3611NOTE:
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
1/11/02 Subdivision Improvement Permit— Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION PGA WEST ARNOLD PALMER COURSE
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION CHRYLSE1i CLASSIC GOLF TOURNAMENT (attach construction plans if ap
propriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION PT.AeR nTttt?n' TnVA1r. QTC_Mc
SEE ATTACHED SPECIAL CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL
kk '
SIZE OF EXCAVATION, IF NEEDED JAN 16 29OZ
APPROXIMATE TIME WHEN WORK WILL BEGIN ? 4? A, 1Q2 CITY®FLAQUWA
FINAUf 111 PT -
APPROXIMATE TIME OF COMPLETION /�nd�►�
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
BOB. HOPE CHRYSLER CLASSIC 39-000 BOB HOPE DRIVE RANCHO MIRAGE CA 922-76 000f$46*aW
Name of Applicant (please print) Business Address Telephone No.
JIM WALKER / BRUCE MESSERLY (760)326-8184
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
ST PAUL FIRE & MARINE CK 06806615
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
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 t(iQ.Qa
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 100.00
Receipt No.
Received by Date
Recorded by
V� 3611
PERMIT VALIDATION
PERMIT NO'. �� 1
DATE APPROVED ' 1/9/01
EXPIRATION DATE 1/31/02
DATE ISSUED
��•
By
Administrative Authority
Telephone: (760) 777-7075
.�i
NOTE:
With prlbper"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: 1/11/02
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION PGA WEST ARNOLD PALMER COURSE
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION CIiRYLSER CLASSIC GOLF TOURNAMENT attach construction plans if ( p appropriate)
DESCRIPTION OF CONSTRUCTION Pt.ACR i'fl'TRVlrTTnVAT.. gY(,%RC
SEE AMCHED SPECIAL CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN t !tA/n.)
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:
t
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 r
BOU HOPE CIIRYSLER CLASSIC 39-000 BOB HOPE DRIVE -RANCHO MIRAGE CA 92270 4900#IJ46*1111#111114
Name of Applicant (please print) Business Address Telephone No.
JIM WALKER / BRUCE MESSBUY (760)326-8184
Name of Contractor and Job Foreman, Business Address Telephone No.
Contractor's License No.
ST PAUL FIRE 6 MARINE
City Business License No.
CK 06806615
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 100.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
8 100.00
Received by Date
3611
PERMIT VALIDATION
PERMIT NO. Ifill
DATE APPROVED 1/9/01
EXPIRATION DATE 1/31/02
DATE ISSUED /
By 1
Administrative Authority
Recorded by -II Telephone: (760) 777-7075
SPECIAL CONDITIONS -=PERMIT NO. 3611
--- BOB HOPE CHRYSLER CLASSIC ---
This permit authorizes work to be performed within the City of La Quinta Right -of -Way only.
Whenever activities into private property, it is the permittees responsibility ( Bob Hope'Classic) to
secure from the affected property owners. Such authorization must be secured prior to beginning the
event.
The City of La Quinta's streets utilized as routes to access the "Classic". shall be kept clean. They
shall be completely cleaned and all signs removed at the end if the event.
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.
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.
Golf Tournament guide signs shall be placed no closer that 100' from the intersections and not closer
than 2' from the back of curb ( They shall not be allowed to block sidewalks). In areas where no curb
and gutter exist signs shall not be placed closer than 10' form the edge of pavement.
6. Permittee shall make the necessary arrangements with Law Enforcement Personnel to provide Traffic
Control Officers for the event.
. 7. Pere -tee shall monitor the affected roadways to ensure its compliance with City requirements.
Access and egress to all local properties shall be maintained at all times.
Special Conditions - Permit No. 3611 Page 1 of 1
��......
N�OtT�¢Si,�/�
yl/ithproper validation
• this form constitutes an ma's"r ;. � ,•;..: ;,; 4,.. ,
CITY .O,F LA QUINTA''
a. it
.., . APPLICATION
:. PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
. , � ' .Zyci F,: Ya t1a•, a+,Y,T .: :�: [.;.t:: �'� , '. ! 5 •sr �,� - i
For the construction of ci `rs•3 l3
pubhcror'priVa;e�curbs, driveways .pavemenn ts, s4tl�walks parking lots sowers;weten ma�ns;��J.r�y,�`;.i•,.`, -
and' -other like public works improvements in connection wrth MINORIMPROVEMENTS and APPROVED;SUBDIVISIONS {rr J
4 tr trl
x)t3Y
G
T 86bdvision Im rovernerit Permit
{. A J 'tip 3 .. !£'1 4.ia, }yn, y pti.{r: •'/ice
DATE: '' A Minor Improvemdent Permit Class IV .
