3854:` City of La Quinta
The following General and Special Provisions are attached to and made a part of
' Permit Number �, ••t '
' The following shall always apply: - w
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within. the City of La Q�uinta's right of way
t ONLY. Whenever construction extends within private property, it is.the responsibility of the permittee for his contractors to secure permission '
from abutting property owners. Such authorization must be secured by the permittee prior to starting work. "
•� TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved
surface'unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving.. `
during excavations: Rubber -tired equipment only shall be used in backfill operation in,paved areas. If the existing pavement is scarred, spalled,
.,or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced
over their entire width. Resurfacing shall consist of one. coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above..
...,_ PROTECTION OF TRAFFIC: All excavations andwork areas shall be properly lighted and barricaded as.deemed necessary by the City
'.:' Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the
project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation. t' `
„ a
CARE OF DRAINAGE STRUCTURES: Any drainage structure to,include corrugated metal pipe, concrete pipe, steel culvert and concrete 1'
structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes. necessary to remove or `
cut existing drainage structures, City of La Quinta shall be notified prior to commencement of.this work. Drainage structures and open drains -
shall be kept free of debris at -all times for proper drainage.
RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All-,i
paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line's
and drainage ditches shall be replaced to their original standard or better. All excess material shall be'removed prior to paving. Water tanker
shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. s
• DE -WATER OPERTATIONS:-If de watering operations are required and pumps are forcing water on City of La Quinta'roads, it shall be the
responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. -
k
CLOSING STREETS: No street shall be closed..A minimum of one lane of traffic shall be maintained at all times.to provide limited accessfor
the adjoining property owners and. emergency vehicles-- In the event it is felt by the permittee that he must close -a street for any length of time,' `
permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS f„ ,
The following shall apply when indicated:
® R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 -7075 at least forty-eight hours (48) in advance of starting
construction.
® R2 UTILITY CLEARANCE: (Substructures)"Prior to making any excavations within the City of La Quinta right-of-way authorized
- , by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing'substructures resulting from operations conducted under this permit shall be the sole responsibility of the
permittee.
®+R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the: "
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be' surfaced .
with (*' N/A "*) inches of A.C. paving placed on ( :' N/A *') inches of ( " N/A-** ) aggregate sub -base course having an
"R" value of not less than (" N/A'*) and in conformance with the City of La Quinta Road Improvement Standards and x
Specifications, Ordinance #461. -t} . S.
❑ R5 PARKWAY GRADING: Area between the property fine and top'of the proposed concrete curb shall be graded to a slope of
one-fourth inch (Y.") to one foot (1'). *� .
❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt'of plan and profile and/or grades as established by
' a licensed engineer.
t., : • El R7'. CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter {"N/A'*•) feet shall
be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter, and
r concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
®• R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existing road paving shall be=two and a half inches (2 %z') of A.C. paving on (** N/A ** ).of class (** N/A ** )
aggregate base.. �'
®'R9 SIGHT CLEARANCE: Sight Clearance "of six -hundred feet (600') in all directions shall be assured and maintained at all
times. -r T
❑ R10' SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of:application shall comply with the
- . ificationsr manufacturer's spec
k 3, v
City of La. Quinta
® R11 . , ,'
COORDINATE WORK:. The proposed work shall be subordinated to any operation, which the State of California or City of
-
La Quinta may conduct in this area during the period of this permit: Work shall be coordinated with the State or City of La r
Quinta forces to preclude delay or interference with State or City of La Quinta projects.
® R12
SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
{.
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly,
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments.' This office shall be
notified upon completion or replacement of all survey monuments for proper clearance.
® R13
PAVEMENT CUTTING: Pavement_ will be mechanically saw cut toa straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be
used to excavate prior to cutting or pavement.)- Excavation material shall be placed in such a position as.to.best facilitate the
general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
.0 R14 .
LIMIT OF EXCAVATIONS: Excavations shall be limited to. one -thousand feet (1000') of open trench before backfill
operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the
-
protection of the traveling public. The -Public Works Inspector shall determine the suitability of excavation barricading in
each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the
construction material is actually on the work site:
® R15
BACKFILL MATERIAL: Backfill shall be free of.brush,'roots or other organic substance detrimental to its use for purposes
of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used .for backfill, but shall be supplemented or
replaced by an approved sand or gravel.
