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4500NOTE: 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 I I I DATE: September 23, 2005 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Rancho Santana TM 31202, Avenue 52 and Monroe St. (Street address oi Description of Location) PURPOSE OF CONSTRUCTION Off -site street imRrovemen s DESCRIPTION OF -CONSTRUCTION . DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN - APPROXIMATE TIME OF COMPLETIW ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, ma paction and placing permanent resurfa In consideration of the granting of tl t rials.- nd &�ris, backfillVg, pbm- =/or repiking improvVents) Sketch (attach permit, the appkcant hereify-agrees to: ructioh plans if appropriate) Indemnify,. defend- and save thi lt��tgyj 'itsmauthoriszed agentsVf! icers/representative nd employees, harmless from and against any and all in o c aim c 't t penalties, liabilities or loss resi or our a ion d arisin t of any accident, loss or damage to persons or property happening or occurring as a pr ixima result of any work u dert ken u er the permit granted pursuant to this application. Notify the Administrative Autl- xity a least twenty -four (24 h u in advance of the time when work will be started. 'o s Comply with all applicable Cit, Ordina ces, the terms and c n itions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any dclitiona replacement necess, ry as the result of this work. Jolin R. Pedalino 578-69 5 Signature of Applicant or Agent Desert Ch!�%nne, Inc. 7�401 Hwy 111 Suite."G" La Quinta, CA 92253 777-9920 Name of Applicant \Ieas,.. print) Business Address Telephone No. ruc Granite Construd ion 380�O Monroe St. Indio, CA 92203 775-7500 Business Address Telephone No. Name of Contractor� and Jo Foreman\ 0089 3501 Contractor's License No. City Business License No. Valley Forge Insurance Coqmpy GL 2 4921 89 16 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 17,010.00 Permit Fee 100.00 p-eF-a7r�r As Built Dep (I . 00.0 -on.) Cash Deposit -Surety Bond if required TOTAL: $ 18,110.00 Receipt No. Received by Date 4500- PERMIT VALIDATION 4500 PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by 11 Telephone: (760) 777-7075 NOTE: Wit� 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 I I DATE: September 23. 2005 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Rancho Santana TM 31202�- Avenue 52 and Monrop. St. (Street address oi� Desiription of Location) PURPOSE OF CONSTRUCTION Off -site Rtreet imnrovements S �� Retch (attach c6mtruction plans.if appropriate) DESCRIPTION OF.CONSTRUCTION See PSN 05154 DIMENSION OF INSTALLATION OR REMOVAL Sep PSN 05144 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ()CrApr I- 700S APPROXIMATE TIME OF COMPLETION March 15� gonr. ESTIMATED CONSTRUCTION COST$ (Including removal of all f obstruction, mav�—jal sland debris, backfi paction and placing pi�rmanent resurfading and/or replacing impr In cons ideratio n,of 'tre granting of thi� permit, the app'kkcant he Indemnify, d6fend. and save the I Citj its authorized agent penalties, -liabilities S\ or loss resditing 4rorn claims or court a happening or occurring as a proximate result of any work u Notify the Administrative Authlority at least twenty-four (2,e ordinances, the terms and Comply with all applicable City La Quinta and to pay for any I additional placement necess / I T agrees to: :ers / representativesdnd employees, harmless from and against any and all iand arising odit"'of any accident, loss or damage to persons or property _:_1 A ken under the permit granted pursuant to this application. � 1_;�, Jurslin advance of the time when work will be started. itions of the permit and all applicable rules and regulations of the City of as the result of this work. John R. Pedalino 578-6V — Signature of Applicant or Agent Desert Ch!�Lnne, Inc. 7§401 Hwy 111 Suite "G" La Quinta, CA 92253 777-9920 Name of Applicant"(,please print) Business Address Telephone No. Granite Const��ion 380�O Monroe S t. Indio, CA 92203 775-7500 Name of Contractor and Job Foreman Business Address Telephone No. 0089 3501 Contractor's License No. City Business License No. Valley Forge Insurance Comply GL 2 4921 89 16 Applicant's Insurance Company I Policy Number FEES: Subdivision I morovement 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 $ 17,010.00 -Permit Fee 100.00 pgeprgl-r�r As Built De I - non . onN Cash Deposit -Surety Bond if required TOTAL: $ 18,110.00 Receipt No. Received by Date Recorded by 4500 PERMIT VALIDATION PERMIT NO. 4500 DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Telephone: (760) 777-7075 ��l NOTE: With proper validation this form constitutes an encroachment permit .CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION jENCROACHMENT) 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 Oermit — Class I I I DATE: September 23. 2005 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Rancho Santana TM 31202z Avenue 52 and Monroe St. (Street address oe Description of Location) PURPOSE OF CONSTRUCTION Off -site street imprbygments -Sretch (attach ic-onstruction plans if appropriate) DESCRIPTION OF.CONSTRUCTION SeiX.PSN 05154 DIMENSION.OFINSTA.LLATIONOR REMOVAL See PSN 05144 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN OctAor 3. 201715 0 APPROXIMATE TIME OF COMPLETION MArCh 1.