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3751NOTE: 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: 9—'6--0 Z Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION %3/B Ave 50 329' E/O Orchard Li -no E/B Ave 50 320' W/0 Orchard Lane (Street address or Description of Location) PURPOSE OF CONSTRUCTION Frovido direetioncil aigns for Sketch (attach construction plans if appropriate) builders aad .davelopera DESCRIPTION OF CONSTRUCTION install Wood sinns See €sttLchnd condition, DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 11C�tl�C''3 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 t,, e ptermit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as he result of'*t is work. Signature of Applicant or Agent �"''�•.,� Bldg Ind. A000e. 77-570 Springfield lane VE Palm Desert Ca 92211 360-2476 Name of Applicant (please print) Business Address Telephone No. Brut Sigua 1550 Gana Autry Palm Springs, CA 320-3042 Name of Contractor and Job Foreman Business Address Telephone No. 524463 Contractor's License No. 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 schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by 0- m Date PERMIT VALIDATION PERMIT NO. 3751 DATE APPROVED 9-26-0;2 EXPIRATION DATE #Vu DATE ISSUED 19-26-02 By � i o�lA /�� ( %% Administrative Authority Telephone: (760) 777-7075 SPECIAL CONDITIONS --PERMIT NO. 3651 --- BIA/BEST SIGNS --- 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 § I (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 warring 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. 3651 Page 1 of 1 i1 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 November 7, 2002 County of Riverside, Construction Division Indio, CA 92201 RE: Trilogy Street Construction, Avenue 60 Dear Sir: (760) 77 7 -7000 FAX (760) 777-7101 The City of La Quinta hereby authorizes work to begin on the road construction for Avenue 60 from Madison Street to Monroe Street. Traffic control and street plans have been submitted and approved by the City of La Quinta If you have any questions, please feel free to contact me at (760) 777-7047. Sincerely, Raoul Martinez Assistant Engineer I RM/rm cc:OF Project: Shea Homes, File V