4320;t
NOTE:
With proper validation
this form constitutes an
encroachment permit
E— t
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
1
Subdivision Improvement Permit — Class III
DATE: 01- 21—CAS Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 1 GT VI%AS @ INTERSWTION OF COAMMIA AM
iS>�d R TH 31379
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF' CONSTRUCTION
DIMENSION OF INSTALLATION OR
SLPT R'®S WN-SI,Sketch (attach construction plans if appropriate)
MOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 01.--24--05
APPROXIMATE TIME OF COMPLETION 05—W-05 /
ESTIMATED CONSTRUCTION COST $ 5449564-00
(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 .o
Signature 4f Applicant or Agent
_BARON VANCE R ORNTKX B014ES ' $AU BOARDWALK DR., SUITE 101 . 760— 2.1®36
Dl�
Name of Appli.cant.(please print) 4Il-916 . Business Address Telephone No.
CENTEX BOAM 11R. , SUI 101 76ti-862p1030
Name of Contractor and Job Foreman Business Address Telephone No..
.825943 05761
Contractor's License No. City Business License No.
ZURICH CAN INSUWCE CD. GLO3696880-01
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 $ 16,350.00LW. UU
J
Permit Fee `
P' r a,l�j .AS —BUILT DEPOSIT $1.00 0.00
Cash Deposit -Surety Bond
if required
1.7'9450.00
TOTAL: $
Receipt.No.
Received by Date
s q].
Recorded by
432:0
PERMIT .VALIDATION
PERMIT NO. �0
O1-24- 05
DATE APPROVED.
EXPIRATION DATE 01-6--06
DATE ISSUED
Administrative Authority
Telephone:. (760) 777-7075 .
FINANCiE �C
Revenue Codyv--
P.O. Box t504
LA QuINTA, CALIFURNIA 9Y247A50.4
78-405 CALL$ 'TABQPIC0 (76O) 777-7000
LA QUI?PT:1 CAI,[FORNIA 922 a nI FAX. (760) 777-7101
i
April .18, . 200fi MAY 2.3 2006
[a,/
Jason Vence crnr of u► �ui�ir�o
FIIdA CE 6EFT
Centex Homes
41-865 Boardwaik Dr., Suite .101 �.
Palm Desert, CA 9.2211.
Re:. Encroachment Permit No. 4320 -.Tract Map 31379
Permit Type: On -site Street Improvements
Dear Mr. Vence:
Encroachment. Permit number 4320 hes expired as of January 24, 2008.
In order to avoid. the issuance of a `Stop Work Order," please renew this
Permit immediately.
The reneWal fee as per City Council Resolution 86-27, states:
Encroachment Permit - renewal of expired permit 4 $100.00 -plus 10%
Of original fee for each year the permit has been expired.
ORIGINAL PERMIT FEE
10%
i(P[RATION PENALTY
For each year permit
has been expired
$17 450.00.
01 7415.00
$100.00
RENEWAL AMOUNT DUE:
1 $1 845.'00
If you have any question® or need additional Information, please contact
Tony Colarossl at (760) 777-7089.
7 Sincerely
Paul Go e
Senior Engineer
Public Works Department .
CC: Danny. Escelone, Construction Manager
Leonard $t. Sauver, Assistant Engineer it
Permit 31379. File
Z'd. SiL9-LLL-09L .JadoJd uozzeuilsaQ xaaua0 Wb�i�B'900z of Rew
INVOICE NO.
INVOICE DATE
JOB IDENTIFICATION GROSS
DISCOUNT'-
NET
1'
!
001051006A ..
051006A
65/09/06
3 :
71524 LQ LID,,1' ' 1,845.00,
.
t
001051006A
051006A
r05/09/06
Invoice"total i.J �� •{ '1 845:00
'.�
Vendor. payment - - '�• 1 845�'00
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a
1, 845.: 00
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Total vendor payment 1 845.00
t
1;895 00
M,
.t 1. •h t"* + ' -. � - :qh, ".. !
t . .
CHECK NO 068017 PAYEE CITY OF LA QUINTA #i VENDOR NO 002330 DATE 05/12/06 f
@SArEGUARD
cvjcff %3kc LITHO USA
DOCUMENTS.INCLUDES,AN-ORIGINAL'.WATERMARK_"HOL'•D':TO:L'IGHTr50URCE�TO•VIEWti:
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