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4582
u 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 I I I DATE: .iAnunry 11.. 2006 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Darby Middle School. State .lob; (Wfm Royale Dr a d Rome Drive { � 1 (Street address or Description of Location) I ) PURPOSE OF CONSTRUCTION Sewer Sketch DESCRIPTION OF CONSTRUCTION Sewer DIMENSION OF INSTALLATION OR REMOVAL 70' SIZE OF EXCAVATION, IF NEEDED / APPROXIMATE TIME WHEN WORK WILL BEGIN ch construction Olans if appropriate) r- Q 1� APPROXIMATE TIME OF COMPLETION-TAnitnry ESTIMATED CONSTRUCTION COST $ 199OD-no V (Including removal of all obstruction, materials, and debris, backfilling, � m- paction and placing permanent resurfacingand%orr replacing improvements) In consideration of the granting of this permit, th\applicant hereby/agrees to: r-1 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 workNundertaken 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. Dar. Jauiltowski (740) 728-8906 Signature of Applicant or Agent 3PL Development Gz�oup 215 W. AS St. ,PallbroakCA 92028 (760) 728-8906 Name of Applicant (please print) Business Address Telephone No. JPL Development Grbup. Inc. 215 W. Ash St. Fallbrook. CA 92028 (760) 728-8906 Name of Contractor and Job Foreman Business Address Telephone No. 778930 r,7an Contractor's License No. City Business License No. North Americanapac�ty Insurance PNC,000169701 Applicant's Insurance Company \ Policy Number FEES: Subdivision Improvement Permit — Class 111 x Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Q©� 4i i7 Inspection Fee $ NA PERMIT VALIDATION Permit Fee 100.00 4582 PERMIT NO. Penalty NA Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE TOTAL: $ 100.00 DATE ISSUED Receipt No. By Received by Date Administrative Authority Recorded by Telephone: (760) 777-7075 .x 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 DATE: jn—rntn 11. 2006 LOCATION OF CONSTRUCTION Darby M Subdivision Improvement Permit —Class II I Minor t Permit Class IV e Job xIm Rova? e Dr a d Rome Dive (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sewer: Sketch constructionAlans if appropriate) DESCRIPTION OF CONSTRUCTION Sewer �YOVIX/ DIMENSION OF INSTALLATION OR REMOVAL 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, c paction and placing permanent resurfacing r replacing improve nts) In consideration of the granting of this p rmit, the pplicant here agrees to: Indemnify, defend• and save the City, i s auth ized age ts, officers representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting f om clai s or tour action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximat result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority t least twenty-four ( 1 hours in advance of the time when work will be started. Comply with all applicable City Ordi antes, the terms and onditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additio al replacement nece .ary as the result of this work. Dan Jan kowskA (710'j 728-8906 a Name of Applicant (please p int) JP � Deve 3 opmei G_ u Inc. 215 W. Name of Contractor and Job oreman 778930 N�, Contractor's Lice?u No. Signature of Applicant or Agent Business Address Telephone No. Business Address Telephone No. 5790 City Business License No. Applicant's Insurance ComIny \ Policy Number FEES: Subdivision Improvement P>3rmit — Class II I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule 4582 Inspection Fee $ NA PERMIT VALIDATION Permit Fee i00.00 4582 PERMIT NO. Penalty YEA Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE TOTAL: $ 100.00 DATE ISSUED Receipt No. By Received by Date Administrative Authority Recorded by Telephone: (760) 777-7075 ■ , -0, 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 DATE: .Ts niistry 1.1 A 2006 LOCATION OF CONSTRUCTION Darby M: Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV _ tate Job; Z4 m Royale Dr abag Rome Drive (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sewer Sketch (attach constructio DESCRIPTION OF CONSTRUCTION Sewer DIMENSION OF INSTALLATION OR REMOVAL 701 x 4 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN .Tswrttiv 1?.