3255NOTE:' • •
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
Subdivision Improvement Permit — Class III
DATE: 7/26/00 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION FOur signs total, on approaches to Washington St. 6 Calls
Tampico
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To install church guide Sketch (attach construction plans if appropriate)
signs
DESCRIPTION OF CONSTRUCTION Dig hole for a sign
post installation
DIMEXS3 N OF INSTALLATIONsOR REMOVAL
r q
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/1/00
See Attached Sketches, sign locations
has been field marked. Maxims sign
height i' per City cede.
APPROXIMATE TIME OF COMPLETION 8/30/00
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 (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
La quint& Christian Fellowship 50-800 Calls Palma 564-9195
Name of Applicant (please print) Business Address Telephone No.
Dan -Varner
Name of Contractor and Job Foreman Business Address Telephone No
Contractor's License No. City Business License No. ��
Church mutual 0102325-02�-692150 P
Applicant's Insurance Company Policy Number JUL 2 7 ZUUU
FEES: Subdivision Improvement Permit — Class I11 j{TY Qi- LAQU
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
30 1i
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
100
$130
Receipt No.
Received by Date
Recorded by
3255-
PERMIT VALIDATION
PERMIT NO. 3255
DATE APPROVED 7/26/00
EXPIRATION DATE
8/30/00
DATE ISSUED 7/26/00
f` i
By
;F Administrative Authority
Telephone: (760) 777-7075
A
SPECIAL CONDITIONS --PERMIT NO. 3255
--- La Quinta Christian Fellowship (Mark A. Collins) ---
In addition to the standard permit conditions, the following shall apply:
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. La Quinta Christian Fellowship, 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.
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 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 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.
Work performed within 500 feet of a signalized intersection is restricted between the hours of 9 a.m.
- 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall
contact the Riverside Country Traffic Signal Maintenance Department at (909) 275-6894 if signal
operation at the intersection is to be altered in any way.
6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 1.0 § 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.
7. 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.
Special Conditions - Permit No. 3255
Page l of 2
4%
SPECIAL CONDITIONS --PERMIT NO.3255
--- La Quinta Christian Fellowship (Mark A. Collins) ---
8. 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.
9. 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
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines,. electrical conduits, and storm drain facilities.
10. Should additional 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.
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. This permit allows for installation of four (4) on approach to Washington Street and on Calle
Tampico. The signs are on:
A. Washington Street, north bound, 440 feet south of Calle Tampico.
B. Washington Street, south bound, 300 feet north of Calle Tampico.
C. Calle Tampico, 663 feet west of Washington Street.
D. Calle Tampico, 160 feet west of Paloma (sign with address).
14. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3255
Page 2 of 2
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NOTE:
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: 7/26/00
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Four signs total, on approaches to Washinaton St. & Calle
Tampico
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To install church, guide
signs
DESCRIPTION OF CONSTRUCTION Dig hole for a sign
post installation
DIMENSION OF INSTALLATION OR REMOVAL
2' x 3' 6 so. ft.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/1/00 .
Sketch (attach construction plans if appropriate)
See Attached Sketches, sign locations
has been field marked. Maximum sign
height 6' per City code.
APPROXIMATE TIME OF COMPLETION 8/30/00
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
I.n 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
La.Quinta Christian Fellowship 50-800 Call* Paloma 564-9195
Name of Applicant (please print) Business Address Telephone No.
Dan Varner
Name of Contractor and Job Foreman It _Business Address Telephone No.
Contractor's License No. City Business License No.
Church Mutual 0102325-02-692150
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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
30
100
$130
Date
1 C)r LA
3255 .4
PERMIT VALIDATION
PERMIT NO. 3255
DATE APPROVED 7/26/00
EXPIRATION DATE 8/30/00
DATE�IS�SSUED 7/26/00, 1
Administrative Authority
Telephone: (760) 777-7075
E
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12
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3uN050
------------------- ----------------------------------------------------
NOTE: '
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR. PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)��
0 Tf4+9
U�LiCw�g�5
p
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
Zo 0o Subdivision Improvement Permit —Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONS I RUCTIO --�
! (Street address or Description of Locat
PURPOSE OF CONSTRUCTION
V G
DESCRIPTION OF CONSTRUCT
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T¢oI
TA„tny_-�A�
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001
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C�tf—(� Sketch (attach construction plans if approp hate)
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DIMENSION OF INSTALLATION OR REMOVAL �j
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SIZE OF EXCAVATION, IF NEEDED
�APPROXpMA E�TIMEWHENWO L INOQS Sasv— QS
APPROXIMATE TIME OF COMPL TIO C
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:
/ Indemnity, -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 Administnitive Authority at least twenty-four 174) 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 NI applicable rules and regulations of the City of
La Quints and to pay for any additional replacement necessary as the result of this works /� A
Signature of Applicant or Agent
k , C.01-L-fmc, co --Soo C."LF PALc"V\q -q fq5�
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License. No. City Business License No.
Gk -(JaCR N&UTVA1, DI 013a L-- t9a ISM
Applicant's Insurance 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
Inspection Fee $ 30
Permit Fee Z O O
Penalty
—
Cash Deposit -Surety Bond
if required / z
TOTAL: $ ` ✓ 0
Receipt No. .
2774
PERMIT VALIDATION
PERMIT NO. 7/S�
DATE APPROVED Z Oa
EXPIRATION DATE- 30oa
DATE ISSUED
By
Administrative Authority
Received by Date
Recorded by 11 Telephone: (619) 777-7075
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La Quinta Christian Fellowship Church
Mark CoMns
Pastor
504= Calle Poloma
P.O. Box 676
La Quinta, CA 92253-3653
Telephone 564-9195
June 2,2000
To whom it may concern:
Greetings in Jesus'name.
This letter is to request a waiver of fees for an encroachment permit.
We are a nonprofit, public organization which provides help, support and
ministry to our great city of La Quinta, the "Gem of the Desert."
Thanks, and may God bless you for considering this request.
S aot, V-Y\ OAK
P for Mark A. Collins
N._
SPECIAL CONDITIONS --PERMIT NO. 3255
--- La Quinta Christian Fellowship .(Mark A. Collins) ---
In addition to the standard permit conditions, the following shall apply:
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. La Quinta Christian Fellowship, 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.
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 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.
Work performed within 500 feet of a signalized 'intersection is restricted between the hours of 9 a.m.
- 3 p.m. Traffic control shall be set up after.9 a.m. and removed before 3 p.m. The Permittee shall
contact the Riverside Country Traffic Signal, Maintenance Department at (909) 275-6894 if signal
operation at the intersection is to be altered in any way.
6. 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.
7. 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 Bites.
Special Conditions - Permit No. 3255 Page 1 of 2
SPECIAL CONDITIONS --PERMIT NO.3255
--- La Quinta Christian Fellowship (Mark A. Collins) ---
8. 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.
9. 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
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
10. Should'additional 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.
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. This permit allows for installation. of four (4) on approach to Washington Street and on Calle
Tampico. The signs are on:
A. Washington Street, north bound, 440 feet south of Calle Tampico.
B. Washington Street, south bound, 300 feet north of Calle Tampico.
C. Calle Tampico; 663 feet west of Washington Street.
D. Calle Tampico, 160 feet west of Paloma (sign with address).
14. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3255
Page 2 of 2
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