3795NOTE:
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
December 6, 2002 Subdivision Improvement Permit— Class III
DATE:
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Jefferson, southbound shoulder. 586' north of 48th Avenue
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION provides directional sirens for Sketch (attach construction plans if appropriate)
builders and developere
DESCRIPTION OF CONSTRUCTION Install wood siRn
**See attached special conditions**
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN DepnC�stn
of rhia "ermi t
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 cf 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 Ind. Assoc. 77-570 Springfield Lane, Suite E Palm Desert (760)360-2476
Name of Applicant (please print) Business Address Telephone No.
Best Signs 1550 Gene Autry, P€tim.Springs (760)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 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 C
if required
TOTAL: $ DO FEE
Receipt No.
.. A .-
Received by Date
Recorded by }
T
PERMIT VALIDATION
PERMIT NO. 3795
DATE APPROVED December 6. 2002
EXPIRATION DATE Open
DATE -ISSUED December 6, 2002
By
Administrative Authority
Hector Guzman, Assistant Enginoer I'%
Telephone: (760) 777-7075 ."
NOTE: REP
S'
With proper validation 2002
this form constitutes an NOV 1
encroachment permit CITY ' OF LA QUINTA
APPLICATION FOR PERMIT PUBLIC WORT
PUBLIC WORKS CONSTRUCTION (ENCROACRMENT)
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
/ / 3/ Q Subdivision Improvement Permit — Class I I I
DATE: Minor Improvement Permit Class IV
LOCAT(I'ON OF CONSTRUCTION �_l (�j �Q �� rpl o�
(Street address or Description of L—oca— on)
PURPOSE OF CONSTRUCTION Provide directional suns for
uilders and developers Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Install wood sign
See attached conditions
DIMENSION OF INSTALLATION OR REMOVAL
iIZE OF EXCAVATION, IF NEEDED
kPPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
.PPROXIMATE TIME OF COMPLETION
STIMATED CONSTRUCTION COST $
ncluding removal of all obstruction, materials, and debris, backfilling, com-
tction and placing permanent resurfacing and/or replacing improvements)
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 fro m and against any and all
Penalties,' liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage 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 fAsult of this work.
Signature of Applicant or A neg
re of Applicant (please print) Business Address
.01 Telephone No.
1-st Signs 1550 Gene Autry, Palm Springs, CA 320-3042
ne of Contractor and Job Foreman Business Address
Telephone No.
524483
tractor's License No. City Business License No.
•licant's Insurance Company
Policy Number
S: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
iNlinor Improvement Permit—6Class IV: See attacherf srhorh,I-
".ail ��l d
`N
II
ZooZ T A0N
ROM hdUxb jyj As-s-oic No a M_' Ons-Oute, C h-4pler
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 13, 2002
City of LaQuinta - Attn: Hector Guzman
Dear Hector:
This is a request for a permit to install a new structure on Jefferson in the South bound
shoulder 586" North of Avenue 48.
Thank you very much,
Lisa LaBonte
SPECIAL CONDITIONS --PERMIT NO. 379.5
--- 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 § 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.
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. 3795 Page 1 of 1