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3624 (2)NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroach ment.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 I I I DATE: 1`�`� Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Airport Blvd. " Across form Village at the Palms "'(Street address or'Description of Location) PURPOSE OF CONSTRUCTION Provide directional signs for Sketch (attach construction plans if appropriate) builders aiid developers DESCRIPTION OF CONSTRUCTION Install wood sign in median See attached conditions DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP 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 (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 Bldg Ind. A99.0c, 77-570 Springfield Lane ft PAlm Desert; CA 360-2476 Name of Applicant (please print) A4 Business Address Telephone No. Bast Signs WO Gone Autry, tp1m Springe, CA 320--3042 Name of Contractor and Job Foreman 524483 ; Contractor's License No. Business Address Telephone No. 03705 City Business License No. 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 schedulek''' Inspection Fee . $ Permit Fee. Penalty" . . Cash Deposit -Surety Bond if required TOTAL: $� Receipt No. Received by Date Recorded by' PERMIT VALIDATION PERMIT NO. 3624 DATE APPROVED 1-11-02 EXPIRATION DATE _ 1-+31-02 DATEM D Byi ./'' ` CAtlministrative Authority Telephone: (760) 777-7075 SPECIAL• CONDITIONS --PERMIT NO. 3624 --- BIABEST SIGNS --- L ....Streets and Parkways shall be kept clean. They shall be completely cleaned at the end each sign installation 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). It shall be the Permittee's responsibility to appropriately detour and barricade this site. 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. Special Conditions - Permit No. 3624 Page 1 of 1 BUILDING INDUSTRY ASSOCIATION DESERT CHAPTER Directional Sign Program 77-570 Springfield Lane, Ste. E, Palm Desert, CA 92211 (760)360-2dZ6 / (760)772-3372 Fax (760)578-2931 Cell -Lisa LaBonte - PERMIT APPLICATION December 11, 2001 City of LaQuinta Attn: Jerry Herman Steve Speer Dear Jerry & Steve: This is a request for a permit to add a new LaQuinta sign structure. w: - r ti4 East . rl� . Airport - East of Madison, across from The 'Palms (aka: The Village of the: Palms) • Thank you, Lisa LaBonte L002 12(11/01 Dig Alert 688744 - Expires 12/24/01 O n C11i'07." 2002 13: 30 7607723372 BIA DESERT CHAPTER PAGE ��1F716N OF y0� BUILDING INDUSTRY ASSOCIATION �6 DESERT CHAPTER Directional Sign Program 77-670 Springfield Lane, Ste. E, Palm Desert, CA 92211 (760)360-2476 (760)772-3372 Fax (760)678-2931 Cell -Lisa LaaBon$e January 7, 2002 City of LaQuinta Dear Hector: Here is the application form for that permit request for the sign in front of "The Palms" entrance. If you have any questions please don't hesitate to give me a call. Thank you, Lisa LaBonte Ilc 01-07-02 13:43 RECEIVED FROM:7607723372 P.01 01!'2002 13:30 7607723372 BIA DESERT CHAPTER PAGE 02%0.2 -,' thiF torm =r'.1m3s an, CrTY OF LA QUINTA ' ! enereae{;menr arr,-lt - APPLICATION FOR PERMIT pUBLIC WORKS CLANS r RUCTJON (ENCROACHM:;NT) For the mn:tr•J�iari of Pcbllc ar privavq m:rb--. mrivaway p.-"mrima, aldrnvnik9, pArkitm lots, ur.+rnr.:, water I:1ri. and ot-linr like pukatic worka Impr+vnmenta in cunrmc. on wl-11 ,VINCIR JMPli4VEMENT5and A?PI:i13VZ0 susizi(v1S10r4S (I Sut�dlvlslan Jmprovemant ,warm liz - Clams I l I DATc: x 10Minor Improvmnorn hrmlt Cinst 1V LOCATION OF CON CIS istrnAT 71C:'r-:ti cr 02:'IP:icn at LsnCWA) p PWE OF CONST UC-]ON 'PPj �— C770A3A!i mch tar.,► , mn=:jrlon plans 11 tppropflot9l %�.1JLns�as1VFLbP�t�S DE-Se-3,mnN OF CONS`fRlJri(ON -r�pct C6wIt71T/0�(S DIMENsiON OF INSTALI._AT10N OR RVA'Dvt1L Sl?E OF EXCAVATION, IF NE; -::LIED /APPROXIMATE i IME WHEu uiOFSK :'j1GR r3ECIN APPROXIMATE TIh4E OF COMPLETION/ E571MATED CONSTFIUCTION C05 s, flrialudInq pf all cbsrucdcn, rnztnrral+, and eelar�lllrp, cam- ;oetlon and rlacing prrrt'Ilnom r-aeuriac!na Aral/Or mPI-OC-7 lmpr•t,vern&n*-al In conzlcinrntion a: tno gran:InG of ii;, purrrit. r!Te aFPl1Gn: hnrrtbv agses to' Indormiry, rts"mi and avn n C.ry. It: eu7w«1 "mrea, nll!ann, rnPrM�l11� ivrJ and 4mplav-, , Ilarmim l.nrn m+d z%riror s w and air parsnl t�s ;lnbrfltirmt or Ina■ r"witlna F-m F'hrrry or aur, >A-'x and Eri7lirlo oos of nnv Art:, ion o =.mtO mr i FLar IMif ar 7r_-s*"ra' nsem+lnfr ar act:rrinp M d 0r3xL-= r-�d cf anY ivoe4 ,It:tlFr�kAn under th F "M Ora ,-� tlaviry the Adnllnictretivn llufi�orl y Rr iere wim-,-Inur I2�1 hc�-t in nNrncn or in xlm r+han aorx will ho cared, Cemply whd All pppK=ibrn City Crdlnnncr to-- A a =h'dI-1Ana n! *rm ParmIr MtG mi A=nembin rslm :rrd mgU19110nt of :'re C!ri•af Ln G.rfntrr And m oav for env rzddlflm-1 r¢p "rr nn[r:�ry n' MA- C of nil >�r!-. 51pnarure of Applicant Or Agvm _6&-P f , -rSli= � sync. �%5�7U SA Jn?.� ELr , . I � � nor nn i1 ��,= 2'-, �'�} HLFInn�,4ddrsee Name of Appllcsar,: tPlan�r Pr{ncj J NaMA of Comm&& end Jo Foreman Ct tees: Addtm 54D COn ractar9 Llcxn,n No. Talaphorts �Jo. - �c� j Tolaphone No. 3-7 bS CIS Susinau Licerm No. --- Polls/ Nurrtl:�+T 1sPp(E�nt'a tnsuran:a Compdny - FEES- 5UbdivN)dn Ir tpri-mmrnt Pornit - Class III Nblic lmpro—U 7% of r,rimo id C--ra.rucrOn pr's Private I_�provemnnt¢: 376 ofarlrrts -L con:-ve:lor, n:a Minor I nprav--.mrrrr Pnrmi%--Gam Iv: Sea attad,ed f hedul9 Inspettion Fate Pr-rmlt Fon /O , Psnatty G1_;1 DGpCHiT-aVrE;nJ Boad If required TOTAL- S RecEIPT IN°- aEcalvsd by pd 3567 M;lMIT VALIDATION FeAMIT NO. OAT5 APPROVED FXP113A710N DATE DATE IS5UE0 By Adrnmist,ative Autttori y Telaphcrne: rEoj 777-7075 F18c�rdP.d by 01-07-02 13:43 RECEIVED FROM=7607723372 P-02