3734NOTE:
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
Subdivision Improvement Permit — Class II I
DATE:August 30i 2002 • Minor Improvement Permit Class IV X;
LOCATION OF CONSTRUCTION CIP project —Jefferson Street Landscape Median Project
I
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Trench repairs.
DESCRIPTION OF CONSTRUCTION saw --cut demo and export
100 if of existinsz AC Pavement
••.DIMENSION OF INSTALLATION OR REMOVAL 100 If x 18" deep
width as naAad .
`SIZE?OF.EXCAVATION, .IFNEEDED 100 ft- x 1.5 ft x 1.5 ft
APPROXIMATE TIME WHEN WORK WILL BEGIN Sontws r 3� 2002
Sketch (attach construction plans if appropriate)
**All work to be performed per the
General Contractor's contract with
City of La Quinta.
APPROXIMATE TIME OF COMPLETION AS wnrkinS davn
ESTIMATED CONSTRUCTION COST $►
(Including removal of all obstructibn,.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• anal 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 T
Kemp & )imp Services PO Box 733 Thousand Palm, CA 92276 760.. .1229
Name of Applicant (please print) Business Address _Telephone No.
Curtis Kemp same as above
Name of Contractor and Job Foreman Business Address Telephone No.
687487
Contractor's License No:
LIvanston Insurance
03941
City Business License No.
CL041701558
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public. improvements: 3% of'estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
1
Inspection Fee $ ;DNA
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ NA
Receipt No.
Received by Date
F 3734 '.
PERMIT VALIDATION
PERMIT NO. 3734
DATE APPROVED August 30, 2002
EXPIRATION DATE December 1. 2002
DATE ISSUED August 30, 2002
By
Victor Monz Administrative Authority
Recorded by Telephone: (760) 777-7075
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCR
For the construction of public or private curbs, driveways, pavement, sid
and other like public works improvements in connection with MINOR I,-MPROV
DATE: v
LOCATION CONSTRUCTION NJ
(Street address or Description of. Location)
PURPOSE OF CONSTRUCTION
NSTRUCTIO
DIMENSION OF INSTALLATION. OR R
SIZE OF EXCAVATIO.N`, IF
A OXIMATE TIME WFI N:WORK,WILL BEGIN
N1
vi
N
s; parkii�g-•lots, sewers, water mains
ITS and APPROVED SUBDIVISIONS
Improvement Permit— Class III
)r Improvement Permit Class IV
Sketch (attach construction plans
RECEIVED
AUG Vwl
by PUBLIC WORKS
APPROXIMATE TI E pF COMPLETION t
ESTIMATED CONSTRUCTION COST $
(Including egmoval,,bf all 41fitruction, materials; and••debtis,' Gkfilling, com-
paction''.and'placing permanent resurfacing Arid/pr...rep?ac ng 'fmprovements)
In` considdratiGn of the granting of this pe mif, the applicant., hereby agrees to:
Wemni,'defend• and save the City, its aytho(ized age{�ts, officers, representatives and employees, harmless from and against any and all
penalties `'liabilities or loss resulting from `1; ni's.-of court action and arising out of any accident, loss or damage to persons or property
happen"ing or occurring as a proximate result. of any work undertaken under the permit granted pursuant to this application.
I
Notify the Administrative Authority at least twei5fy-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
Vc" SN/a D, (6ff yj 0_110 D-
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.
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 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority.
