4037NOTE:
With proper validation
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
DATE: December 17, 2003
Subdivision Improvement Permit— Class III X
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract 31681. Coral Mountain, Between Madison and Monroe +end
Avenue 58 and Avenue 60
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Ease Grading
DESCRIPTION OF CONSTRUCTION Mwwa �ree4�ne
DIMENSION OF INSTALLATION OR REMOVAL rq" erove
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN bec*mbar 22. 7C43
Sketch (attach construction plans if appropriate)
*See attached special condirious*
Plan Check 03128 & 03039
Stage. 2: Roughf Grading Plan
Approval Required. Stage 1
for Clearing and Grubbing per
Permit 4001.
APPROXIMATE TIME OF COMPLETION January 1,. 2005
ESTIMATED CONSTRUCTION COST$ E40 �'p0•���
(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
Nolan Sparks(760) 4080106
T.D. Desert Dsveloumnt P.O. Roo 1716T.,^ (U0, t,.A rA 41220*1 976m gat aalAt
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering 79411 Country Club Dr., Bermuda Dune&, CA 92201 (760)345-•1778
Name of Contractor and Job Foreman Business Address Telephone No.
438834br
Contractor's License No.
National Union )Fire Insurance C,
Applicant's Insurance Company
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 $ $0..530.00
Permit Fee 100.00
Penalty Plait Check (5,250.00) Refund
Cash Deposit -Surety Bond x
if required 0.00 V ;
TOTAL: $ $+$ 74. 2,0.
Rece`ipt'N'o. AS -Built 11000.00
Received by
Date
00157
City.Business License No.
GL5440206U
Policy Numberp )L _.,.
JAN 2 9 2004
tZ�I^ ►.A QUIN`fA
-37
PERMIT VALIDATION
PERMIT NO.
QcS DATE APPROVED
>' 7 jrEXPIRATION DATE
L'
Pc(1: '%ATE ISSUED r Y'�
Administrative Authority
Recorded by 11Telephone: (760) 777-7075
-° City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 4037
The following shall always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of`way
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 and work 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.
CARE OF DRAINAGE STRUCTURES: Any drainage. structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete
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
paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line
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.
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.
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for
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
The following shall apply when indicated:
® .R1 NOTIFICATION: Permittee shall be notified the City at.(760) 777 - 7097 at least forty -eight -hours (46) 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
Specifications, Ordinance #461.
❑ R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
one-fourth inch ('/") 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.
❑ �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
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.
I
❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
manufacturer's specifications.
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
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 to a 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.
❑ 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 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 be approved transit -mix sand or equivalent and shall be placed on lifts not greater than
three feet (3') 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 ( ** N/A **) inches of A.0 surfacing placed on
a (** N/A **) inch (** N/A " ) aggregate base shall be placed no later than ( ** N/A **) 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 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 safely 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.
PERMIT NO.4037
Coral Mountain Option I/Rough Grading Only/SP 2003-127
In addition to the standard permit conditions, the following shall apply:
1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § l (part), 1982), all
work shall be performed in accordance with the latest edition of the Standard Specifications For Public
Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. T.D. Desert Development, hereinafter referred to as "Permittee", shall be responsible for providing
continuous dust and erosion control.
3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
4. Pursuant to Section 6.08.050 of the La Quinta Municipal.Code (Ordinance 18 § 1, 1982), throughout the
work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of
equipment within one-half mile of human occupancy shall be performed only during the following time
periods:
October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30. p.m.
Saturday 8:00 a.m. to 5:00 p.m..
May 1 st .to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. -
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
5. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 1.0 § l (part), 1982),
Permittee shall assume responsibility for repair of any pavement damage to any public or private street
and for any damage to other City streets or facilities as a result of work performed under this permit.
6. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
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). A traffic control
plan shall be prepared in accordance with the WATCH Manual•and submitted to the City for
review and approval one (1) week prior to starting .any construction. It shall be the Permittee's
responsibility to appropriately detour and barricade all construction sites.
Pursuant to Section 14.16.290 -of the La Quinta Municipal Code (Ordinance .10 § 1 (part), 1982), street
closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be.
maintained at all times.
7. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1=800-422-
4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
Special Conditions
Page I of 2
f�
PERMIT NO.4037
Coral Mountain Option I/Rough Grading Only/SP 2003-127
8. 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 Permittee as directed by and to the satisfaction of the City Engineeriaf no cost to
the City of La Quinta.
9. All landscaping, irrigation, decorative rock, decorative. concrete, lighting, etc., shall be replaced to its
original condition.
10. Access and egress to all local properties shall'be maintained at all times.: .
11. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed
under this permit with an approved dust control treatment. Soil stabilization shall be done immediately
after completing the operation.
12. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding.the,weight limit:may use a
restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants
permission to use the street to deliver street construction materials and/or equipment.
17. . The City of La Quinta reserves the right to revoke,, suspend or void this permit at any time.
1.8. The perinittee shall indemnify, hold harmless and assume the defense. of the City from all
damages, delay costs, costs or expenses in law or equity that may arise out of work under this
permit.
19— No work within the public right of way is expected for this permit.