\?nnfi if appropriate) APPROXIMATE TIME OF COMPLETION i R -L ?no#; ESTIMATED CONSTRUCTION COST $ 3 900 nn V (Including removal of all obstruction, materials, and debris, backfilling, Jm- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, mmit, the�a�pplicant here�by�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. Dan Janikowski (7 ) 728-890 Signature of Applicant or Agent TPL Development; G uA 215 W. AB St. al.lbrook. CA 92028 (760) 728-8906 Name of Applicant (please print) Business Address Telephone No. JPL Development Glp, Inc. 215 W. Ash St, Fa1lbrook, CA 92028 (760) 728-8qnA Name of Contractor and Job Foreman Business Address Telephone No. Contractor's Li CZaQn City Business License No. Applicant's Insurance Company \ Policy Number FEES: Subdivision Improvement 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 $ NA Permit Fee 100.00 Penalty NA Cash Deposit -Surety Bond if required TOTAL: $ 100.00 Receipt No. Received by Date Recorded by 4 ' 4582 PERMIT VALIDATION PERMIT NO. 4582 DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Telephone: (760) 777-7075 d NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) I 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: jnnuary 11. 2006 Minor.Improvement Permit Class IV LOCATION OF CONSTRUCTION Darby Middle School, State Job; P411m Royale Or 4nd Rona Drive Ritreet address or Uescnption of Location) PURPOSE OF CONSTRUCTION Seger DESCRIPTION OF CONSTRUCTION Sewer DIMENSION OF INSTALLATION OR REMOVAL 701 n 4 of oetaor / f. SIZE OF EXCAVATION, IF NEEDED /4 f 1 APPROXIMATE TIME WHEN WORK WILL BEGIN Jt%nuaty 12.\2006 Sketch (attach constructionsPlans if appropriate) o V� 1 L APPROXIMATE TIME OF COMPLETIONJAnut'rn 13. 2006 i ESTIMATED CONSTRUCTION COST $,?0(}.QQ (Including removal of all obstruction, materials, and debris, backfilling, com- i paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: ti 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. � r Dori Janikowak�i (7 0) 728-890611, Signature of Applicant or Agent JPL Dovolopnent Gr1�cup 215 V. Assh.St. Fallbrook, CA 92020 (760) 728-8906 Name of Applicant (please print) Business Address Telephone No. JPL Development Croup, Inc. 215 V. Aah St. Pallbrook, CA 92028 (760) 728-8906 Name of Contractor and Job Foreman 778930 Contractor's License No. Business Address Telephone No 57RO City Business License No. North Americau\Capacity° Insurance PNG000169701 Applicant's Insurance Company Policy Number 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 $ NA 11 Permit Fee 100.00 ITA Penalty Cash Deposit -Surety Bond if required TOTAL: $ 100.00 Receipt No. Received by Date ` � 4582 PERMIT VALIDATION 4582 PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by Telephone: (760) 777-7075 0 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: Jnautary 11. 2006 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Dnrby Uiddlo Sc'hoa3., 3taCa Jab; Palms. Royale ter and Roan Drivo (Street address or Description of Location) PURPOSE OF CONSTRUCTION Setter Sketch (attach construction.plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 70' n 4 of sawax SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN JAEUary 12. 