Recorded by 11 Telephone: (760) 777-7075
IASC]
"t'•?�j��"Ii& s
lcJ@Pr1�PcPrJrcPrJ�cPcPrJ@PcPcPrJ�cP�PrlcPrJ�rPcicPrPrJ�cPcPcPrJ�Pr1rJ�rlcPJ�rJ�rJ�cPlcPrJ��PrlJ��PcPcPrlcPrJ�clrPrJ�rPrJ�rP�PcPrJ�cPr�rJrJ�rJ�cPcPrlrSr�rJr��PcPcPcPcPrJ�cPrJ�cPrJ��PcPc1rJ�cPrJ�rJrJ�rJ�cPrJ�rJ�rJ�cP�cPc�rl�cPrJ�cPcPePrJ�cP o
NON TRANSFERABLE 5
BUSINESS LICENSE CERTIFICA ® E
CITY OF LA QUINTA 5
The Licensee named herein having paid to the City of La Ouinta all fees required, license is hereby granted said Licensee to transact the 5
business herein set forth, for the period stated, in comformity with the Provisions of Ordinance No. 2 of this city. This License is issued
without verification that the licensee is subject to or exempt from licensing by the State of California. NUMBER 5
5
LOC: 28100 SHERIDAN ROAD 03941 5
INDIO HILLS,CA 92241-
BUSINESS LICENSE ID TYPE
KEMP & KEMP SERVICES 1`500
GENERAL ENGINEERING
LICENSEE; KEMP & KEMP SERVICES
P.O..BOX 733
THOUSAND PALMS, CA 92276-
ISSUED EXPIRES
06/18/02 06/18/03
PLEASE POST IN A
CONGPICUOUS PLACE
CONTROL NO. 13471
3ry
08-29-62 13:19 ID= P01/02
KOrp & Kemp Services
Asphalt & Concrete
P O Box 733 Thousand Palms, Ca.
9 276
'76a775,i229.• FaX:. 76a,342
tjMw W 07487
ESTMYEOWPOSAU
AUGUST M 2002
�� LANDSCAPE ATTN' MICE. TURNER
M TRENCH WORK
T8820 'a'^ARn.81; AVE So aAEFFF<WN
760•'L�O�OC'16r1@D•7T2� - ' •
pRdPC}TAL N0. 0M=4
pTIIfATtr, �Ol2 jjljR(yvQM1]JTSAS FOLLOWS: -- INCLUDED
AND MOVE IN PRIGV- OF ........................
t,�Q131LJ7ATIONY , . .
t. SAW CUT. WAO & EXPM : • :.,; • •.. t ' • .. � - :: ;
1�•�.F��ICs3kG,
(sRR/� Ta EDECAW►TEtQEio'FOit jpE
p11E IN
E, 9ACK:PILL A310 Cp)NtPACY TO 18'
BAD 4' HMA % AR 4000
}�AP✓;1LFaAP TO INSTALL tr Ci1S54 '' • _ ••5737,OD
CQIIIPAC (?N d,12EPORT••. .'
ONE'OoVE-!H; AT PREVA►1 iNC3 WADI;
o THE
- ---,..�,....,..,..r.� .:rr•1LcwN1�BY `ld�lE FbR iNS�'g0� •_ ._..._ �.....•H.y�os.
TSM RATES, AT
kRRO, OA Eit IJI Op ���p. S4NgGr C7TtADtNd. wATI3t 7Rud�
VdE1:D1C1lE.'FjF�.. IN -6R REPA100F ANY UNDERGROUND
IN{PROVEiIJENTS OF ANY M.LANOgCAPtNc�, IRRIGATION, PERIMT, I1 NOR
DQEB NOT INCLUDEIft ANY GRASS OR R00#
5ON WtlUifAOE'T't1T1[lTIES` NOT RESPONSI9�E FOR
R�NSI',BLI~ FOR oNAGES TO ANY U pACi'1ON• ROUGH FlELD
U4SUI'P�E,ISUB801L$; OR LOWEK- TR%NC►i
ASpHAt7 W,TMK? H Gbft ftM' CURED. THESE ARE
IiR$g8 pN7 U?ON FINISH'
ARE rU )OIAWE.' skTn
Fl� a�R T 3�� PRI= aVEN FOR MINIMUMQUIT P at aASOVE.
