501`r'+.+• .. -^�-}�-r �:^�—n.�„�_�__-_-s—w_..,.—�w:�::�.._�. _ � — .�ti=-'"!`=—._rnr��R"_A•.:=+,!1.�:��.r"�+q'��� _�"`�e:�.
r
With proper validation
this form constitutes an i CITY F {+ •, e o4
<�:
encroachment"permit O LA QUINTA
APPLICATION FOR ,PERMIT
•,•_. - PUBLIC4 WORKS CONSTRUCTION -(ENCROACHMENT)
w�
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""
k,•' Subdivision Improvement Permit — Class III.
DATE: 1/11/90 . "
` Minor,lmprovement Permit Class.IV
f Tract 24890 Boundary and.'`Jefferson `
LOCATION OF CONSTRUCTION Street Aobroximately
1360 .South Hof Avenue 50 Y
(Street address or Descriptio_ n of Location) { -
Temporary Entrance to
PURPOSE OF CONSTRUCTC;l,ON ,. Sketch -(attach construction plans if appropriate)'-. -
' 'Temporary,:golf ubnouse : arxing Lot
�• - Entry awing '
• DESCRIPTION OF CONSTRUCTION' Acceleration . j
ana Ddceleration Lanes. "{ '1:'(SEE ATTACHED ;SKETCH)
" 2. JSEE ATTACHED .GENERAL' :. %, r
DIMENSION OFANSTALLATION OR REMOVAL 2tinr cn,,3_A PROVISIONS` AND SPECIAL '
4 t" ti CONDZTTONS) C )
r 4
'SIZE OF EXCAVATION, IF.NEEDED None , " .'' j • f;,'+'�
APPROXIMATE TIME WHEN WORK WILL BEGIN As. boon AS
APPROXIMATE TIME OF COMPLETION F+` tniock
n `ESTIMATED CO ,. NSTRUCTION COST
(Including removal of all obstruction,.materials, and debris, backfilling; co•mu
' paction• and :'placing '+permanent 'resurfacing and/or replacing improvements)
F` In consideration oflthe granting of,this permit, the applicant hereby agrees to,. ' �• 4 }� w,, oft , , , r.. '•
1• ` Indemnify, defend and'sa"ve the•City, its authorized'agents, officers representatives and employees,harmless from and'againstany and :ally
i r 'ipenalties,'liabilities,or loss resulting .from claims or court action and arising out 'of any accident,' loss or damage to persons, or •property, t'
.happening•or. occurring as`a,proximate result•of any work undertaken` under the permit 'granted to this, application.' if�.i >`
Notify the Administrative Authority, at least twenty-four.(24) hours in advance of the time ,when- work will be started • T !'
"Comply'wrth all' applicable+City Ordinances, the terms'and conditions of the permit and all applicable rules'and,regulatio s.o,f. the City of
' La Quinta and,to pay for any additionallreplacement necessary as 'the result of 'h s wo
} •` ., '`` ". Signature of Applicant'or Agent
`",T•ANDMARK LA.ND'- COMPANY OP CALTFORNTAr• TN('.:'R'aR 1000 • LarQiii.nta.Ca� 992543 "'t C; t�•�
Name of Applicant (please print)" ' r� Busmess,Address 'Tel phone No 7 j
., ,.`, • tb�'19).�6'54--8170 -t##
Coval C4c�n trtictiorz•Co.�.Anx 1761.Tndio.Ca.92209
Name of Contractor and Job Foreman Business Address ' T I
449981 s ,4' r .: - - �6e1��'.775-82'OU `' •►•'
Contractor's License No. �w +• City Business License'No.
Home. Indei-anity.March•Mclennan.San Bernardino'.Ca. GLR908F1.6 �•�'"'
:Applicant's Insurance Company "., ' Policy.Number "' 4 • }`s• '
6' 1 - •. r . .I.
