION rITRTIR TRRFc T4T'mnVA7-
DESCRIPTION OF CONSTRUCTION CHT'PPTRG nFA71 VTTRTTC "Flr�q
DIMENSION OF INSTALLATION OR REMOVAL AtRRQ (fin+
SIZE OF EXCAVATION, IF NEEDED +nono+
APPROXIMATE TIME WHEN WORK WILL BEGIN 9/27/9Q
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 1-1/15/99
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 the granting of this permit, the applicant hereby agrees to:
SEE ATTACHED CONDITIONS
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 of this worker
Signature of Applicant or Agent)
XRT,. rVNTRTA 7AMPIF2 ccn,)n p A nTTr>t► xn i,�n��rcr. a���
Name of'Applicant (please print) }� r Business Address Telephone No.
P: VRy T,Ajin rT,F.APTNC 064nn v nop r» n T a TI. i
Name of Contractor and Job Foreman Business Address Telephone No.
bon?R 1 a 1) �,% I^^
Contractor's License No. City Business License No.
Q R9TTVTrATR M RTx.R
Applicant's Insurance Company Policy Number t
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.
100
$ inn
Received by Date
i
PERMIT VALIDATION
PERMIT NO. 3052
DATE APPROVED r 9/30/99
y EXPIRATION DATE 17/11 /R9
DATE I�SSII:'J-E�Dn 9/30/99
By Y/!�(�a1�.li�Yk-�`--''�
/ Administrative Authority
Recorded by
Telephone: (619) 777-7075
50
SPECIAL CONDITIONS --PERMIT NO.-
--- KSL---
In addition to the standard permit conditions, the following shall apply:
I.- 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 City Engineer.
2. KSL, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and
erosion control. All areas 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 18 § 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 1st 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 1st 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 14.16.110 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. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
advance warning signs and traffic control shall be installed and maintained in accordance with Cal
Trans Standards or the Work Area Traffic.Control Handbook (WATCH Manual). A traffic control
plan, if required, shall be prepared in accordance with the WATCH Manual and submitted to the City
for review and approval one (1) week prior to starting any construction. It shall be the Permittee's
responsibility to appropriately detour and barricade all construction sites.
7. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
street closures shall not be permitted. A minimum of one travel lane of paved surface shall be
maintained with flagmen at all times.
8. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422-
4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated
Special Conditions - Permit No. 3610-Page 1 of 2
I Z.
SPECIAL CONDITIONS --PERMIT NO.
--- KSL---
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
9. Shouldadditional work, materials, or modifications of the work be required in order to meet City
standards, safety requirements, signage requirements; or to fit actual field conditions, the work shall
be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost
to the City of La Quinta.
10. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if
within the existing travel way, at the end of every workday as directed by and to the satisfaction of
the City Engineer for. the protection of the public. Lengths of open trench shall not greatly exceed
that which can not be backfilled in the same day. Excavated trenches shall not be allowed open
overnight, however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet
in length, open overnight at a point where construction will begin the next day, provided that this
length of trench is completely covered by steel plating.
11. All landscaping, irrigation, decorative rock, decorative concrete, lighting,.etc., shall be replaced to
its original condition.
12. Access and egress to all local properties shall be maintained,at all times:
13. Permittee shall notify the City of La Quinta Public Works Department a minimum of.48 hours prior
to commencement of any construction at (760) 777-7075.
14. Permittee shall permanently stabilize any and all . soil that was disturbed as a result of work
performed under this permit with an approved dust control treatment. Soil stabilization shall be done
immediately after completing the operation.
15. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No.-303
I
Page 2 of 2
RECEIVED
SEP 2 51999
PUBLICWORKS
Sketch (attach construction plans if appropriate),.
DESCRIPTION OF CONSTRUCTION St/*77,{�Q C0 I lD� O�CS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPRO E IME 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 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 124) 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 Quinte and to pay for any additional replacement necessary as the result of this work.
5L/
Name f Applicant
Name of
i
NOTE:
With proper validation
this.form constitutes an CITY OF LA QUINTA
encroachment permit s
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
3�
�i Subdivision Improvement Permit — Class III
/ . DATE:Minor Improvement PP it Class IV
LOCATION OF CONSTRUCTION =��� / r%�f%�i� �0��7017
(Street address oorr�D�tio pn of
PURPOSE Ol= CONSTRRUCI
r Signature of Applicant
It/
• Business Address
No.
�L(!.1—(L/UU lio/✓/�1'iG Gf:GCY/:/ //�)1 t.7�J ' 7 �i`4
Business Address Telephone No.
/Contractor'k,License No,, City Business License No. �—
Applicant's Insu ance Company 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 2774
Inspection Fee $ PERMIT VALIDATION
Permit Fee. PERMIT NO.
Penalty 30 9
Cash Deposit -Surety Bond DATE APPROVED P
if required ' EXPIRATION DATE 1
TOTAL: $ talo DATE ISSUED
Receipt No.
pleaseprint)
r
and Job Foreman
By
Administrative Authority
Received by
Recorded by
Date
Telephone: (619) 777-7075