® R16
BACKFILL SAND: Backfill shall 6e approved transit -mix sand or equivalent and shall be placed on lifts not greater than
' three feet (T) and vibrated using vibrostamper or. equivalent equipment. Alternate methods may be substituted, but in,any'
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway. ,
® R17
BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the
trench before flooding or a maximum of five feet (5') lifts where trenches are of excessive depths. Care is to be exercised
'
that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the,
resulting,compaction shall not be less than ninety `percent (90%) or equivalent to the surrounding ground, whichever is the '
greater. compaction. Where ponding or flooding is used for a maximum -settlement, adequate dikes will be constructed to.
-retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and`the water
supply shall be continuos. -
' ® R18
COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one -
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City
Engineer for approval and filed prior to making permanent. repairs. Compaction tests shall be made as outlined in Section
6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
® R19
COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent. repairs.
Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
® R20
TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a.temporary patch consisting
of two inches (2") of SC-800 shall be placed on a prepared sub -grade..• The SC-800 temporary paving shall be placed after
a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, -but in no
case shall the placement of the temporary pavement exceed a five (5) day limit.
® R21
PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2") of SC-800 shall be placed immediately. A,permanent patch of ( 4 ) inches of A.0 surfacing placed on a ( 6 )
` inch ( crushed ) aggregate base shall be placed no later than ( 7 ) days after completion of temporary road repair.' ,
❑ R22
FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch•areas as
'
determined by the City Engineer.
® R23 t
STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon '
completion of permanent repairs.
' ❑ R24
TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished.
by a, licensed, bonded and insured tree service, and handled safety without interference or hazard to the traveling public. It
-
shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump, shall'be removed and disposed of so that no debris remains in.view of the highway. The
stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes
necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or
equivalent tot the surrounding ground,. whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
dated January 1973.
n c
NOTE:.
With proper validation Q
p
this form constitutes an
encroachment permit ' CITY OF LA QUINTA
- APPLICATION FOR PERMIT g
' PUBLIC' WORKS .CONSTRUCTIONS (ENCROACHMENT)
OF
r For, the construction of public or private, curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains `
and other like public works improvements in rconnection.with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS `
- °,Subdivision Improvement Permit — Class III-, X
DATE: _ Febr .it ary =18. - 2003 Minor Improvement Permit.Class IV -
LOCATION OF CONSTRUCTION Tract No.. 30521�— La Quinta:Del Oro. Northeast coiner -of
r
Washington Street and Miles Avenue
_ (Street address or, Description of Location) $r
PURPOSE OF CONSTRUCTION GradingSketch (attach nstruction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Rough- grading-
f,
*See Attached -Special Conditions a-
DIMENSION OF INSTALLATION OR REMOVAL 43.4 Are
NA
SIZE OF EXCAVATION,•IF NEEDED '
APPROXIMATE TIME WHEN WORK WILL BEGIN ebruary 3A2003•.
APPROXIMATE TIME OF OMPLETIO Ma 20
ESTIMATED CO STRU TION COST $ 4 725 00 - f .
(Including removal 'of al obstruction, materials, a d del ris, backfilling, com-
paction and placing per ane resurfacing and/or pla ing improvements) '
In consideration of he gr ti o this permit, the pl , `ant hereby agrees t „
- Indemnify,.defen and save a City; its authorized age ts, •fficers, represents3Ives and employees, harmless from and against any and all
` penalties, liabilities or loss re ulting from claims or cou t ac on and arising �3ut,of any accident, loss or damage to persons or, property '
happening or occur ng as a pr ximate result of any wor and taken under,///the permit granted pursuant to this•application.
Notify the Administ�tive Auth\ ity at least twenty-four( 4) ho s in advance of the time when work will be started.. '
Comply with all'appll'dable City rdinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La,Quinta and to.pay or any ad ,`tional replacement necessary as the result of this work.'
Signature of Applicant or Agent
• (7,60) 325-4289
La u' a Del Oro 14� LP' `, 5005 Ca le San`Ra heel Suite B-1 Palm S rin s.92264 .
Name of Appli nt,(please print) Business Address ' "Telephone No. -
Nuevo En i erin (Da ,Roach) 79-811 Country. Club Dr:,'Bermuda Dunes, 92201- �(760) 345=1778._
Name of Contractor \dJob Forema Business Addressu' Telephone No.
"43800157 00157.
Contractors License No. City. Business.Lice nse'No. r
' 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 305 '
Inspection Fee $ 7341.75 PERMIT VALIDATION n
100.00 ,.
