378011-12-02
NOTE:
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
DATE
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Madison Street Median
3601 south of the Norman Couroe entrance
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Provide directional signs Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
Sao attached conditions
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, 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 a ult of this work.
Signature of Applicant or Agent
Building Industry Asaoc. 77-570 Springfield bane #E Palm Desert, Ca 360-2476
Name of Applicant (please print) Business Address Telephone No.
Best Signs 1550 Gene Autry Palm Springs,.CA 320-3042
Name of Contractor and Job Foreman Business Address Telephone No.
524483
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.
$
-0-
$ —0—
Received by Date
f k$0 37"0
PERMIT VALIDATION
PERMIT NO. 3780
DATE APPROVED
EXPIRATION DATE
11-12-02
open
DATE ISSUED j4— 12 -02
By
..� #• (Administrative Authority
Recorded by II Telephone: (760) 777-7075
NOTE:
With proper validation
this form constitutes an
encroachment permit
Cvvv�
V-Pfl%l
CITY OF LA QUINTA
0 0-.2 LICATION FOR PERMIT
PUBIqL*00 CONSTRUCTION (ENCROACHMENT)
ofmIc
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
Sob Subdivision Improvement Permit — Class I I I
DATE: O n Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION -� Yl , � � f Xjz�_A �—. .
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Provide directional signs for Sketch (attach construction plans if a
silders and developers P appropriate)
DESCRIPTION OF CONSTRUCTION Install wood sign
-See attached conditions
DIIMENS(ON OF INSTALLATION OR REMOVAL
iIZE OF EXCAVATION, IF NEEDED
1PPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
,PPROXIMATE TIME OF COMPLETION
STIMATED CONSTRUCTION COST $
ncluding removal of all obstruction, materials, and debris, backfilling, com-
3ction and placing permanent resurfacing and/or replacing improvements)
1 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 C%sult_of this work.
of Applicant or Agent
Ind. Assoc. 77-570 Springfield Lane #E Palm Desert, CA 360-2476
me of Applicant (please print) Business Address Telephone No.
st Signs. 1550 Gene Autry, Palm Springs, CA 320-3042
me of Contractor and Job Foreman Business Address Telephone No.
524483
itractor's License No. City Business License No.
)licant's Insurance Company Policy Number
:S: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
IViinor Improvement Permit — Class IV- Spp artarho.i —h—q-to n ......
In
SPECIAL CONDITIONS --PERMIT NO. 3780
--- BIA/BEST SIGNS ---
1. 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 - Pemvt No. 3780 Page I of I
Ia0�� a Deld ,aa"jjAss-o o- o i eke
Directional Sign Program
77-570 Springfield Lane, Ste. E, Palm Desert, CA 92211
(760)360-2476 Phone / (760)772-3372 Fax / (760)578-2931 Cell -Lisa LaBonte
November 5, 2002
—City of LaQuinta - Attn: Hector Guzman
Dear Hector:
This is a request for a permit to install a new structure on Madison 360' south of the Greg
Norman Course Entrance in the median:
Thank you very much,
Lisa LaBonte
a
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
DATE: 11-12 '02
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Madison Street K*dian
360' south of the Boren Course *nttressce
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION F royida directional signs Sketch (attach construction plans if appropriate)
for buildors and developors
DESCRIPTION OF CONSTRUCTION inalr 11 wood sign
Sere •ttatbod conditions
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, 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
building Industry Assoc. 77-570 Springfield lute 08 Vals Desert, Ca 360-2476
Name of Applicant (please print) Business Address Telephone No.
Best Signs 1550 ferns Autry Palo SprinSe, CA 320-304
Name of Contractor and Job Foreman Business Address Telephone No.
524483
Contractor's License No.
City Business License No.
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 �.Q..
Penalty
Cash Deposit -Surety Bond
if required
-4-
TOTAL: $
Receipt No.
Received by
{
Date
4 - 3780
PERMIT VALIDATION
3 730 ..
PERMIT NO.
11�12-02
DATE APPROVED
EXPIRATION DATE
open
11-12-02
DATE ISSUED
ByBy ! It f�,{'
CAdministrative Authority
Recorded by 11 Telephone: (760) 777-7075
• 0
SPECIAL CONDITIONS --PERMIT NO. 3780
--- BIABEST 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 § 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. 3780
Page 1 of 1
}
' f
WIN n.& 10.4usOyAw- _aclofoo ni m, Dso-e-vit Ch. sp$ewr
Directional Sign Program
77-570 Springfield Lane, Ste. E, Palm Desert, CA 92211
(760)360-2476 Phone / (760)772-3372 Fax / (760)578-2931 Cell -Lisa LaBonte
November 5, 2002
City of LaQuinta - Attn: Hector Guzman
Dear Hector:
This is a request for a permit to install a new structure on Madison 360' south of the Greg
Norman Course Entrance in the median:
i
Thank you very much,
Lisa LaBonte
A
t, t !