IF $LZCAIiE FCNOfAG� C1>`t �4t1AN7Ti1ES Gt1ANOE. AU
XTEDCHANGE - -- -� _.......ten ev t ivjw R OR AYo0MAQ9KU:QS
TERMS'NINE
•...« MtALt qWMtN Wt>D pOR $1. rS.
WAJ!M* OF
pAYME}rT PSi1= oreatAL m WRl.9E APPLI� tATE. _ —..— u AUV.NANIES. NCWDINCI
1
FROM:760 342 5279
J P02
00-22-02 la -"St TO:
08-29-02 13:23
ID=
P02/02
CONTINUATION PROPOSAL No.020M
AUG%15713•
ACCORDING TO STAN�O� CL ALL
NOTES: EO W A PROFM'ONAt "'ER WAaR/.NTY
ALL WORK To HE CO �•r0 BE AS SPEC1fIED.wrtN FW1• FA�C AR A�M TO
MAATTs� is GtMRANT F'NFf AND of EN
IN Opow TO PFRFORM CONSTRUCTION AS PROPOWy WE � LOSURE5 OP EIRRANCE AREAS.
MEN AND EQUIPMENT• TIpBM11+Y NYE�8=04 MpROVp�t£NTS A60NG APPROVED
PARIM AREAS, M.
Rm RESOONSfBLE FOR OA>�
s of TRAVEL q�AR£pfROM WDRIT AREAS SFAt EA
AGBTT TO HAVE 1IpMIdgS AND OBSTACIFS
�sEI aWR�M MOOED uMn DWIN AREA OF WORK YO
{ NHS ApgTT f 1AI NEED 70 ARRANO£ FOR �GAVOIA 5YSCEFAp
BE W�ypgR -f stog OFF ACE WNOiT1OMSr CONTMCTION A� '
NO GUARANTEE6 ON CRA M U To gtTeSUIIF
pcPANSION. NO GUARAHT LY OpNETiYOTHf. EFs, We CANNOT ASSUME �LITY
yp µ MWWOV£RW UBpRpgLEb1SRESUc• O(IOUR LAMER Nrr��TSOURWORK•
FOR THM WORK, �� r,NO1OR SuBSTAN� WOE
Ry00fAPATIB G 1ytPLANS APPROVED,DR EW RE 7fiEEN001'TIREp
ARE FO'UR* ORRpfEGT.
WHFN BT�� NOT y7AfiPED
UNQ WE RESERVE THE F�
OR CONTBJU>Na UNIF S OTNERWRM STATQI,
BEfo0.E STopX
AaTp+G. WA r.OR OYEITT ME f�tATEJ6 TTIONAL CHARGE AS NEEOED-
AT PRE "E K WaK 99AH AOD
Ali WEEXI K NOTE OVERTIME Houas. IF ItE411I _E6 wotcATEO HEROK
POR W P�KENO
l6 BASED mo M U1lH E6g EPA TNEW
TOR � � M 1110VE
THIS
PROP UM OF � D OLA.MS tt8M15 OR WOTbC_
W A MN RAN AN DELAYS A TPO OR T g NE AIL. AYG
4UI1KT1T16M�T' 1. 7 f»119H FMC ,1� g
gNQFeQ ACHANCiE *ILL ME
OROFRTOTNECANTRAC .
Duos=�NSW.F VOR THE Ok*T � pNAI' COi �O�R� �OR
NfESHAU BE Y UNLE5SOTHERWISE ONA'TibIEAND IW�TEWAEs
PERFORWa MOy- UN SRA9� $►IAL1 f� 60.1Eb
Uµ LTMG
>OKIS ENCOUNTERED. AKWR i W& WE
PWmANQIOR Q (f tE FOUND TO BE � qN0 '
r IN THE EVENT�BAT%KFriL1110 AfiD CAVB>: A CMPon .'li7CH WORK TO 8fa pEIiPOti
�LLpgOVMFOR ACCNAROEORDQR�P OWIMTOTHIS WRERlREW
MATSRVLV SA615 A" SHALL
jlp,p+ a KfdAP �� � qjOW N OR
i1TS TNAT AREASONABLE EFFORT TO INFORMT W & HIS BEEN MADE.