LOCATION OF CONSTRUCTION' eftb k( C �FRctOLO �'�G.2•' P,d.KA.g IL
. '��'•'%d•iii.Ji.�r :yS::; -t.�t�ii' �'nS�:: :.frY'i '.i'11:+ii4.o.� �,iiY' i,yi,:
Y.��•4'i
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Chrysl`sr GlBssie . �L t t' i Sketch (attach construction plans if appropriate)
' F': -•• F - - dxM'•,3 +4 .YiN JCY�tl _ x i
ARPROXIMATE'T_ IME WHEN 1NORK 1NI'.LL�BEGIN ' 3
` - " ti"�'�h,J�S'� {A,4fin r�h?•5'}s?k�' .it(¢,t'TMit ;raN: S..:.
APPROXIMATEhTIME COMPLETIOwNnf�
]ya i:-3j';,`4`kl}'.'Kff{ IiF1 �.ti, aiYluTs, !T�•5iC'M1$
ESTIMATED CONSTRUCTION COST,T$., -
1 "�(locluding removal'of?all obstruction°�mategials and debris t ackfillin
•paction and placing permanant;resurfacirg and/or�replacing'impcoyei
wAffi. �,aeo lri ,n
In consideration of the granting of. thisNpermit the �appl•ican{tuhe►ebi
ra ro
fi sA.chSn 3 3 P.?>;.(-44UH'(-
Indemnify;:defend'and sava;the City its authoraed egentsofficers Orel
ached&conditions..
_ �t..... ,
$I J lF� S iiil .rry. t .A..
Besy,LOi�);i �7d2'ar, 5.:r.<• r•� am,• v; atnna:;y,;! sc <:y.. r,i ,� v. ,.
- ,. ..5. ' A ilN tdh.ji yy +iv 1F .xy �, T - -.- _ -- :', � 'p7.— !f:
penalties liabilities' or loss iesultmg from claims. or court action anderismg oiit,.of any accident loss br damage Yo�persons:oN:property
tyn4 t 47jY'dd !f i. f{ C1 R7F r•kl }r'' 45 }• HK' i i3. �yi•
happening or occurrmg:as�,a;proximeta;result of any work underteken' under the permit grantedipursuent to.this.application,.' '
' Notify the Administrative Authority 'at least twenty four 1241 hours- m advance of the time en�;wbrR� will' -be ste'ited.. ' • -
{: Comply' with. applicable: Qty,Ordi� antes they;termsrvnd ao nd*ons of the pertm tard alliepplicable rules and` regulaLons of,theaCity'.of
Le Quinta, and to'pay for any addMona replacement necessary es, the .result ofithis)work, k = •'
'9y'A i)C- it:,•;.vk�St:r.ty.-i, yJur45 M
:-f'..
:'� t . � CJ � F. ss � t - f f . � s •ws :..tx�y,eu'•;s . • .
F t a [J 4
.....-
S!.tTtY.,
SNP Signature ofr'App�icariLxor�Agent;µ
Bob Hope Chrysler Classicr ?39 000 ti-�lio BopeMba 'Rancho MiraB®;;';CA 92270 (7b0) 3N6 8184,;
.. ,•. !7'S�ist�xlb ?illHtiu M' - }. c,
Name of Appiicani (please print >f G "t r f�t.Business Address Telephone No .
8 eti+e-34art4il '�li►� �n!.h��LFC �fi.1AG�41,,.f l&$SR.0. -1! >•ra , '.346�81A4 x
Name of Contractor arid JobjIForemany, .��a� fy A�I;Bu�mess�Address `� Telephone No''
.. •'.:':. t. '-' .. hytl: .Cr^:.,..tiS. ,S•i( f'1!f�f0:!,+,'M<:f.'JC''rys,i 'i1h (,.
Is<SiNUu }y.�l-rywr=:�l�ta ,4n;.r , a�. '+ �;:� R� City':Buslness License -No'."