20. This permit is for rough grading only (See SP 2003-127) .
Page 2 of 2
J
Coral Option .1, LLC
-P. 0.' Box 10246 ===
Birmingham, AL 35202-0246
j 3::F IATVO:CCE DATE L INVOICE::NO.::/DESGR3PTION. GROSS AMOL'h_ D1S"L^:
5300178-.�-:12/22/03 i 122203 .� 75,380.00
35300175 12/22/03 ( 122203A 1,000.00
I
i
i
i
I`
4
NOTE:
With proper validation
this form constitutes an
encroachment permit CITY. :0, 1A 6VINTA
APPLICATION.i.4014* ;kR IT
PUBLIC WO R ks_.C0NStAUbT ION (ENCROACHMENT)
For thii construction of public or private curbs, driveways, Pavgments,..sideWalks,'parking Aditi;..sewers, water mains
and other like public works improvements in connection with. MINOR IMPROVEMENTS ancloPROVED SUBDIVISIONS
Subdivision Imorpvement.,Permit — Class III
DATE:. December 17, 2003 Minor I rn-provqr . nent P . ermitClass,IV
LOCATION OF CONSTRUCTION
ON . STRUCTION Tract, 3'Ii681Coral*. Moxintain, Betiaeen Mad son.'. drid - Monroe and. .
Avenue..58. and Avenue,-60
(Street address of Desc . riptio'n of Location)
PURPOSE OF CONSTRUCTION Mass Grading Sketch (attach construction plans if appropriate)
DESCRIP TION:OF-CONSTRUCTION _Maser_;- *See attached special., conditions*
Plan Check 03128 & 03039
DIMENSION OF' INSTALLATION. -OR -REMOVAL 155171+-A',gp<
Stage.2: Grading Plan
Approval R76
_uired. Stage I
SIZE . 0 F �E�VATION, �XCo! 7`1 . F:NEE - DED for Clearifig and Grubbing per
..
Pefmit 4001.
APPAOXIM ATE.'TI'MEWHEN :WORK WiLLB'Edi'N, D'6-cemNpr 2220 3
APPROXIMATE TIME 'COMPLETION file
7
7. Ij��77 0'. E.Z�66: 6 Q-o �Z,.b
EST1'MATJE&'66hST CONSTRUCTIONCOST
(Including. removal of ali'obs ruction, materials; and detirls baq iiIji.rig.c
on);
paction and placing piermanent resurfacing and/or.replacing. i , .. Improvements)
In consideration of. the granting bf this permit, the.applicant hereby agrees to:
Indernnify,'ddlend 'and save the ' City, its au*thorizdd,agen.ts,,..!b.fficers, representatives. and employees, harmless from and against any and all
�c
penalties lia iti' or loss riesulting frorh claims or' o6rfaction:and arising- out of any accident, loss 'or. damage to persons bil tes h or property
happening or occuriing, as. 6 proximate result of any wo'ik'urdertaken under the permit granted pursuant to this application.
Notify the Administrative.Authority-at i . east 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 Quintis and to pay for any additional replacement necessary as the result of this work.
Signature of Applicarit.or Agent
An::Sparks Npl(760)
. . .. .: .. . . .� _40901106
Name of Applicaint,(plea'-sie print) Business Address
Nuevo Engineering 79-811 Country Club Dr., Bermu&i. D
CA 92201 �1503451778
Name of Contractor and job Foreman Business Address tefephone No.
.0,0157.
Contract or's Li c'en**se'No. City Business License No..
National:Union: Fire.. Insurance Company GL5440206KA,
Applicant's insurance : ompany Polity Number
FEES: Subdivision. I mpi e6t:Pdirmit -Classill
Public improvemen - ts:.*3%%6festimaticl construction costs
Private improvements; 3 '%-of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule N2 4037
Inspection Fee $ 80,530.06 PERMIT. VALIDATION
Permit Fee 100.00
PERMIT NO.
Perralty Plan Check (5,.250.00)..Refund
Cash Deposit -Surety Bond DATE APPROVED
if required 0,*00
EXPIRATION DATE
TOTAL: 75-; 386:. 60'
DATE ISSUED
ReceiprNa. As —Built i i 060. 60
By
Received by Date Administrative Authority
'Recorded by
Telephone: (760) 777-7075
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA U
encroachment permit
APPLICATION FOR PERMIT 83
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
December 17 2003 Subdivision. Improvement Permit —Class I I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract 31681, Coral Mountain, Between Madison and Monroe and
Avenue 58 and Avenue 60
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Mass Grading Sketch (attach construction plans if ap
propriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION Macs Craning
DIMENSION OF INSTALLATION OR REMOVAL 5504, AC}E(Z
SIZE OF EXCAVATION, IF NEEDED
*See attached special conditions*
Plan Check 03128 h 03039
Stage 2: Rought Grading Plan
Approval Required. Stage 1
for Clearing and Grubbing per
Permit 4001.
APPROXIMATE TIME WHEN WORK WILL BEGIN December 22„ 2003
APPROXIMATE TIME OF COMPLETION Jaituar 1 200
ESTIMATED CONSTRUCTION COST $ R.05 000,00 f
(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 Quints and to pay for any additional replacement necessary as the result of this work.
Signature of ApplicanNolane Sparks(760) 4080106
T.D.'Desert Development P.Q. Rmr 17.16,E LaQuint-ay cA o2252 760) 7711-1941
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering 79-811 Country Club Dr., Bermuda Dunes, CA 92201 (760)345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
438834 00157
Contractor's License No. City Business License No.
National Union Fire Insurance Comaany GL5440206KA
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 I V 2 4 0 3 7
Inspection Fee $ 80,530.00 PERMIT VALIDATION
Permit Fee 100.00
PERMIT NO.
Perra►ty Plan Check (5,250.00) Refund
Cash Deposit -Surety Bond
if required 0.00
TOTAL: -$ 75,380.00
Recelpt-Nd. As -Built 1,000.00
Received by
Recorded by
Date
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Telephone: (760) 777-7075
Administrative Authority