CLIENT W ARRA ttk7APOUS MAtLttlALS ON OR N T ORE Is NO REAS 1 TO�T'TAM mv.10VERY
Of
SUSPECTED
� yV �MRyOpMTATAsfTE 9�VICEgpN0CUENTAGREE yWtDAT1NGA
NAiAROO H£ P(t:SENT• %EMP 3 K>' A GlIAfI{3Ea CON01TtHN THE CLIEW RECO014M
COULD � �1fA71��P�E pF WORK RIALS oR t►oNITATe KKEEMM►P -OVN/I S FOa
l"AA TWEr, KALTH AND jUM �O TOOP ' TECT TTrt
HOTNy OM SIY6 PERSONNEL ANO THE Pt7f3�1C.
AND
ENERAL LIA04jrY AND WORKER'S
Y ungs MR OTHER
THE CONTRACTOR S"AUOE C VERAOE ANY NAMI OpAS AN � �y�A P JOE. 0 NW ERYO
PA{MV—TO�B"E LOW X COVERAAOE f TetS aoti BETE.
AE. TRM_"� b law s£R� W mA ARE PUPm N, RECPIVT
WN LL BE PROVIMD IB PaOaRE"1
PROGR�+ 9�5 ELEASES. PAYIAEIns ON t pATE OF M"-G "I' BE 6DNA
MATER"AND LABOR R fW PAID WTTHRA OR RCN 16 DAYS NOT PAID py��
OF INVOICE• Ats INUAc To A b9c INTERESTNT IS P kcEO F'OR SNOWNf�wl�a AGSM
a�IDUE ANDKTERaT�M,� f0RA1�yAmO� C0LLU rING IINYMOWf-S WCi OUFEES AND �QiGBVTNOTLJIrATE0T0
AGREES TO O REB� COST, AND P7TORNEY
AGfUi% To PAY AU. f H p+l%I EO FOR z� p furs .. fa'
#OMINISTW` Tsxo y is ==s 1NTTIAi
FRON:750 342 5279
06-22-02 l4:33 TO:
p05
FROW 766 345 8223 P02
.. a V
ID= P02/02
,08-29-02 13:26
r••:sH�:z/t�:•rl
AUGUST 13. MW PROPOSAL NO.02=1
NOTM
ALL WORK TO RE 60ALPL"M IN A PROFESSIONAL MANNER AOOORONG TO STANDARD PRACTKk. ALL
MATERIAL IS GUARAMEED TONE AS BODIED, WITH RJU MANUFACTURERT> WARRANTY.
IN ORDER TO PFi CONSTRUCTION AB PROPOSED. WE WILL NEED FREE AND CLEAR ACCE$$ TO
ALL WORX AREAS FOR MEN AND EOUIPKK. 7149 MAY NECESSITATE ROSURES OF ENTRANCE AREAS,
PARXM ARW. ETC. NOT RESPONSIBLE FOR DAMAWS TO EWTING UPROvPJ49 S ALONG APPROVED
ROM OF TRAVEL.
OWNERIOWNM AGENT TO Kok%M VEHIM E9 AND OBSTACLES CLEARM.PROM WOAXAWA9, SOLED
AREAS TO REIIAw CLOSED UNTIL DRY.
OWNWvfOWWA*$ AGFITT MAYNEEDTO AARAMM FOR mmGAmcw SYBTEM(e) W AREA OF Wank TO
8fiTlAWORARILY$HUT OFF.