Contractor s License~No
Sti Paul .Piro &:Marine }i fl• �oh4 vµl .fsw. a 'y �J b'uj.g a;,+:,,<:• J +lk(s b f
C4,0015-
Applicant's Insurance Company: 'i Policy Number h`?^^'ai
Ir. IA.GWk1 {s ue,, d,t �' i _
FEES' Subdivision Improvement Permit„ Class III* x - r� r { r t V NAY
Public improvementsy3%offestimated constructron.costs,•.,...�,.... _,.. } } W.
a yWax,. �" 20p1:
Private improvements 3% oflegyNted construction costs.: 0�
Minor Improvement Permits °Class IV See attached schedule .-Tfff y
Inspection -Fee $ f PERMIT'VALIDATION c•.+::,:.:..,e, 1
00
:...,...
• -. .. _ .. ... h PERMIT NOs: J(P.�': I .... ,
Penalty
Cash'Deposit-Surety Bond • DATE:'APPROV.ED:'
if required;tp EXPIRAT,IOMPAFE
TOTAL: $ 100.00
DATE IS 'Ep:;...'
Receipt No: `
By..
Received by Date dminisirative Authority
Recorded by Tele0hone.''(760)777-7075
17 Li
JAB � 3 2p02
NOTE:
With proper validation
this form constitutes an CITY OF. LA OUINTA
encroachment permit t r S
APPLICATION FOR. PERMIT Jp
PUBLIC WORKS CONSTRUCTION IENCROAC,HMENT) ' 64�
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
�tgv-
`� �e Subdivision Improvement Permit — Class III
DATE: ^ �o / Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION.
IStreet address or Description of Location) .
,t?G� ANNUL Golf TG�//lit/Ai"�/T
PURPOSE OF CONSTRUCTION Sketch lattach construction plans if appropriate)'
DESCRIPTION OF CONSTRUCTION
Z2qY,037777775
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION —
ESTIMATED CONSTRUCTION COST $
(including removal of all obstruction, materials, and debris, badcfilling, coca-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indernnify,.defend end save the City. its authorized egems, officers, repmentatives and employees. harmless from end spin= anv and all .
penalties, liabilities or log resulting from elakra or court action and wising oui.of any accident, loss or damage to persons or property
happening or occurring as a proxin sts result of wry swrk undertaken under the permit granted pursuant to this application. '
Notiry, the AdminisnetM Authority at least twenty -tour 124) hours in edvarrn of the time when work will be started. .
. •Comply with all applicable City Ordinarros, fists cacao and conditions of the permit and ail applicoWe ruin end repAstions of the City of
. La Quints and, to pay for any additional replscancern nenssery as the result of thh work.
Name of Applicant (please prii
Signa
;G G Lo¢S.1/c_ 42
Business
Name of Contractor and Job Foreman
of Applicant or Agent �,41V 57
l/) UOW �.&
Business Address
Telephone No. q��g.762
Telephone No.
Contractor's License. No. City Business License No
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 cost
Minor Improvement Permit — Class IV: See attached schedule 2774
Inspection Fee E PERMIT VALIDATION
Permit Fee PERMIT NO.
Penalty DATE APPROVED
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: S ' DATE ISSUED
Receipt No.
By
Received by Date Administrative Authority
.,Recorded by. Telephone: (619) 777-7075
9
V
'y Of TNt
NOTIFICATION OF COMPLETION OF WORK
(MC 14.16.270)
Date:
-- Permit No.:
DIN:
Location:
No work on the above referenced permit shall be deemed completed
until such time as the Permitee notifies the 'Director of Public Works
and the work has been accepted by the Director of Public Works.
Acknowledgement of
receipt of this notice:
Permitee/Agent: Date:
NOTICE OF COMPLETION OF WORK
To: Director of Public Works
From: Permitee/Agent
All work authorized in the above referenced permit has been completed.
Permitee/Agent Date:
0
T:\Pwdept\Docs\Forms\Notification Of Completion Of Work.xls
Lam •o-s
V
of n►�°�
Date:
Permit No.:
DIN:
Location:
To:
From
Director:
ACCEPTANCE OF COMPLETED WORK
(MC 14.16.270)
Permitee/Agent
Director of Public Works
All work authorized in the above referenced permit has been accepted
by the Director of Public Works.
Date:
T:\Pwdept\Docs\Forms\Acceptance Of Completed Work.xls