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458With proper validation this form constitutes an _ encroachment permit CITY OF LA QUINTA - `,•; ��' APPLICATION FOR . PERMIT L .PUBLIC WORKS' CONSTRUCTION (ENCROACHMENT) . s « 01" TA$ ' 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 Permit —Class-III DATE: Minor Improvement Permit Class IV �.. LOCATION OF CONSTRUCTION 51255 Ave..,Herrera (Street address or Description of Location) • - Ga`s Main and - Serdice o• � `• '• ' ` '• • PURPOSE OF CONSTRUCTION Sketch (attach•construction plans if appropriate)' DESCRIPTION OF CONSTRUCTION - l b 8 'Or ' 2 •, plastic, gas. - . main 14 ' W/ EPL or . Ave Herrera neginning • ?j N /NPL = or Montezuma proceeding boutn. , SEE PERMIT NO. `439 DIMENSI'ON'OF-�INSTALLATION .OR REMOVAL SIZE OF EXCAVATION IF NEEDED ' " APPROXIMATE TIME WHEN WORK WILL BEGIN .10/23/89. APPROXIMATE TIME OF COMPLETION 10/23/89 ' ESTIMATED CONSTRUCTION COST $ . >` (Including removal of all obstruction, materials, and debris, backfilling, com paction and. placing permanent resurfacing and/or replacing improvements) In of the .granting of this permit, the applicant hereby agrees,to: s` indemnify, Aefend 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 count action and arising out of any accident, loss or damage to persons or property 1 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 tFie City of La Quinta and to pay 'for any additional replacement necessary .as the result of -this work. -. r 1 Signature of Applicant or Agent , Macco Const.. Inc..Po Box 783 Palm Desert 343-1180 Name of Applicant (please print) Business Address 'Telephone No., ' Name of Contractor and Job Foreman' Business Address Telephone No. - Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number , 00S" ia:x 4 A 0dZh 4'n.. t o An z�r 111'n1�H J. TOTA 1-.. - 4.500%0 FEES: Subdivision Improvement Permit — Class I II , Public improvements: 3% of estimated construction costs r Private improvements: 3% of estimated construction costs ' •' 15 Minor Improvement Permit —'Class•IV: See attached schedule , 'Inspection Fee 00 $ = PERMIT'VALIDATION 1ot0o T Permit Fee .,PERMIT NO. 458 . Penalty 10/19/89 Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE 3/1`/90 $ ' 45.00 TOTAL: DATE ISSUED '—_� /0 3.9 /89 Receipt No. YReceived by Date Bi �� Administrative Authority y ` Recorded by,,TELEPHONE: (619) 564 2246 = 1 h 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 , nATF• 1M `-418i LOCATION OF CONSTRUCTION 51255 Ave. Herrera (Street address or Description of Location) PURPOSE OF CONSTRUCTION C-,a' Main and Service.. Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION _i0 Ux C° plastic gas rduln i4 `W7EPL a� AVe herr-exa Dec_117111lN9 8 • 1,4/NPL 01 rioxit:ezuM& rl1•ocee(11119 ouut n. SEE PERMIT NO. 439 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION j U / 2.3 / b `f 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. . ] n Signature of Applicant or Agent Macco Const. Inc. Po Box 733 Palm Desert 343-1180 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number xQ 455 � FEES: Subdivision Improvement Permit — Class I II 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: $ 35.00 10/00 $ 45.00 Receipt No. Received by Date Ofv 158 PERMIT VALIDATION PERMIT NO. 458 DATE APPROVED 10/19/89 EXPIRATION DATE 3/1/90 DATE ISSUED .` 0/19/89 Administrative Authority Recorded by 'I TELEPHONE: (619) 564-2246 iNOTE: With proper validation+ ' •� this form constitutes an •, '.' • � ' � encroachment permit CITY OF. LA QUINTA • APPLICATION FORT ,PERMIT ` V S0 ..'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 10,/-19/89 . DATE:., •-- ' • ' � _ ' ' ,.Y Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 51255 Ave. Herrera' (Street address or Description of'Location) -Gas Main, and Service'. ' PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate), - • ' o p astir' gas DESCRIP I QECONST U TIOhL , main / E 2 01 Ave Herrera Deginning /NPL y 0 on ezuma p—roc-eecting, SouEB ,SEE PERMIT -NO. 439 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF,EXCAVATIO`N, IF NEEDED • 3. "APPROXIMATE TIME WHEN WRK OWILL BEGIN- 10 23 89 � �• - " APPROXIMATE TIME OF COMPLETION- 10 / 23 ,89' ESTIMATE_ D 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 hreby' 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 Ap licant or Agent Macco Const.,Inc. Po•Box'783 Palm -Desert 343-1180 t Name, of Applicant (please print) "` Business Address ' Telephone No. r Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number - L i 41 .00 1 0' N� 458 .. PERMIT VALIDATION PERMIT NO. 458' DATE APPROVED • 10/19/89 EXPIRATION DATE 3/1/90 DATE ISSU 0 / 19 / 8 By ( + • - Administrative.Authority ; TELEPHONE: (619) 564-2246 FEES: Subdivisiorr Improvement Permit Class III , Publicimprovements:•3% of estimated construction, costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule " 1 • Inspection Fee $' 35.00 Permit Fee 10 00 Penalty r Cash Deposit -Surety Bond' if required 4 TOTAL: $ ' 4 5.0 0' " Receipt No. _ Received by Date Recorded by ' The following General.and Special Provisions are attached to and made a part.of Permit No. b GENERAL PROVISIONS The following shall always apply ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on any paved surface unless fitted with smooth -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 operations 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 La Quinta. City Public Works. Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified 24 Hrs. in advance of any traffic detours or delineations. CARE OF DRAINAGE STRUCTURES: Any drainage structure including 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. \Jyater 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 OPERATIONS: 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 isfelt bythe permitteethat he must close a streetfor any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The follwing shall :apply ONLY when indicated: R1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. R2 _CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amountof notlessthan $ shall be furnished in _the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be posted prior to commencement of any work on this project . R3 TILITY CLEARANCE: (Substructures) Priorto making any excavation within the City of La Quinta rightof wayauthorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing sub'structures resulting from operations conducted under this permit shall bethe sole responsibility of the permittee. R4 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. R5 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with inches of A.C. paving placed on inches of class aggregate subbase course having an "R"value of not less than and in conformance with City of La Quinta Road Improvement Standards and.Specifications, Ordinance#461. R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of 1/4 inch to one foot (1'). R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter construction. R8 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and pFofile and/or grades as established by a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete.curb and/or curb and gutter ( 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. R10 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 2-1/2 inches of A.C. paving placed on ( ") of class aggregate base. Driveway construction shall conform to attached drawing. R 11 CULVERTS: A inch diameter( )culvert shall be installed with the invert approximately 1-1/2 inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. 12 SIGHT CLEARANCE;' Sight clearance of 600 feet in either direction shall be assured and maintained. R13 SOIL STERILIZER: The area to be surfaced shall be treated With soil sterilizer. Rate of application shall comply with the manufacturer's specifications. 14 OORDINATE WORK: Th"e'proposed work shall be subordinated to any operation which the State of California or City of La Quinta may conduct iri this area during the period of this permit. Work shall be coordinated with the State or Citv`of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. R15, URVEY. MONUMENTS: Prior. to. excavation or.beginning of construction, all survey monuments which exist on the centerline of all streets or property Vines when involved shall be completely tied out so they maybe readily and correctly be 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 of replacement of•all survey monuments for proper project clearance. R16 SURVEY MONUMENTS: Prioi xcavation or beginning of construction, all st monuments shall betied out by City of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved. R17 PAVEMENT CUTTING: Pavement will be mechanically 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 of pavement). Excavation material shall be placed in such a position as to best facilitate the general flow of traffic. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R1 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000lineal feetof opentrench 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 a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor 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. R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of notgreaterthan three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any case a relative compaction of 95 percent shall be attained within the structural section of the roadway. R22 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care isto be exercised thatthe backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever isthe 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 continuous. R2 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervals of not more than 1,000 feet and a minimum of one (1) test on each road. 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 Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. CR24)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 Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC-800 temporary paving shall be placed after a maximum of 3,000lineal feet of 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. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch consisting of two inches (2") of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a inch class base shall be placed no later than days after completion of temporary road repair. R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches (2") of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. R28 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. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas where such seal coats existed prior to issuance of this permit. Seal or armor coats shall be applied as specified in Section 37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repair to be accomplished by a licensed contractor engaged in the business of pavement repair. R30 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon completion of permanent repairs. R31 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 permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed 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 inthefollowing paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at anyone 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 90 percent or equivalent to 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. R32 TREE TRIMMING: a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year. All broken or weak sections within the trimming shall be removed. b. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500feet at anyone time. Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times. c. If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Works Inspector. e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees. f. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches (2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector. ADb I T I ONALA =ENCROACHMENT PERMIT ' R331 Survey- monuments shalt/ be`- protected: in- place or Jre,-- -' established purspa•nt &o Ci..ty -standards- and .., the: . State of:•, - ` California Land SJrvQor's Act. 1, . R34 Work: j shall • be co.ordi6ated withV the CQ' of& La - 0Ui 1ta's forces to.: preclude delay oV interference i:th the` City :of La,. nUinta'S - pro jec:ts<'r s R35 Cont'I actor' , shall ,compl�V ,with the:local noise drdibance and . construction operations and maintenance of equipment • within-• one half mi-1e of human occupancy shall be performedAly, during.,the time periods as followsb October 1st to Appil 30e z_ Monday-Frid:ay 70a.crt.-5;30p.m, Saturday,;- 8cOOa„m.75iOOp.m. May Alto September SO: 'Monday -Friday 6e0r=i,_1;K-000p.m< : Saturday 8100a.01151 0 .m... ' Work: pi=oh i b i ted anytime an,' Sunday •.and Federal, ho l i days . Rib Traffic: •'control ''•-shall be as. peg- Cal` Trans'Traffic Manual. Field adjustment? in detouring' st ah 1 � be . ac omp'1 ished as directed in c:rd�r to adjust` to actual field conditions. It shall be the contractor's nesponsibi l i,ty., -ton adegc_catel'y . . barricaded and detour this 'site. � R37 All excavation at pi- near ..thy travel Nay shal 1, be bcle:kf i l led at'- - the end of the work; day, for,- • the ,t protect ion of. the, trayelling�, pub Lic, a minimum..of one travel •.lane• ball Ae ' maintained at all times with flagmen• -during working -hours! ' R38' Permit is only 'for,lor-k: within public street, right--of-Way ingress .and'•egress for'local properties shall be imainta0ed-" - `` a"t R39 Prior to.wor-k: starting, UndergraUAd Service 91ert shall be contracted at. 17900-422-4133 and a'n "inquiry,number" ' shall be pro%i ded to the Ci jy Public Works Inspectiq. . R40 Pavement shall be sawcut prior to -.removal . + R41 All Nackfi,ll subgrade_sofl shall Le. compacted to. -nothing' ". less. than 90% relative dry,dearsityq all. base cnat�rial.. shall f "'� be compacted , to nothing less. than.'95% •relative' dr-y density... R42 Replacement 'pavement- sections shall boexisting AC thick:nese . plus one' inch but not less than 3,'' of .AC' shall be• placed•.' t Class I I - aggregate ' �ba=.eS stial 1. be 'as :per' e>tistii�g of 4'.' ` minimum (whichever. is. greater')'. �, R43 Where street striping , still visi.bl :on streets to be. ' emcavated, - luck striping shall be 'replaced upgn :"Mpleti.on ' of , permanent r:epairi!, %All signs Val -•I• be replaced and/or_. I ' repaired upon .comp'le'Vion of the wdrF:: a ; , NOTE: With proper validation this form constitutes an CITY OF LA OUINTA 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 III DATE: ! �/ Minor Improvement Pe mit Cl V LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSF,.qF CQNST.RUCTION~v5 �I� Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION �� C e9 DIME N OF INSTALLATION OR REMOVAL —L SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 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 rulesiregulations of the City of La Quinta and to pay for any additional replacement necessary as the ►esult,ot-s wo/ rk. Signature of Apo6nt or nit r (O/ %� Name of Applicant (please print) Business Address Telephone No. 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 Date NO PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED -- f By Administrative Authority Recorded by 11 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 III DATE: 10/16/89 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Calle Colima/Avenida Mendoza (Street address or Description of Location) PURPOSE OF CONSTRUCTION transnor•t 4�;D harrkhna Gxithin (`ifv 1imi+-, DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 10 /17 /R9 Sketch (attach construction plans if appropriate) HAUL ROUTE SHALL BE LIMITED TO THE FOLLOWING: Washington Street to Avenue 52; Avenue 52 to Eisenhower Drive; Eisenhower Drive to Calle Colima Pilot vehicles shall be required and traffic control shall be provided at all major and turning APPROXIMATE TIME OF COMPLETION 10/17/89 intersections - 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 Cattrac Construction PS Box 2069 Uplands, CA 91785 714-355-1146 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Contractor's License No. Business Address Telephone No. City Business License No. Unictard Ins. Group MC 201133 Applicant's Insurance Company Policy Number QQR 4 soh 4 n QI AAA i O—i 7--R9 10 10 CASH i 1UfAL i ti3.�cr FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs W° 45 1 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $ n/a 10.00 $ 10.00 Received by . Date PERMIT VALIDATION PERMIT NO. 457 DATE APPROVED 10/17/89 EXPIRATION DATE 10./17/89 DATE IS/SUED _ 110/17/89 Administrative Authority Recorded by 11 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 I I DATE: 10/16/89 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Cal le Colima/AF,rcnida N.endoza (Street address or Description of Location) PURPOSE OF CONSTRUCTION tranr r,,cart_ 4; �r�S�.� tti+i?ixt Cite limit DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 10 /171n9i Sketch (attach construction plans if appropriate) MAUL ROUTE SNALL DE LIKITED TO THE FOLLOi71NC t1ashington 5trect to Avenue 52; Avenue 52 to Eisenhower Drive:; Eisenhower Drive to Calle Colima APPROXIMATE TIME OF COMPLETION 10/17/89 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 Pilot vehicles shall be required and traffic control shall be provided at all major and turning intersections — 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 Cattrac Construction PO Box 2069 Uplands, CA 91755 714-355-1146 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Unigard Ins. Group HC 201133 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. $ n/a 10.00 Received by Date PERMIT VALIDATION PERMIT NO. `n DATE APPROVED io/17/39 EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246