NO 6LARANTEfi80N CRAOM DUE TO EXtCi W SUBSURPACE CONDff K)NS. TmERMAL CONTRACRON AND
EXPANSION, NO GUARANTEES ON DRAINAGE
WHEW fOrAvA4 wORK OVER WORK PREV)OOSLY DONE BY OTHERS, WE CANNOT ASSUME UQIUTY
FOR THSIR WORK OR GUARANTEE AGAINST PROMS RFSARTWHq ON OUR OPO WN). FROM
INCOMPAMLE. oETERIORATED. m=R SUBSTANDARD WORK OF OTHERS wNFRE rT ArpnTSOUR WORK
WHEN MOM FROM PLANS WT $TAMP® APPROVED, OR WHEN ANY CMANQfS OOCUR, OR
PONIEPANCIE8ARE FOUND, WE R£S6RW THE M40KT TO REVIEW AND REBID THE ENTIRE PRD,tECT,
BEFORE STARTING. OR CONTMTRNG WORK
ALL PROJECTS NOT BW AT PREVAIUNO WAGE. OR OVERTWE RATES, UNLESS OTHERWISE STAYED,
FOR W EEK M WORK OR OVERTIME HOURS, IF REOUI RED WILL BE AN AODTTHONAL CMARGF A$ HOMED,
THIS PROPOSAL IS BASED UPON THE U M6 AND APPRaK MATE QUANTITIES INDICATED NER$IK
WITH A MAKHYUM OF ONE' MM iN, UNMW OTTIER{M='SPEa1FEo. rrot A m =300.Ot1 PER MOVE
IN (40 MI RANGa ANY CHANGES IN THE REFERENCED PLANS. ITEMS OF WORK Oft KMDICATED
QUANTITIES. ANY PHASING OR DELAYS, ON ANY POKWN OF THE WORK RILQUIRING AODTT(ONAL MOVE
IN OF EQUIPMENT, PFRSONM QUAN7ff ft 401ORT OR EVORT. ETC., MLL NECEMTATE
A QIlANGE ORDER TO THE CONTRACT. FSW( FIELD MEASt7R0"S WILL PREVAIL
WE BIW,L BE RE$POtgW E FOR THE DUST CONTROL FOR 6 OUM NQ OUR DESCRIBED WOW
PERFORNANDE ONLY. UNLESS OTNERWISESPEGPlM ANYADDITIONAL OUST CONTROL IMOUIRW OR
RP$IJLTHNG FROM OTHER TRADE8� 91fAIJ. BE SII,LED ON A "T W AND MAT6RI AX BASIS AND SMALL
CONSTTT=A CHANGE ORDER TO THIS AMMMJz f.
W THE SVtiNT B>iOR�'K IS ENOOUD.AND/DR 1� DC��NC S00.$ AR5 FOUND TO �
UNACCEPTABLY: FOA BACKFILLRiG AND CADS$ A CHAN= IN OUR COST AN=R TIME OK THE JOB, WE
SMALL PROVIDE A CHANGE ORDER. PROVIDING MR SUCH WORK TO BE PERFORMED ON A" fWE AND
MATERIALS' BABAS AND SHALL CONSTITUTE OHANI;9 O(WEA TO TwS AGRZaWNY.
CLIENT WARRANTS THAT A REASONABLE EFFORT TO POORM KEW A KIMP MMVUS OF MOWN OR
SUSPECTED HA2ARDOUS MATIOU" ON OR NEAR VHS PROJWT SITE HAS SEEN MADE.
TWaRCOM MArMAI 3MAYElTATA= WMM TNM 13 40 REASON TO BELMV9 TWY
COULD OR bMOULD BE PRESFM. MV A KEAN,P SERVICES AND*" AGREE THAT THE WAVERY OF
UNANTIMATM K42AFMOUB MATERIALS COfNSTRVM A CHANGED CONDITION MANDATING A.