�, 7066 ESTIMATED CONSTRUCTION COST$ _56,7-7M� An (Including removal of all obstruction, materials, and dlebris, backfi)l%'ng, c6bm- v I paction and :placing - permanent resurfac ! ing and/or replacing impro�v Xents) In consicleratio��6f 56 granting of thi's permit, the applipant nerley agrees to. 1�_­- , Indemnify, defend. and save the' City! its authorized epresentativesA employees, harmless from and against any and'all penalties, liabilities or loss resulting !from claims or court action zind arising,oufof any accident, loss or damage to persons or property happening or occurring as a proximat'e result of any work undert;ke 'under the permit granted pursuant to this application. Notify the Administrative Authlority at least twenty-four (24), hPurs in adv.ance of the time when work will be started. I Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of I I La Quinta and to pay for any bidditional, replacement necessary as the result of this work. John R. Pedalino 578-6945 Signature of Applicant or Agent Desert Che�enne. Inc. 7b40I Hwy III Suite "G" La Quinta,' CA 92253 777-9920 Name of Applicant " (please print) Business Address Telephone No. Granite Const�4tj 1�0 Monroe St. Indio, CA 92203 775-7500 Name of Contractor and Jdb Foreman Business Address Telephone N6. 0089 3501 Contractor's License No. City Business License No. Valley Forge Insurance co�y GL 2 4921 89 16 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements.' 3% of'estimated construction costs Private impro vements: 3%, of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule N 2 450.0 Inspection Fee $ 17,010.00 PERMIT VALIDATION Permit Fee 100.00 4500 PERMIT NO. reral-rr As Built De (1.000-no) Cash Deposit -Surety Bond* DATE APPROVED if required EXPIRATION DATE TOTAL: DATE ISSUED Receipt No. By Received by Date Administrative Authority Recorded by Telephone: (760) 777-7075 3'. 11 NOTE: t With propq,,r validation this form constitutes an encroachment permit .11 ,.,,,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 I I I DATE: September 23. 2005 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Rancho Santana T-M 31202.- Avenue 52 and Monroe St. (Street address or Description of Locatio - n) ff-site atreet improvatmen a PURPOSE OF CONSTRUCTION Ske ch (attac construction plans if appropriate) SeeNTSN 05154 DESCRIPTION OF CONSTRUCTION DIMENSION, OF INSTALLATION OR REMOVAL See PSN 05154 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION MArSh ESTIMATED CONSTRUCTION COST$ (including removal of all obstruction, materials, and debris, backfi�wng, co,,m- paction and -placing permanent resurfacing and/or replacing improvements) In consideration ' '59e" granting of this permit, the appiicant here!blylagrees to: Indemnify, defend, and save thJ City; its authorized agents: off icers,/rIepresentatives and employees, harmless from and against any and al penalties, liabilities or loss resulting from claims or court action a hd arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undert.ken 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 Cit� Ordinances, the terms and c8nditions 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. I I John R. Pedalina 578-6915 Signature of Applicant or Agent Deoert Cheyenne, Inc. 7t0l Evy Ill Suite "Gl# La QUiuta, CA 92253 777-9920 Name of Applicant '(please print) Business Address Telephone No. Granite Conatru�tion 38000 Monroe St. Indio, CA 92203 775-7500 Name of Contract& and Job'Foreman Business Address Telephone No. 0089 3501 Contractor's License No. City Business License No. Valley Forge Insurance Como"y GL 2 4921 89 16 Applicant's Insurance Company Policy Number FEES: Subdivision I mprovement 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 Inspection Fee $ 17,010.00 ,.Rermit Fee 100.00 F;*e7al_ty` As Built Dep (1,000.()0) Cash Deposit -Surety Bond if required TOTAL: $ 10'..00 Receipt No. Received by Recorded by Date 4500 PERMIT VALIDATION 4500 PERMIT NO DATE APPROVED EXPIRATION 'DATE 'DATE ISSUED By Administrative Authority Telephone: (760) 777-7075 "4 NOTE: Witf�propei"valiclation this'form constitutes an CITY, OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT). For the construction of public or private curb�s, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement �ermit — Class I I I DATE:-Saptamber.23. 2065 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Rancho SAntana TM 31202% Avenue 52 And mon-taft ie. (Street address oi Description of Locatiori) PURPOSE OF CONSTRUCTION atract improvOtwntO Sketch (attach construction plans if appropriate) DESCRIPTION dF-CONSTRUCTION Sea ��JPSN 05154 DIMENSION OF INSTALLATION OR REMOVAL See PSN 05154 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN OCtobar 3. 2005 APPROXIMATE TIME OF COMPLETION March 15. 2006 ESTIMATED CONSTRUCT16'N COST$ 567-000-00 (Including remtoval of all obstruction, materials, and debris, backfil . ling, com- paction and 'placing permanent resurfacing and/or replacing improvements) X In consiclerati��—�e granting of this permit, the applicant hereby agrees to: Indemnify, clefend- and save the City, its authorized agents, off icers,,,representatives and employees, harmless frbm 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 Ci—ty--0rdinances, 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. John,.R. Pedalino 578-69.15 Signature of Applicant or Agent/ D000rt Chayenne, Inc. 78401 Hwy III Suit* "G" La Quinta,, CA 92'253 777-9920 Name of Applicant (please pri.nt) Business Address Telephone No. Granite Construction 38000 Monroe St. Indio, CA 92203 775-7500 Name of Contractor and Job Foreman Business Address Telephone No. 0089 3561 ,Contractor's License No. City Business License No. Vall*y Fargo Insurance Con�Any OL 2 4921 89 16 .Applicant's Insurance Company Policy Number FEES: Subdivision Improvement, Permit — Class I I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached I schedule 4500 k. 17,010.00 Inspeciion Fee $ PERMIT VALIDATION Permit Fee 100.00 4500 P I enalty As Built Dop (1,000.00) PERMIT NO. Cash Dep6sit-Surety Bond DATE APPROVED if required V. TOTAL Receipt No. Received by Recorded by $ Date A-*", DATE ISSUED, By - Administrative Authority Telephone: (760) 777-7075 k