Permit Fee PERMIT NO. 3854
Penalty
Cash Deposit Surety Bond ` DATE APPROVED '' February 18, 2003. '
if required 'EXPIRATION DATE February 28; 2004.
TOTAL: $ 7441.75
• _DATE ISSUED
Receipt No. «
. - By
Received by Date , t Administrative Authority . !
' ' Recorded b Victor Monz - Assistant; Engineer•! I _
v' Telephone: (760) 777-7075'
4 �. . . ,.. s' .
NOTE:'
With proper validation Q
this form constitutes an .
encroachment OF' LA. QUINTA
permit
APPLICATION FOR - PERMIT
PUBLIC WORKS: CONSTRUCTION .(ENCROACHMENT)
�'rf1OF.
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 X
DATE:. ' • Februarv. 18. 2003 : Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract No.. 30521 — La Quinta Del Oro. Northeast corner'of
Washinl;ton Street and Miles Avenue
(Street address or Description of Location).
PURPOSE OF.CONSTRUCTION ' Gradink � Sketch (attach construction plans if appropriate)
DESCRIPTION OF'CONST,RUCTiON Roughgradintt
r` *Seep Attacho Special' Conditions
DIMENSION OF -INSTALLATION OR REMOVAL 43:4- ± 'acies
SIZE `OF.EXCAVATION, IF NEEDED 1
APPROXIMATE TIME; WHEN WORK WILL BEGIOFP'brita:ry L *2003
APPROXIMATE TIME OF,COMPLETION, May 200.3
ESTIMATE D.'CONSTRUd : CTION COST $ 24'4.725:00
I� -.• s
(Including removalof,all obstruction, materials; and debris,•backfill ing, c•om
paction. and placing' permanent resurfacing" and/or .replacing improvements)
In- consideration of the grantind of this permit, the applicant hereby .agrees t�o: ;
Indemnify, cloen6 and save the City, its authorized. agentslofficers, representatives and employees, harmless from and against any.and ali.
y penalties, liabilitiey� loss re suliing 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, Administ�rative,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 andlconditions 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 (760) 32511,14289 ;
La Ouiata Del Oro 14 LP , 5fl05 Calle..Sin Raphael Suite 'B-1 Palm Sprin a 92264
- Name of Applicant (please print) �, �� Business Address " :Telephone No:
Nuevo'Engiyeering`(Da'- Roach) 7941.1.Country Club• Dr.; Bermuda Dunes,'-92201, (760).345-1778
Name of Contractor an�d.Job Foreman Business Address Telephone No. '
438834� 0015.7 .00151
Contractor's', License No. City.Business License.No.
Applicant's, Insurance Company', Policy.Number FMB
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
4
.0 3854
Inspection Fee $ 7341.75 PERMIT. -VALIDATION
Permit Fee' 100.00 3854' .
PERMIT NO.
Penalty' DATE APPROVED Februaxv- 18.• 2003
Cash' Deposit_ -Surety Bond,
if required EXPIRATION DATE February 28. 2004
q C
TOTAL: $ 7441•
DATE ISSUED
Receipt No. By —
Received
by Date Administrative Authority
' Victor Monz„ Assistant Engineer I
t.
Recorded by Telephone: (760) 777-7075,
in�i?rSt t njKY(! kill
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
Subdivision Improvement Permit — Class I I I
DATE: ]Nnhtetvnry 18. 2003 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract l,` 0 # 30521 -- La Quin sn Dol Oro. Northonot coroor of
1100hin""ton stroot cmd t,111n0 Lmmono
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)'
DESCRIPTION OF CONSTRUCTIONOfi
oSop Attactao4 Spociad. Couditfonz
DIMENSION OF INSTALLATION OR REMOVAL•a
SIZE OF EXCAVATION, IF NEEDED 150�3�•
APPROXIMATE TIME WHEN WORK WILL BEGIN Q-LIEtaniry 3. ,4003
y
APPROXIMATE TIME OF COMPLETION IanV 2003 r
ESTIMATED CONSTRUCTION COST $ i4Un 1�?5`.�b0
"(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing, permanent resurfacing and/or replacing improvements)
r,
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 (760) 325-6.249
.... i..._._ r._e .��_ •i'v� re9 ntanr, w_ekr_ n_� ru__a.-.__• e�,__:.._ - 'I —,-%- n_...__r-_._._ ^A41ek
Name of Applicant (please print) Business Address Telephone No.