RENEGOTIATION OF THE SCOPE OF WORK OR TERWNATLON OF SERVICES. THE CU MT RlGODNM
TMAT THE vocaVFAY OF MATJIRDOU^ MATERIALS NFfiTATE MWEmTg PROTHCTIV6 mmstp ES TO
6AFEGwo Twe PLwc MFJALTm AND SAPFTY, AND AGhiEB TO COMPENSATE KEMP d KEMP 6ERVICKB FOR
MEASURES THAT IN OdR PROFi39MONAL OPINION AAE AWWtED TO PR99FAW AND PAO•I'EC7 THE
HEALTH ANO SAFETY OK SITE PEWMM AND THE PLIBIJC.
Assam I
ThE 00MYRACTOR SMALL PROWIlE CERrilgKlATES OF aENERAL LJA04AY AND VJ004M"
COMPENSATION 04W)fC9 COVERAGE. ANY NAMED ADOITIONAL PISURE08 FOR OTHER THAN
MWIIOPAUT188 TO OR AN APOITANAL CHARGE AS AN EXTRA ABOVE CONTRACT PRICE. OWNER TO
PROWUE FIRE AND-M OF M I MC COVERAGE FOR THE JOB On.
PATlIl to Scli mia- r
PROGR68S 81LLINOS SHALL RE PROVIDED BY KW d KEMP SERVICES WITH ALL RECIMO
MATERIAL AND LABOR RELEl W. PAYM!'NTS ON (SAS PROGRESS) SILLINCS ARE DUE UPON RECEIPT
OF INVOICE. ALL INVOMES NOT PAID WITHIN 15 WHYS FROM DATE OF BRAING SHALL 09 DaNED
PAST DUE AND SUSJECT TO A 1.61E 04TERM RATE FOR EACH 16 DAYS NOT PAID "IS 19 AN ANNUAL
1$% ffT0ie4T AAYE)- IN THE EVENT THE AOOOIW 18 PLACED FOR COLLECTION, PROPERTYOWNER
AGREES TO BE RESPONSME FOR ANYAND ALL COLLECTION FEES AND COSTS. OWNERADWNERIS AGENT
AGREES TO PAYALL FEES N MSM POR 60 =714O ANY MOVIES, INCLUDING OMIT NOT LIMITED TO
ADitLWMRATWF!.COURTCOST.AWATTORNEYFEES, NORETEWMN.
'L n-. Xa vRBvhuaNg 1D= iB 1mag811RY Y00 R*,L Im cmu"D bjnlzoftwCom.
Kww & Kemp 8erv,00s wrryAL
00-22-92 f4:32 TO: YROM:760 342 S27y P63
08-29-02 13:22 1 ID=
Kemp & Kemp Services
Asphe# & Concrete
P O Box 733 Thousand Palms, Ca. 92276
760-775-1229. Fax- 760-342-5279
License No. 687W
ESTlYATE/PROPOSAL
AUGUST 13, 2002
SIERRA L0140SCAPE ATTN:-,MIKE TURNER
18820 DARBY RD RI=: TRENCH WORK
BERMUDA DUNES, CA AVE 50 & JEFFERSON
7B0f25D-Wlen8D-7n4M
PROPOSAL NO. 02=3
68Ti LkM FOR IMPROVEIIAENTS AS FOLLOWS:
MOBILIZATION AND MOVE IN PRICE OF......................................!.................INCLUDED
1. SAW CUT. DEMO, & EXPORT
APPROX 72 S.F.
EXKMNG STAMPED CONCRETE
THE ABOVE WORK TO BE DUE IN ONE MOVE -IN, AT PREVAILING WAGE
FOR THE PRICE OF ... ... ... .............. ........--.... ...................................... :.:..................
.5780.00
DOES NOT INCLUDE ANY STANDBY TIME FOR INSPECTIONS.
IN THE EVENT OF UNFORSEEN CONDITIONS, OR DELAYS CAUSED BY OTHERS,
T&M RATES AT COST, PLUS 15% WILL APPLY UNTIL NORMAL WORK RESUMES.
THIS PRICE DOES NOT INCLUDE ENGINEERING. HANDLING ANY HAZARDOUS
WASTE. WATER METER, ADDITIONAL (MOVE INS, TRAFFIC CONTROL, .
