3825io
r; • . PM Dust Control Form'
t 4 +Project Name: art Date: 56 - 0 8 - ®s ~` -
.Tract M.. Time Notification received: r<, "A.M / P.M.
' Contact / Phone #: 90o Soo. _ 7D' 9� Notification received from PM10 PGR /, Citizen • -
' *; : General Location: `
' Yes No.
' Wind direction:' ' Roads moist/watered? x'
Wind speed: X o i Site perimeters moist/watered?
Temperature: T. Dust originating'on-site?
# of water trucks" available: t Dust originating off -site?
# of water trucks, operating: 1 Chemical stabilization?.
Wind fencing maintained?;'.
4 y Sprinkler system?
Track -out observed? • ` _
r . x Developer on -site?..
"> Photo's taken?
Notes: /0 4C.,
'a c .ram '• *' r` '•F y ,K,
: •r Raoul Martinez, Assistant Engineer II
City of La Quinta, Public Works,Department'
a TAPWD,EPT\PM-10 ManagementOust control form.xls k :;
Permit Fee
S ' • •
NOTE: '
With proper validation t
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 II I X
DATE: January 22, 2093 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 14 C,Lnt& VIU896 Port l& 3 & 4. tentative ;faecal
. Map &o. 30721, N= coma r of Si"aUovat attA Ctol to Dice
,w: e, (Street address or Description of Location)
PURPOSE OF CONSTRUCTION '"0' C'I')stAt Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 10*2% At*41R9 UT
buildius paella and paxklus lot
**See attach*4 spatial twndltionsss
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED Import 426206 C.'it"
D
APPROXIMATE TIME WHEN WORK WILL BEGIN
upon eseaiSt of vtxsit
APPROXIMATE TIME OF COMPLETION 1Q43
JAN 3
ESTIMATED CONSTRUCTION COST $��"
(Including removal of all obstruction, materials, and debris, backfilling, com- C F MANCIN?A
E DE
paction and placing permanent resurfacing and/or replacing improvements) im
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.
�r
Signature of Applicant or Agent
CAN** limos 1105 (Jr4all Strost. Nowport Itseb• CA 42660 (949)I 33-302
Name of Applicant (please print) Business Address "Telephone No.
Luc" Gtasrxl ContrsctlAg CoTp. till Quail St.. Newport l oacU.. CA 92660. (949) 474,-0221
Name of Contractor and Job Foreman Business Address Telephone No.
Classification "AY No.. 75S795
Contractor's License No. City Business License No.
Aon Risk Sorvicoa, Inc. of Sovt m California 02014PI006107
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 $ 61221 `00 11
100.44
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
V
Received by Date
PERMIT VALIDATION
PERMIT NO. 362E
DATE APPROVED January 23, 2003
EXPIRATION DATE Januarl 31, 2004
DATE ISSUED
By y
Victor Nont,, Assistant RiAwd'ministrafive Authority
Recorded by
Telephone: (760) 777-7075
'Z/4z� c
3825
NOTE ;L"_ f r.
ti With-0bper validation.
,: • this form constitutes an• - �o
encroachment permit CITY OF LA QUINTA
.
. APPLICATION FOR ',PERMIT
I• �n
' PUBLIC WORKS.,CONSTRUCTION. .(ENCROACHMENT).,'.-." w
For. theN+ construction oft,public or, private' curbs,' driveways, pavements; sidewalks,',parking lots, sewers,* water mains '
and,otherjike'public works.im_ provements in connection with MINOR.IMPROVEMENTS and APPROVED SUBDIVISIONS '
F} # Subdivision Improvement Permit — Class III ' X
' .+( .DATE: ,teary :22� 2003 Minor`Improvement Permit Class IV
LOCATION OF CONSTRUCTION €.a : Quinta , ti3 age : AABretgetita, •Parcels • 3.4. 4 tentative ' Parcel '•
�4ap; No." 30721,,. SE caper of ll banhbwer' and Ca3.1eTampico
,� r .,(St,,or Description of Location)
Rough Grading ' r
PURPOSE OF CONSTRUCTION,. Sketch (attach construction plaris if,appropriate)
r DESCRIPTION'OF CONSTRUCTION Rdugh grading. for "' +
be�iditii� pads 'and parking lot
a*Sie attached''speC1a1 cc atd tions**
DIMENSION OF INSTALLATION OR' -REMOVAL `
SIZE OF EXCAVATION, IF,NEEDED Import G2,286 C.Y.
A.
.-APPROXdMATE-TIME WHEN WORK WILL•BEGIN s.
Bpo racs$pt of pe=tt
February. 21, 2003APPROXIMATE•TIME'OF;COMPLETION
"�)
ESTIMATED•CONSTRUCTION COST $ . 274�059.00
(Including removal of all obstruction, materials, and debris, backfilling, com ; ., ., •�
`
pa permanent •resurfacing and/or., improve CITY OF LA
,.. INANCE DEFT. '
E•' In consideration of the granting of- this permit, tlie:'applicant hereby agrees to:'
l a Indemnify,`defend• and save'the City, its authorized agents, officers, representatives and employees, harmless from,and against any and `all • ••
`
,f r 'penalties; liabil.ities or' loss resulting, from claims or, court action and arising out of any accident, loss or damage to persons or.property
's ?happening.or,�occurring as a'proximate result of any work undertaken under the permit granted pursuant'to this application.:
appe
f .
;y.,.> 4' . •Notify the' Administrative Authority st least twenty-four'(24)•,hours in advance of the time when work will be started.
�..'i;.- .,• Comply with all applicable_ City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the Cit-y'of,..
-C Quinta and to'pay for any additional replacement necessary as the result of this work. S,
"
' ..
'• ' ' ' •s,,
•/��
,
tt w t' i�',ii, � • - . }�s `'�'•• E.I�tw,;:.�w..:,1 : j • •'.t
Signature Applicant Agent
of or
Qbeo ,Homes , - ';1105'Qumlal ,Street, Mew�port -Beach, CA 92660• '04:01955-3832
�
Name of Applicant (please print) Business Address Telephone No
4'ucis Qeeral Caner�xcexnl Corp., 1111 'Quail St., Newport Be�►ch, CA 92660 (949) 47b=U221 '
Name of Contractor and Job Foreman Business Address' Telephone No.
Clasoifi.catioxl efBi� NO, 758i85►
• .
Contractor's License No.:City Business License No. -
`'�Aon '8;isl� Serviceel, -lot. of 5autha�a 'Cali��azc►ia 02Gi.P1006107: ` '
z-Appl:ican4's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
' Public improvements: 3% of estimated construction costs ;;xr
Private improvements: 3% of estimated construction costs '
C;
:-Minor Improvement Permit — Class IV: See attached schedule �++ 4
ASi
;.
tt
'
00
' ,Inspection" Fee $ PERMIT .VALIDATION
Permit Fee 100.00 ;•. 3825
PERMIT NO.
Penalty DATE APPROVED January 23, 2003
.Gash, Deposit -Surety Bond r �_� ""� �'
C s
4 wired �'S' "` ' '- "„"� EXPIRATION DATE 3'anuaxy 31', 2004
r„ �y
TOTAL: $ (IM DATE ISSUED 'c/�iITilttlr ti 1A �l
Receipt No. �'�°•� ""j ,
y/
Received by Date Adinistrative Authority
Victor Mona., Assistant E►�g neer Y
' Recorded by ` I Telephone: (760) 777-7075 ;