Vuovo Emrtaccring Onv"o &Dada) 7D-811 Country Club Dz., nomUda i unac, 92201 (760) 343-►1778
Name of Contractor and Job Foreman Business Address Telephone No.
430034 1', , 00157 00157
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 $ 7341.75
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
1(E9, 03
$ 7441.7B
r Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 3056
DATE APPROVED rcbmirV 18. 2003
EXPIRATION DATE Vebmary 20, 2006
DATE ISSUED
By
Administrative Authority
victor Napes Acolctanc Ea3iszaor I
Telephone: (760) 777-7075
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
Subdivision Improvement Permit — Class III
DATE: FebrUarV 18. 2003 Minor'lmprovement Permit Class IV
LOCATION OF CONSTRUCTION TrACt. B'o.. 30521 Le QuLnta Vol Oro, Nortbea st aoriiar of
V14ahS0gt0g Stra®t and N110 s Avenue y -
(Street address or Description of Location)
PURPOSE OF CONSTRUCTIONS Sketch (attach construction plans if appropriate)-,
' DESCRIPTION OF CONSTRUCTION REtUgh XrAd$L
*-See Atts,rhad $O"iax CcU+31tlons ;
DIMENSION OF INSTALLATION OR REMOVAL.43.4 t AtroEt
SIZE OF EXCAVATION,.IF NEEDED ����•
APPROXIMATE TIME WHEN WORK WILL BEGIN `lebruary 5•'2003
APPROXIMATE TIME OF COMPLETION t467 2003
ESTIMATED CONSTRUCTION COSTS' 244,.725.e00
''�1incfdding removal of all obstruction,materials, and debris, backfilling, com .
l ry;,,paction and placing. permanent resurfacing and/or replacing improvements) �•'
In consideration of the granting of this permit, the applicant hereby agrees t�o
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 .workundertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty4our (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.
s .
' Signature of Applicant or Agent (760).325.4
La Quirt ft Del: €3 o 147, for `, 5005 Call& Sari RaPhaeAt Suite a-1D Palsy Sparfn'gv .92244
Name of Applicant (please print) i Business Address Telephone.No.
XuetrO ft$3n6OVI g 0440 Roach) 79-411 Country Club Dr., Berauda Armes, 022:01 00) 345w1778
-Name of Contractor and .fob Foreman Business Address Telephone No.
438834 00157 00157
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 3 ,8'"4
Inspection Fee' $4i•75 PERMIT VALIDATION
Permit Fee 190'00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 7441*75
Receipt No.
Received by Date
Recorded by
PERMIT NO, 3854,
DATE APPROVED Ff btuary 1&, 2003
EXPIRATION DATE 110%nrary, 28, 2004
DATE ISSUED
By
Administrative Authority
`.' '�i�,ctc�r 1�ioa�s, l�,�siaawaa>� #�ngfnaex I
Telephone: (760) 777-7075
NOTE: 1
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
Subdivision Improvement Permit —Class I I I
DATE: ftbri ary 16. 203 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Traiat No* 30521 - La Qnsnta Dal Oro, Northeast corn r of
Vasbingtou West rind ftl*a Avonuo
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION��
DESCRIPTION OF CONSTRUCTION ROU h IT44104
DIMENSION OF INSTALLATION OR REMOVAL 43.4 1 8taress
SIZE OF EXCAVATION, IF NEEDED 1512-4 0 G"y"
APPROXIMATE TIME WHEN WORK WILL BEGIN t"'CUary 3, 2003
Sketch (attach construction plans if appropriate)
*Saa 4ttacrhod Special +Cotd.ltiono
APPROXIMATE TIME OF COMPLETION I ,y 2003
ESTIMATED CONSTRUCTION COST $I4s71'"00
('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, (rho) 32-3»4289
La Quinta Dal Oro 147, LP $005 0a111a San lapha olf Suitt 8--1 * Polls 8pttc8s 97244
Name of Applicant (please print) Business Address Telephone No.
btu*VO tagin4ortAt (l 4V* 8otth) 79-811 Comtry Club Dr., 10a `funaa, 92201 (760) 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
438834 00151 00197
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
I t' n F $ 7341.7$
.spec io ee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
3i wf
$ 7441.75
Received by Date
Recorded by
<, 38S4
PERMIT VALIDATION
PERMIT NO. 3054
DATE APPROVEDysbruary 1s* 200S
EXPIRATION DATE Yebrunri 29, 2004
DATE ISSUED
By
Administrati ,e Authority
Telephone: (760) 777-7075
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