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3688' f ..,NOTE: µ 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: 51-21-021 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 51-540 6 51-552 Avenida Martinez (Street address or Description of Location) PURPOSE OF CONSTRUCTION Partial Lame Closure Sketch (attach construction plans if appropriate) for graduation ceremony DESCRIPTION OF CONSTRUCTION 8' shoulder cloaure See attached conditions. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN May 31, 2002 APPROXIMATE TIME OF COMPLETION May 31 • 2002 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, represehtatives 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 building Horizons 42-600 Cook St, Suite 120. Palm desert, CA 340-4748 Name.of Applicant (please print) Business Address Telephone No. Da'��,� idiEi£iSga11 Name of Contractor.and Job Foreman Business Address Telephone No. B3586583 03002 Contractor's License No. City Business License No. Century Surety CCP 192033 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 Date Recorded by 3688 PERMIT VALIDATION PERMIT NO. 3688 DATE APPROVED 5-21-02 EXPIRATION DATE 6-1_02. DATE ISSUED Z.5A-21-02I By "0' Administrative Aut Telephone: (760) 777-7075 SPECIAL CONDITIONS --PERMIT NO. 3688 --- BUILDING HORIZONS --- Streets and Parkways shall be kept clean. They shall be completely cleaned at the end of the ceremony. 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) if applicable. 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. 3688 Page 1 of 1 _-- a---_R _-__-_-_-_. _-_-----_ (�' r NOTE: 4.3 With proper validation �Ns, this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT Q•� PUBLIC WORKS CONSTRUCTION (ENCROACHMIyT)�� 7• wSw� 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: �/ ` Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ✓ - S��Q iri` �12 La �G. (Street address or Description of Location) �P - PURPOSE OF C JIUCT ON /(/� Sketch (attach. construction plans if appropriate) /vl7 DESCRIPTION ,pF CCjNST !J.CTI(�N f 7`� aX �C2� e C oSa r� DIMENSION OF INSTALLATION OR REMO AL R Foo �!a4 / C t.2SS /'e__ SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL 91IN APPROXIMATE TI ESTIMATED CON( (Including removal paction and placing In consideration o� ments) icant hereby agrees to: Indemnify, d�end a ve t t� Cit , i s authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabes o Iss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening orurring 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 �y Signature of Applicant or Agent �`/ /",�ti P7-> T a�-lam �Q CCb/�--,,- - _%tr0/1;z0 Name of li nt (pI�ase p ' ) Business Address �w - 4 W Gtl6--'a5l;w rl 6m /Ar : Name of Contractor and Job Foreman 3*5_ S65_S 3 Contractor's License No. Telephone No. Business Address Telephone No. c e 030o a City Business License No. Applicant's InsuranWCompany U 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 w Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by Date ,% ;. I• �f �i :F'. VALIDATIONPERMIT PERMIT NO. DATE APPROVED EXPIRATION DATE Z DATE ISSUEDL— FAC By Administrative Authority Telephone: (760) 777-7.075