3460NOTE:
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: 5/24/01
Subdivision Improvement Permit —Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53-250 & 53-230 Avenue Obreszon
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PARTIAL LANE CLOSURE FOR Sketch (attach construction plans if appropriate)
GRADUATION CEREMONY
DESCRIPTION OF CONSTRUCTION PARTIAL LANE CLOSURE
SEE ATTACHED CONDITIONS
SEE ATTACHED TRAFFIC CONTROL PLAN
DIMENSION OF INSTALLATION OR REMOVAL$ FOOT —SHOULDER
CLOSURE ON THE EAST SIDE OF OBREGON
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/1)Oi
{
APPROXIMATE TIME OF COMPLETION 6/1101
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 ne--essary as the result of this work.
✓i
SIr
ignature of Applicant or,
BUILDING HORIZONS 42600 COOK ST,. STR 120 PALM DESERT., C.A. 340.-4748
Name of Applicant (please print) Business Address Telephone No.
14
A STTKO 42600 COOK. ST. STR 170 PALM, DESERT. CA 3*0-4745
Name of Contractor and Job Foreman Business Address Telephone No.
B3586583
Contractor's License No.
03002
City Business License No.
Applicant's Insurance Company Policy Numbgd n) & R
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
$100
$100
Date
MAY 2 9 2001
CITY OF l.A pUINTA
FINANCE DEPT
PERMIT VALIDATION
PERMIT NO. 3460
DATE APPROVED 5.�Af D1
EXPIRATION DATE 6,IA/ni
DATE5.,li,sSUED /25/04
gy 1�6F
Administrative Authority
Telephone: (760) 777-7075
SPECIAL CONDITIONS --PERMIT NO. 3460
--- BUILDING HORIZONS ---
In addition to the standard permit conditions, the following shall apply:
Streets and ParkwayRight of Way shall be kept clean. They shall be completely cleaned at the end
of the event and more frequently if required.
2. 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.
3. 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.
4. 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.
All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.
6. Access and egress to all local properties shall be maintained at all times.
7. This permit allows for the closure of the shoulder (8' from the curb) on the east side of the street
directly adjacent to 53-250. and 53-230 Avenida Obregon.
The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3460
Page 1 of 4
<NOTE: LEEVE)
With proper validation
this form constitutes an CITY OF LA QUINTA2001encroachment permit
APPLICATION FOR PERMIT►o
PUBLIC WORKS CONSTRUCTION (ENCRO
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
2y
�)
DATE: b/ 53-?
LOCATION OF CONSTRUCTION
(Street address or Description of Location) _
PUR
Subdivision Improvement Permit — Class I I I
Minor Im%rovement Permit Class IV
�¢-�2-J C3o
DESCRIPTION O CONSTRUCTION
DIMENSION OF INST99LLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN _o /
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)
Sketch (attach construction plans if appropriate)
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 ules a regulations of the City of
La Quinta and to pay for any additional replacement necessary as'the result of this work.
Signature ppli(Ynt or Agent f(%ly,� DOPK Gt
ljl�212_120i/.S �a 6 vo /G S S; i 3 Y C)
Name of Applicant (/please print) n c Business Address Telephone No.
0
Name of Contractor and Job Foreman Business Address Telephone No.
43 3j"� 0 30 0 2-
Contractor's License No. -City Business License No.
Applicant's Ins fiance Compano 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 ,� d
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 100'
Received by Date
Recorded by
PERMIT NO
Xo33
PERMIT VALIDATION
3,[& a
DATE APPROVED 5 -2#- e(
EXPIRATION DATE CO- 7 —o r
DATE ISSUED
By
Telephone: (760) 777-7075
Administrative Authority
' r r
i
t
a-
i:--ACORD CERTIFIC4
PRODUCER
(909)484-2456 FAX
Cumbre,.�
Lic# 0709981
PO Box 4700
Rancho Cucamonga, CA 91729-4700
INSURED Building Horizons, Inc.
42-600 Cook St., Ste #120
Palm Desert, CA 92211
(909)484-2491
LITYINSURANCE DATE (MMIDONY)
11/18/2000
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A: Century Surety Company
INSURERB: Clarendon National Ins. Co
INSURER C:
I
INSURER D:
I
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICY NUMBER
DATE (MM/DDNY)
DATE (MWDDIYY)
LIMITS
GENERAL LIABILITY
CCP192033
11/17/2000
11/17/2001
EACHOCCURRENCE
$ 11000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx� OCCUR
FIRE DAMAGE (Any one fire)
S 50,000
MED EXP (Any one person)
$ Excluded
A
PERSONAL & ADV INJURY
$ 1 , 000 , 000
_
GENERAL AGGREGATE
S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT ED LOC
TS - COMP/OP AGG
$ 1,000,000
AUTOMOBILE LIABILITY
ANY AUTO
ED SINGLE LIMIT
r(Eaaccident)
S
ALL OWNED AUTOS
AUTOS
NJURYSCHEDULED
on)
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR F CLAIMS MADE
AGGREGATE
$
S
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TBD
12/02/2000
12/01/2001
TORYLIMITS ER
E.L. EACH ACCIDENT
$ 1,000,000
E.LDISEASE- EAEMPLOYE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1. 600, 000
--
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
ertificate holder is hereby named Additional Insured Lessor or Manager of Premises. *10 days
otice given for non-payment of premium. Location: 42-600 Cook Street, Ste #120, Palm Desert, Ca
^C23TIC11%ATC U^i n1 - I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
3 0 Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
The H.N. & Frances C. Berger Foundation BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
42-600 Cook Street, Ste #203 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Palm Desert, CA 92211 AUTHORIZED REPRESENTATIVE V_
Jeffery Shar shair/LR
WAGUKU t;UKFURATIEffCJ