428` NOTE:
With proper validation
this form constitutes an
encroachment permit
k- #
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
August 8, 1989 Subdivision Improvement Permit — Class I II
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Adams St. E/S S,10 Fred Waring.
(Street address or Description of Location)
PURPOSE OF CONST ,UCTION Placenew cable E/0 centerline (attach construction plans if appropriate)
of Adams St. for grading of new Road.
DESCRIPTION OF CONSTRUCTION Buried cable
DIMENSION OF INSTALLATION OR REMOVAL Z" dia. ca to SIZE OF EXCAVATION, IF NEEDED 13U "x24' X30"deep SEE ATTACHED DRAWING
W.O. #549-41315-r
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 9300.00
(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
gte California 83-793 Dr. Carreon Blvd., Indio, CA 92201 619/342-0503
Name of Applicant (please print) Business Address Telephone No.
Triad Pacific Development 74-923 Hovely, Palm Desert, CA. 92260 340-9174
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 III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs ® 2Q A
Minor Improvement Permit — Class IV: See attached schedule Y C7
Inspection Fee $ A/
Permit Fee Al
Penalty
Cash Deposit -Surety Bond
if 'required
TOTAL:
Receipt No.
$ !�
Received by Date
Recorded •by
PERMIT VALIDATION
PERMIT NO. 428
DATE APPROVED _
EXPIRATION DATE
12/30/89
DATE ISSUED 8/8/89
By�� �..�
Administrative Authority
TELEPHONE: (619) 564-2246
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
Subdivision Improvement Permit — Class I II
DATE: August 8, 1989 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Adams St. E/S S/0 Fred Waring.
(Street address or Description of Location)
PI�RPO E OF CONSTFIUCTION PlaceneW cable E/O cent.erl4ee ch (attach construction plans if appropriate)
of Adams St. for grading ot new Road.
DESCRIPTION OF CONSTRUCTION Buriea-cable
DIMENSION OF INSTALLATION OR REMOVAL is • ca e
SIZE OF EXCAVATION, IF NEEDED 1307'x x eep
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 9300.00
(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:
SEE ATTACHED DRAWING
W.O. #549-41315—r
0
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
gte California 83-793 Dr. Carreon Blvd., Indio, CA 92201 619/342-0503
Name of Applicant (please print) Business Address Telephone No.
Triad Pacific Development-74-923 Hovely, Palm Desert, CA. 92260 340-9174
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 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 $ 4 ,
Permit Fee Al/?
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
N° 428
PERMIT VALIDATION
PERMIT NO. 428
DATE APPROVED 8/8/89
EXPIRATION DATE 12/30/89
DATE ISSUED 8/8/89
B
Administrative Authority
TELEPHONE: (619) 564-2246
.�,EFERENCE: GTE W.O..#5 1315—R
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: August 8, 1989 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Adams St E/S S/0 Fred Waring Dr
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Place new cable E/0 centerline Sketch (attach construction plans if appropriate)
of Adams St for grading of new road
DESCRIPTION OF CONSTRUCTION buried cable
SEE ATTACHED DRAWING
W.0.# 549-41315—R
DIMENSION OF INST,',LLATION OR REMOVAL 2" diameter cable
SIZE OF EXCAVATION, IF NEEDED 1307*1, X 24"W X 30"D
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ $9300.00
(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 acid 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 124) 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 this work.
f
Signature of Applicant or Agen
GTEXALIFORNIA 83-793 Dr -Carreon Blvd., Indio, CA. 92201 619 ( —0535
Name of Applicant (please print)
Business Address
Telephone No.
Traid Pacific Dev. 74-923 Hovely, Palm Desert, CA. 92260 619/340-9174
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 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 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564.2246
Administrative Authority
I
• ADDITIONAL CONDITIONS
ENCROACHMENT PERMIT NO. 428
R33 Survey monuments shall be protected in place or
re-established pursuant to City standards and the State of
California Land Surveyor's Act.
R34 Contractor shall comply with the local noise ordinance and
construction operations and maintenance of equipment within
one half mile of human occupancy shall be performed only
during the time periods as follows:
October 1st to April 30: Monday -Friday 7:OOa.m.-5:30p.m.
Saturday 8:OOa.m.-5:OOp.m.
May 1st to September 30: Monday -Friday 6:OOa.m.-7:OOp.m.
Saturday 8:OOa.m.-5:OOp.m.
Work shall be prohibited anytime on Sunday and Federal
holiday.
R35 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.
R36 A minimum of one travel lane shall be maintained at all
times.
R37 Prior to work starting, Underground Service Alert shall
be contacted at 1-800-422-4133 and an "inquiry number" shall
be provided to the'City Public Works Inspector.
R38 Existing pavement shall be saw cut prior to removal.
R39 All excavation at or near the travel way shall be backfilled
at the end of the work day for the protection of the
traveling public. All streets shall be cleaned at the end
of the work day.
R40 All backfill soil in Adams Street & Fred Waring shall be
placed so that the resulting compaction shall not be
less than 90% relative density. All base material shall be
compacted to nothing less than 95% relative density.
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ISSUE DATE APPROVALS
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DWG. NO. RELATED DWGS.T WORK ORDER
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FORM W%40