414t.
NOTE: _
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
6/15/89 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 11ashington — The Grove
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Transport D7 Dozer Q to Sketch (attach construction plans if appropriate)
the Grove from outside Citv limits
DESCRIPTION OF CONSTRUCTION SEE ATTACHED RIVERSIDE COUNTY
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
REGULATIONS see Permit (t 410
HAUL ROUTE - Jefferson, Avenue 50
and 11ashington streets
ONE TRIP PERMIT
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 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
F.J. Stowells, Jr PO Box 1059 Indio, CA 92201 774-1359
Name of Applicant (please print) Business Address Telephone No.
same same sane
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
California Farri
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III 005i8 7? 06- 5`y89
i o C,4 i, i de a
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
—0-
10.00
-0-
Received by Date
KV c '1L
PERMIT VALIDATION
PERMIT NO. 414
DATE APPROVED 6/15/89
EXPIRATION DATE 6/15/89
DATE ISSUED 6/15189
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
ADDITTION---- ENCROACHMENTjPERMIT NO.415 ---- CONDITIONS
R33
Survey monumenfshall be protected-in,place.-or
'
re-established pursuant to City -standards and ,the"State of
California Land Surveyor's'Act.
R34
Work shall be coordinated with the•City of.La Quintals
forces..to preclude delay or
interference with the City of,La
..Quintals projects.
R35'
Contractor shall comply withithe local noise ordinance and
construction operations and1maintenance of equipment within
one.half mile of human'occupancy shall.be performed only
during the time periods as follows:
October lst to April 30:�� Monday -Friday 7:OOa.m.-5i30p.m.
Saturday 8:OOa•.m.-5:OOp.m.
May 1st to'-SeptemberF30:
Monday -Friday 6:OOa.m.-7:OOp.m.
Isaturday 8:OOa.m.-5:OOp.m.
Work shall'be prohibited..anytime on Sunday and,Federal
holiday-.;
R36
Traffic control shall be as.,per Cal Trans Traffic Manual.
.
Field adjustments .in detouring shall be accomplished as
directed in order.to adjust�to,actual field conditions. It
shall be the contractor's responsibility to adequately
barricade and detour this site.
R37
All excavation at or near th!e travel way shall be backfilled
'at the end of the work day; for the protection of the
traveling public.'
R38 A minimum of'one travel` lane shall be maintained at all
times'. during working, -hours.
R39
This permit is only for work within public.street right -of-'
way.-
R40
Ingress and egress for'locallproperties.shall be maintained
at all times.
R41
t ,
Prior to work starting,'Underground Service Alert shall be
contacted at 1-800-422-4133jand.an "inquiry number" shall be
provided to the City'Public Works Inspector.
R42'
Pavement.shall be sawcut prior to -removal.
R43,
All backfill subgrade soil shall be compacted to nothing
,less,than
90% relative dry density, all base material shall
be compacted to nothing,less than 95o.relative dry, density.
R44
Replacement pavement shall 1be existing asphalt thickness -
plus one.inch, but not -less than 3" of AC,pavement
shall be placed. Class 2•aggregate base,shall be as per
existing or 4," minimum , ( whichever isgreater) ., ,.,
R45•
Where street striping is still visible on streets to'be
excavated,.such striping shall be replaced upon completion
'.
of permanent repairs."All signs shall be replaced and/or
repaired -upon completion of thework.
R46
If -the, work'is to- be performed bye forces other .than that of
the utility company's than.tii t`contracting company.will be
requited to apply-for'an additional encroachment permit and
pay'the appropriate fee.- ��� M