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3815�NOTE: With prof 6r`validation g 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 I I X DATE: �=�A�y ii}a 3{�0� Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Trnct Teo. 30357, Nou=ln ©iaa Country Club Jaffornon Sernat Grad Avvmw, 50 iroutainn (Street address or Description of Location) PURPOSE OF CONSTRUCTION In'O"11 a d�o�s $ Sketch (attach construction plans ii,appropriate) anal f rzlrozio-n DESCRIPTION OF CONSTRUCTION 3a^20 no Gt)ovo DIMENSION OF INSTALLATION OR REMOVAL 002 t'tsractlQd plaua aa>id 02eC19icatioao SIZE OF EXCAVATION, IF NEEDED F(Dr e d DEC— VC APPROXIMATE TIME WHEN WORK WILL BEGIN Jaawnx7 10. 203 APPROXIMATE TIME OF COMPLETION N,a'Z 2003 ESTIMATED CONSTRUCTION COST $ 701,970 (Including removal of all obstruction, materials, and debris, backfilling, com- t'on and lacin ermanent resurfacin and/or re lacin im rovements) Cs'Goo Attached Spacial Couditiona� -' FA pace P 9 P 9 P 9 P In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, Mend, 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 advanceof'the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the ermit and.all applicable rules and regulations oftheCity of La Quinta and to pay for any additional replacement necessary as t �eresult of this rk. Sig,rgature of Applicant or Agent Stoll Sroo. Inc. 50-400 Jaffaroon 5tract, LL) Qui (760) 564—930 Name of Applicant (please print) Business Address y Telephone No. Scc attcehnd list of co-,Atraetzoro Name of Contractor and Job Foreman Business Address Telephone No. B651503 Contractor's License,No. City Business License No. y 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 $ 17,220 Permit Fee 100 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 17,220 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. �1315 DATE APPROVED JmuarV 10, 2003 EXPIRATION DATE January 1, 2004 DATE ISSUED -''% By%''"r�" Adm'p•istrat=iv -Authority Victor >"onn, tociatami? UnG -'er I TelephoneN(760) 777-7075 H D S RLANNER'S ENGINEERS SURVEYORS TRANSMITTAL - 79-709 Old Avenue.52 ,,, # To: , - City of La Quinta, Engineering.,,,. Date: January 14, 2003 La Quinta, CA' 92253 . . Address: 78-495 Calle Tampico' ', Job #: ,382-06 , volecE: 76oa71-cols La Quinta, CA 92253.. . Attention:. Victor'Monz. r Subject: TR 30357, "Mountain View, , - FAX: 760-771-4073 �. , 'Country Club" E-MAIL:mdsla46in'taCcDmdsconsultina.net. ,From: George Prine cc: Toll. Bros., Lee Dotson x NO.OF ITEMS: DESCRIPTION: - •, z F. , .` .1 +Encroachment Permit Fee', Toll Bros., Inc., $17, 220 00, check no. 8230272, 01/13/03' r ` ; y 2 Sets" " 'APPROVED. Perimeter Landscaping Irn provement Plans .. . THE, ABOVE ITEMS MESSAGE: { , i ARE SUBMITTED: AT YOUR REQUEST ' r FOR YOUR REVIEW, 1 FOR YOUR FILES These documents are the balace-of the information for the issuance of the ' r FOR YOUR APPROVAL Encroachment Permit for the installation' of the Perimeter Landscaping .. Improvements . • The Permit application,was filed on January 10, 2003', see r'FOR YOUR USE . copy, attached t Ij FOR YOUR INFO Please contact our office W' hen'the permit is available. THE ABOVE ITEMS + ' ARE TRANSMITTED: ; �' EIV .'s r HEREWITH• r'VIADELIVERY i A' 1 JAN k 4 .2003 UNDER SEPARATE COVER q p5a p�� ®q��u y IPUBLIC �F9®G'AKS r- e - +• -a—.— -----------------_--------------}------------- _ -- NOTE: . v '. ► 1 'x` , With proper. validation s this form constitutes an ' CITY OF LA OUINTA, f, r. ` r: encroachment permit APPLICATION FOR. -PERMIT s - ` PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) " . r For the construction of public-�or private curbs, driveways, pavements, sidewalks, parking lots, sewers,,water mains 'f. and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS ;••' + � _ i gyp' { • s '� Subdivision Improvement Permit - Clas1II .� - `` r DATE:' Minor Ins oveme st ermit Class, IV 2 e .' LOCATION OF CONSTRUCTIONa. �Ti-'F�t= Sir-.. ' f Vl�l U L SO -UN'I 1q-�i 15tren address or Description of location) , �' + PU POSE OF O R TION JJ�1(11�L LA 4LJsr=& r'`+ Sketch (attach construction plans If appropriate) Awn A7fl DESC IPTION_O COSTT CTTION { DIMEN ION OF I -�4 TIQN OAR . '4 + •i a .., t ` j!AEEg=CAn d SIZE OF'EpyCAVATION, F rED a AP I A,T TI E WOR WILL BEGIN I M ` k� 'APPROXIMATE TIME OF COMPLETION t ESTIMATED CONSTRUCTION COSTS -' (Including removal of all obstruction, materials, and debris, backfilling, coal + " `• +• paction and placing permanent resurfacing and/or replacing improvements) p + In consideration of the granting of this permit, bit applicant hereby agrees to: ► y b 1 wemntfy,•derand, and arm the City, its authorized agents, officers. representatives and employen, harrNea from end'sgeist my and all ' - - • • "�' penalties• liabilities or lon`resuiting from clauns or court action snd arising out of any accident• foss or derneve to persons or property •- • "+ '. - '" happening or occurring as a prosiness raw h of erry work undertaken urdet,the perrnh oranted.purauatn to this application. `Notify the AOrnininrrtive Authority in Nan twenty-four 424) hours In advance of the tine when evert will be stared, t •Comply with all applkade city ordinances. the term and conditloro of the permit @,nd all applicable rules and repulatlwn of Ow City of i.,-• - La Quinn'" to pair for arty additional replacernrn necessary as the result of this wort:. SigMsure Of APPhant Agent r q Si•oI IZ { - Name of Applio t (please pint) tt' ;Business Address Telephone No • -njr • � r � � ''SAC C•1� � u S � t� �'� �'..k Name of Contractor and Job Foreman • Business Address _° ..Telephone No. _ : + �j��1• Contractor's License No. " City Businou Lieen a No. tr ^ Applicant's Insurance Company + Policy Number • ti. - r C •• ;,t ' r FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs - e 'Private improvements: 3%of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule , 4 ^ Inspection Fee t E �('zo PERMIT VALIDATION Permit Fee-, , - 100' y`PERMIT NO. ►..,+ Penalty DATE ^APPROVED Cash DeposittiSurety Bond r -if required EXPIRAT ION. DATE' �- . 4 l •- TOTAL: �• . E ' + ` >C }DATE ISSUED .B f 7 ; Receipt No. : i t • Received by Date (y' 1 •` Administrative Authority r K " Recorded by Telephone: • a