ARROWBOARDS, REDWOOD HEADERBOARD, , SIGNAGF, AGGRI=GATE SASE,
GRADING, WATER TRUCK, WEEDIQLL, FOGSEAL. RELOCATION OR REPAIR OF ANY
UNDERGROUND IMPROVEMENTS OF ANY KIND. LANDSCAPING, IRRIGATION, PERMIT,
INSPECTION OR TEST FEES, LINLE9,R IWIFIED MVE. DOES NOT INCLUDE ANY
GRASS OR ROOT REMOVAL NO GUARANTEES ON DRAINAGE. NOT RESPONSIBLE
FOR DAMAGES TO ANY UNMARKED U-ALITIES, NOT RESPONSIBLE FOR UNSUITABLE
SUB SOILS, OR LOWER TRENCH COMPACTION.
ASPHALT MATERIALS REMAIN $OFT UNTIL CURED. THESE ARE ROUGH FIELD
MEASUREMENTS.
ALL MEASUREMENTS ARE APPROXIMATE. FINAL SETTLEMENT UPON FINISH
FIELD MEASUREMENTS. THESE P 0ES nIVEN FOR MINIMUM QUANTITIES ABOVE,
IF SQUARE FOOTAGE OR OUANTITIES CHANGE. ADJUSTED UNIT PRICES MAY
CHANt1E.
ON SITE WATER 9 $E SUPPLIED-B7 OWNER OR OWNER'S AGENT FOR
TERMS:
0WHER TO PAYTHE SUM OF RY
M12 M "» DOLLARS, ($7%00)
PAYpI W &A UPON CAMPL£IiON OF WORIL THIS PROPOSAL SMALL RE WJN VAUD FOR W- DAYS.
I nRUT RATS OF I.S% PER MONTH WILL 6eAPPUED IF LATE.
OWNERbONTRACTOR AGREESTO PAY ALL FEES INCURRED FOR COLLECTION OF ANY MONIES. INCLUDING
.. ,. :.,r__ Vt/�e
• J
I
KHarlrp & KaMp Sa)vkHas,
ea-22-92 14:83 TO: FROM:769 342 5279 PO4
P01/02
pi
I
IN
w
,NOTE:
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 I II
DATEAuguat 30, 2002 Minor Improvement Permit Class IV.
LOCATION OF CONSTRUCTION CIP pro4ect—Jeffar'aon Street Landegape I e4lan Projoct
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION, Trench repairs.
I, DESCRIPTION OF CONSTRUCTION Saw —cut .deno and eXport
100 if of eriating AC Pavenent
" deep DIMENSION OF INSTALLATION OR REMOVAL 100 if u t8P
width•as fteded.
SIZE OF EXCAVATION, IF NEEDED 100 ft. X 1.5 ft x 1.5 ft
Sketch (attach construction plans if appropriate)
**All work to be performed per the
General Contractor's contract with
City of La Quint a.
APPROXIMATE TIME WHEN WORK WILL BEGIN S80tember 3. 2002
APPROXIMATE TIME OF COMPLETION 45 working dava
ESTIMATED CONSTRUCTION COST $ NA
(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:
�C7_k-%) / 7-1-1
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
temp & Kemp Services PO Sou 733 Thousand Palos, CA 92276 760-. ,�- 1229
Name of Applicant (please print) Business Address Telephone No.
Curtis Kemp same as above
Name of Contractor and Job Foreman Business Address Telephone No.
687487 a3g41
Contractor's License No. City Business License No.
flrvanston Insurance CL041701558
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
- 37U
PERMIT VALIDATION
PERMIT NO. 3734
DATE APPROVED Au#uot 30, 2002
Detembar 1. 2002
EXPIRATION DATE
August 30, 2002
DATE ISSUED
By Victor monz r:..-Administrative Authority
Recorded by I Telephone: (760) 777-7075