3816.'NOTE:.'...' • ;' �'•, / T,,
Witli proper,validation
this•formco' nstitute'san CITY'OF LA QUINTA
encroachment permit ; • .
t APPLICATION -FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT),
OF
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 �Imp o ement Permit "'Class III
DATE: -January 14h '2003 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION SDP 2002-•731 146 Properties, LLC.
.(Street address or Description of Location) "^ t , „
PURPOSE OF;CONSTRUCTION ' Grading, Paving and Sketch`(attach construction plans if appropriate)
drainage' ,for new building y .
DESCRIPTION OF CONSTRUCTION, Grading for building
.' and xiarkina Blot
**See attached, special conditionsi** '
� ,DIMENSION OF INSTALLATION OR REMOVAL -Per approved
hSIZE OF EXCAVAT,IONJF NEEDED Land'— 1/2 :acre ,
APPROXIMATE.TIME WHEN WORK WILL BEGIN)Januarv' 10, 2003 ' ' '
•','APPROXIMATE TIME OF COMPLETION\ §eA•tember 30•2003. O f° G=� �'•'
ESTIMATED CONSTRUCTION COST $'K 66.263.'95 r.. ' • „i.
•(Including'removal-of all obsteuction,,materials,:and debris, backfiliing,com-` JANt'1 �%; 2003 kin
paction and 'placing.permarient' rfsurfacing and/or replacing improvements)' , + "•
In consideration of•the granting of this. permit, the -applicant hereby agrees to: CITYOF,LAQUINTAs
;FINANCE DEPT
Indemnify, defend,and save the City, its authorized agents, officers, representatives and'empioyees, 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 pers,ons,or property '
happening or,occu'rrin 'as• a roximate result of an work undertaken under the pp g g p y permit granted pursuant to this a.pplication;° •
Notify the' Administrative Authority at least twenty-four (24) hours in advance of the time. when work will. be started. � •.
l` Complywithall,'applicable City Ordinances, the terms and conditions of the permit and 'all applicable. rules avid regulations of, 'the City of••` '
1 ,•++La Qwnta and•to pay for any additional replacement* necessary as the result of this work. ,
0 Al
Signature of Applicant or -Agent,
the, C0ntrtiati'o Zone ' 77799 Jackal Drive, Suite B - : (760) ..Z72�35:85
Name of Applicant (please print.) Business Address - TeleplionetNo:.' ;
Chuck Toyalian 77799 Jackal'Drive, Suite. B; Palm Desert (.7&0) 567,-.5.67 `22'14
Name of.Contractor and Jab Foreman . Business Address Telephone No.
Contractor's License No, City Business License No. + '�
B est Siai9.O£,California ' 3740000299-021
Applicant's.'Insurance�Company Policy Number : y
FEES:- Subdivision"improvement Permit -Class III
• '•. •,Public improvements: 3% of estimated construction costs . .• ,,. • _ •; �
t y' Private improvements: 3% of estimated constructioh costs
' Mmor ImprovementtPermit —Class IV: See attached schedule. 3 816 i .,j
t ',Inspe'ction'Fee' $' 1',987..92 PERMIT ,VALIDATION
' ,Permit Fee • • �, ., f t, � 1001.00 • - '
PERMIT NO., 3816
-Penalty k DATE APPROVED'L January. 14,• '2003
P Y
+
Cash De osit-Buret Bond• - _
if required A' EXPIRATION DATE January 30, 2004
TOTAL: $ DATE ISSUED'
�/s4f1l/4�1 1 `,
Receipt No U f
Received,by Date ' BY Administrative y ti e Authority
v Telephone: (760) Assistant
Engineer I'"
.4 Recorded b '
Aerlfr5
NOTE:
i W_th roper validation
r this rm 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 III
DATE*-- Jauuary 14, 2003 Minor Improvement Permit•Class IV
LOCATION OF CONSTRUCTION SDP 2002�-731 W6 Propertias.,. LUC
(Street address or Description of Location).
PURPOSE OF CONSTRUCTION Gradisng, Paving aAd Sketch (attach construction plans if appropriate)
dzainalte for nee► building
DESCRIPTION OF CONSTRUCTION Grading for building
and -tiiarkink ,•lot
*See attached special con4itio"**-~
IMENSION OF I'NSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED. Land -.. 1/2 mcre
rya• "needed
APPROXIMATE TIME WHEN WORK WILL BEGIN.JMA# 10, V 2003
APPROXIMATE TIME OF COMPLETION SeRtember 30. 2003
ESTIMATED. CONSTRUCTION COST $. 66.263.95 FP
0
(Including removal -of all• obstruction, materials, and debris, backfilling, com
paction- andplacing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to: �003
Indemnify, defend, and save the City, its authorized agents, officers, representatives and employees, harmless from and against ®IVV �q QVINTA
penalties, I'iabilities or loss resulting from claims or court action and arising out. of'any accident, loss or damage.to O F DEPT.
happening or occurring as a proximate result of any work undertaken under, the permit granted pursuant to this application.
AI
•{ 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 .Quints and to pay for any additional replacement' necessary as the result of this work: .
S%l nature of Applicant or Agent
%a Coustructioa Zong 77799` Jackal. Drive, Suits B (760) 772-3585
Name of, Applicant (please print) Business Address Telephone No.
Chuck Topallan 77799 Jackal Drive, Sul:ti B, Palm Desert (760) 567-567•-2214 •
Name.of'Contractor and Job Foreman Business Address Telephone No.
'746216
Contractor's License No. City Business Licen°se No.
West :star "of California 3100000299-021
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 -3816
Inspection Fee $ 1,987.92 PERMIT VALIDATION
Permit Fee 100.00 II
.3816
,
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ ZOO.92
Receipt No.
Received .by Date
Recorded by
PERMIT NO.
DATE APPROVED 3attuary 14, 2003,
EXPIRATION -DATE January 30, 2004
DATE''ISSUED
By ---
Administrative Authority
Victor Mom Assists -f- ;rtgineer I ,
.Telephone: 1760) 777-7075