2006 l APPROXIMATE TIME OF COMPLETIONJAnUAry 13. 2006 ESTIMATED CONSTRUCTION COST $ 3.200.00 f (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. t Dan Janikowoki (1) 728- 8906 Signature of Applicant or Agent JPL DOV010pUcnt Group 215 W. Ach St. Fal.2broob, CA. 92028 (7 60) 728.8906 Name of Applicant (please print) Business Address Telephone No. JPL Uuvolopnent Group, Inc. 215 W. Ach St. Fallbrook, CA 92028 (760) 728-8906 Name of Contractor and Job Foreman Business Address Telephone No. 778930 5700 Contractor's License No. City Business License No. North American Capacity Incurance PNC000169701 Applicant's Insurance Company - Policy Number FEES: Subdivision Improvement 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 �fA Inspection Fee $ 100.01) Permit Fee NA Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ 100.00 Date 4582 PERMIT VALIDATION 0ib.4 PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Telephone: (760) 777-7075 01/1P/2006 15:23 17607281848 JPI DEV GROUP INC PAGE 02/05 Y �0;��-6 PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT . Date.• AD r7 Location of Construction: re,' -toM i e- Sc-ISO. d bb Purpose of Constrlledon: Description of Construction: Dimension of installataon or Removal: :4-U A L� t Approximate Construction Start Date: I i2 Dlr Approximate Construction Completion Date: ( 3 Estimated.Construction Cost: $ 3 74.°' Esdmatod Consttlteddh Coat shall include the retucvoI Of ell obRtMiom materi &, and debris, beck-Mling, compaetion and Piecing pennancatrsurfacing and orreplacing improvements Contact Name: J)A f) jd Y11 D W ,A Name of Applicant: Applicant Address: S Applicant Telephone Number: : fjID- Name of Contractor J j1 ,jkjV D Contractor Address: c AS Contractor Telephone Number: -IkD- Contractor State License Number:-� Contractor City Business License Number: Number: ). ) hr-. A COEY OF TIDE CURRENT JNSURANCE CERMCA,TE MUST BE PROVIDED -4 )Iicant or Co tractor GL;eneral Li.aXA ity Ynsurgnce Co�1pany Loin leih hA ri-1A I V%CIiVA 111r,4P OJrce Use Omiv: Inspection Fee: 1 , ,^ J\/ �F j Permit Fee, As -Built Deposit: 1 [ IV MA COatrol Deposit Credit Amount - TOTAL FEE DUE: Q(,?. 0 0 Number: Mice Usc Only: Assigned Permit Number. U S 8 L- Approval Date; 1 Expiration Data: Issue Data: A ftiniatr'ative Authority: 4 01/110/2006 15:23 17607281848 JPI DEV GROUP INC PAGE 01/05 215 Wcst Ash 5, FALLBROOK, CA, 92D2R LJC. 778930 PHONE (760) 728-8906 F LX (160) 728-1648 . FAX TRANSMITTAL SHEET TO: — FROM Tony Colarossi Janet Riedesel COMPANY; DnTG City of La, Quinta 1 / 10/06 FAX NUMRP,R: TOTAL NO. OF PACES INCLUDING C OVRR: 760-777-7155 5 PxDNE NUMBER: 760-777-7000 RE Encroachment Permit ❑URGEN'[' D FOR RFVIGW ❑ PLCASR COMMLN r PLEASP. REPLY ❑ PLEASE RECYCLE Tony, Following is our paperwork .for the Encroachment Permit needed for Darby Middle School. We would like to start construction on Thursday 1/12/00. Please call me with any questions. Thank you, Janet Riedesel 01/10/2006 15:23 17607281848 JPI DEV'GROUP INC PAGE 03/05 3iN33 L.nOHIIM . d2j1: ,�a � 301S..� ... � . .. '. .'A80M o'd oa wxa �JNln. a 'aAQQ pste.dQd 88 ":m N f m g� m ceL 8 $$ i J Al f.T. 01/10/2006 15:23 17607281848 JPI DEV GROUP INC PAGE 04/05 Date: January 10, 2006 City of La Quints 78-495 Calle Tampico -St La Quinta; Ca 92253 Attn: Tony Colarossi. � No = 215 Wcst Ash St, Fallbronk, Ca 92028 LIC. 778930 PHONE (760) 728-8906 FAX (760) 728-1848 Re: Sewer.cost breakdown for: Darby Middle School Palm Royale Dr & Rome Dnivc La Quinta, Ca 92253 JPI's total construction cost is $3,200.00. Our breakdown is as follows: 80 ftx $40.00/ft = $3,200.00 City of La Quints Cost