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3863CONST TION ACTIVITY SUMMY t. .. i , 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 o'ther.like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit— Class III DATE% Minor Improvement Permit Class IV LOCATIWOF. CONSTRUCTION Filanket Permit for 2003_ See attached photo's / 1.ocatious (Street address or Description of- Location) . Provide 'directional signs for PURPOSE OF.CONSTRUCTION Sketch (attach construction plans if.appropriate) . bui3ders:�nd?deve3:a>z�ers.� - DESCRIPTION:OF;CONSTRUCTION Install W004 0928 See .attached co>mditlona DIMENSION;OF,INSTALLATION OR REMOVAL SIZE OF, EXCQVATI.ON,. LF NEEDED, APPROXIMATE:TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION,COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- pactionand `placing permanent resurfacing, and/or replacing improvements) In consideration of. the grantingof this permit, the applicant hereby, 'agrees to: ! Indemnify save the City, its authorized agents,' officers, representatives and employees, harmless from and against any and all pem nalties;%liabilities or loss resulting. froclaims 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 reaul't-of this•yvo.rk. Signature of Applicant or Agent 1144. Induetrv' A6sociation . 77-570 Springfield' Lane #S Palft Desert. • CA U0,4470 or 578w2931 Name of Applicanf (please print) Business Address Telephone No. - Best sign 1550 Gene Ant" Tr . Palm 81irin s, CA , 3ZO-3042 Name of Contractor -and Job Foreman Business Address Telephone No. Contractor's License No: 'City Business'License No. Applicant's Insurance Company Policy Number FEES: Subdivision'Improvement Permit Class 111 Public improvements: 3% ofestimate.d construction costs Private improvements: 3% of estimated construction costs 3 Minor. Improvement Permit =Class IV: See attached schedule `w(' . . Y. r Inspection Fee ' $ Permit Fee �©_ Penalty Cash Deposit -Surety. Bond if required TOTAL';`.' Receipt No. ; Received by ' Date Recorded by PERMIT VALIDATION PERMIT NO. 3863 DATE APPROVED 3-'6,03 EXPIRATION DATE 12-31-733 DATE I$SUEO _ By 14 1 Af, I rN I •'l Telephone: (760) 777- inistrative Authority x c' r NOTE—', 'With proper validation this fp.rrr:-onstitutes an -� encroachment permit f X0 CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) I For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvement's in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class I I I DATE:Minor Improvement Permit Class IV + DImIta& Pomit for 2003 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF 60NSTRUCTIONProyido ditoClvloml Gino for Sketch (attach construction plans if appropriate) b> ildora ..mod 4ovnloWra DESCRIPTION OF CONSTRUCTION 1io12f�011 'Vol 01024 Soo atrazhod ccaftclono DIMENSION OF INSTALLATION•OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 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 of the permit and all applicable rules and, regulet ions of the City of La Quinta and to pay for any additional replacement necessary as the; result of this w.ork..,, _ Signature of Applicant or Agent I i4C, la4uotty Ar�aort2afton 77-570 5palA 91dld Lnaa OB Pcin Docart, CA %0-2670 or • 570-2831 Name of Applicant (please print) Business Address Telephone No. toot SICno 1550 Gera Autry Trl Pa7.n Srir o CA '062 Name of Contractor and Job Foreman Business Address Telephone No. 5246G3 Contractor's License No. City Business License No. -Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I 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©w Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by 3� 11 /03 {{aatte� PERMIT VALIDATION .-.�-•,� PERMIT NO. U63 Ii DATE APPROVED 3—-'pa) EXPIRATION DATE a DATE By Telephone: (760) 777- ministrative Authority; SPECIAL CONDITIONS --PERMIT NO. 3863 } --- BIA/BEST• SIGNS'--- j . ,r Streets and Parkways `shall" be kept clean: They shall be completely, cleaned'at,the end each sign F . installation if required. t 2, , Pursuant' to Section 14.16.110 of the La Quinta Municipal Code (Ordinance j10 § 1 (part),`' 1982),, Permittee shall 'assume.res onsibilit for re air of an aveme - dams a to an ublic or rivate p Y , P. YP g,., Yp P , street and for any damage to other City streets, or, facilities as a result' of work performed under this,,, permit. f 3. Pursuant to. Section 14.16.250 of the La uinta Municipal Code(Ordinancetl0 1 art 1982) x • 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 bamicadethis 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 `. r to the City of La. Quinta. / L AF Special Conditions - Peinvt No. 3798' c Page 1 of 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 �_ t9 Subdivision Im,pnove'ment Permit —,Class III DATE: I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION See attached �sYac:to' s/locations (Street address or Description of Location) Provide directional &ign� for P appropriate) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if a tau• 146A%s atid- draw lopere i DESCRIPTION OF CONSTRUCTION ��st 'll wood signs See attached, conditions DIMENSION OF INSTALLATION OR REMOVAL RECEIVED' SIZE OF EXCAVATION, IF NEEDED FEB 19 ZOOS APPROXIMATE TIME WHEN WORK WILL BEGINUBLIC®RK . 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) e. 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 -If the permit -and all applicable rules and regulations of the City of. La Quinta and to pay for any additional replacement necessary as th result of this wo k. Signature of Applicant or Agent L 3.ndus ry Asnotta4 ion 77-570 Spx•ingfield -Larte #E Psalm Desert; CA 360--2476 Name of Applicant (please print) Business Address Telephone No.. Bost; .§ t1550 Paba-Dedert, CA- ��20-3042rut3 Name of Contractor and Job Foreman 'Business Address. Telephone No. 53.44.83 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 '. D. ... �. Inspection Fee $ PERMIT- VALIDATION, Permit Fee PERMIT NO. Penalty 11. Cash Deposit -Surety Bond DATE APPROVED • 5 f if required EXPIRATION DATE TOTAL: $ DATE IS UE Receipt No. By Received by Date LIVvv Administrative Authority Recorded by - -- - - Telephone: (760) 777-7075 i Directional Sign Program 77-570 Springfield Lane, Ste. E,.Palm Desert, CA 92211 (760)360-2476 Phone / (760)772-3372 Fax 1(760)578-2931 Cell -Lisa LaBonte February 18, 2003 f City of LaQuinta - Attn: Hector Guzman Dear Hector: Thie is -n rent ine+ fnr n nermit fnr 4he fnllnuvinn• ;on, 200' North of Avenue 49 Cb <3:D'.i CZP - �'�,....•«"�.- � #ram'—a's �r y♦ — South-,- ,- - f LQ33NSB Jefferson 123102 L Thank you very much, Lisa LaBonte u h Bound shoulder of Washington,-240' h o rtf;48th'Avenue -t-` �a+R ' w # MI)FJOI.-JOIC 1 Jefferson, 200'.North of Miles • ., F FLQ47N SoGth.,-= -SB Jefferson 021803