FEES: •Subdivision Improvement Permit =Class III •, ",, _ '4 X-
" Public im rovements: 3% of estimated construction costs , 0p51icy 3 ,,
p f �.• ':10 . Be,SFI . �g QTt L:' 70.46AO
Private improvements: 3%'of estimated construction costs', • ® d
•Minor Improvement Permit — Class IV'- See attached scheduler ; '� L , •�
r,Inspection Fee PERMIT VALIDATION
Permit Fee $46.00 M
PERMIT NO. 501 , --• 4s
Penalty
Cash Deposit Surety Bond DATE APPROVED T 190
if required -
" EXPIRATION DATE 7/31/90. '
TOTAL: , $ 46.00 DATE ISSUED
Receipt No:'
g
y Received by ' a Date v Administrative Authority
_ r , a
`� Recorded by, TELEPHONE:.(619) 564-2246 •
' �F`.. .3""#���`r�,,;".`.�„ 3 ia�^; . i` \•.+i1; '.-.�j'i'Y�ic:a"d;i:t}1ck:.J,r ry k; '.:''Y d `ti.'';t'Fri k '^r y,�'" . '� i '�'•"" "+ :'.�"''t-. '1 Va". �Z'PT �{•j"'�' S i'�r' 1'r',�it'.i f' ":'�
-nti.."•-:.,.,�.+_';��••.,'c-.-=.•�,:.�Tt.r'. ••ram '�'.—a, - .,.,.... ��. . -. a:..,` .�« •4�-•--^+".'-�'.^--�"...-'��.ti":ems :"'�°� cam—era—a�i-•...�... -_
1 NOTE-v`-
With proper,validation
this form constitutes an
encroachment permit y ' ' CITYOF LA QUINTA
_ APPLICATION FOR PERMIT ;
;PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
rFor the- construction of public or private curbs, driveways, pavements, sidewalks,• parking lots„ sewers, water' main =
` .and other like -public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS'
Subdivision Improvement Permit —'Class III 'y
DATE: 1/11/90'Minor Improvement Permit Class IV
' LOCATION OF.CONSTRUCTION Tract -24890 Boundary and Jefferson Street Aotaroximately'
1360 :.>outh og Avenue 50 '
(Street address or Description of Location) F
j Temporary Entrance to yr
PURPOSE OF CONSTRUCTION Sketch (attach construction p6ns'if'appropriate)
'temporary, �Go C lubriouse• Parking, Lot a
DESCRIPTION'OF CONSTRUCTION ' Entry' PaVing ACceleration +
and • Deceleration . Y.,anes
- - 1 . ( SEE ; ATTAcHED= SxETcH)
r 2. SEE: ATTACHED,-GEN€:R.0
DIMENSION OF INSTALLATION OR REMOVAL 2600 PROVISIONS AND SPECIA.•C,
`^ COND1-TION,S)
SIZE OF EXCAVATION, IF NEEDED" None
�. As • 60on A$ #
• APPROXIMATE TIME WHEN WORK WILL BEGIN F
Possible.
APPROXIMATE TIME OF COMPLETION Hn^a f4eei<
ESTIMATED. CONSTRUCTION COST,$ 1 �179 nn
• , (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 res enulting from claims or court action and'arising'out of any accident, loss or damage to persons or propertyj,
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.s�d., yr•'. +„
Comply with all applicable City Ordinances;,the terms -and -conditions ,of the perm hand all applicable rules an regulations.o,f the,City of '
La Quints and to yreplacementnecessary
_ y' ' 5 ` /
pay for an additional necessar �s�te'result o�his wor ?4i
Signature of. Applicant or Agent
'T.AiJhMA'RK; T.ANT) C.0MPANV OP CALTPORNTA. INC- ^ Bort `,000 Lai Ouinta.t 92253 "t654,
'Name of Applicant (please print), Business Address - Telep one No.: ?y
F t61 +) 654--8,17D.
C'nv '1 (`nn;atrtir_tic�`ra• ro-.Box 1767,Iindio.Ca.92.202'' '
t Name of Contractor and Job Foreman, Business'Address - Tel pho a No.
44g4ftl 688 ' +
_ . Contractor's License No. , City Business License No.
Fl<e�me� Tnd�innit :Na.rch Mr.]�xtnan.Sa_n;Pernardino.Ca. C�LR90861Ei5
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
10,
Public improvements: 3% of estimated construction costs W. i MTI� a f�; Q(}
' Private improvements:�3% of estimated construction costs „ # �-
•° ,�- {..
^ Minor Improvement. Permit - Class IV: See attached schedule
Inspection Fee ^ $ PERMIT VALIDATION
RY 4
Permit Fee $46.00
PERMIT. NO: 501
Penalty • `��
• DATE APPROVED
Cash Deposit -Surety Bond
if required - EXPIRATION DATE •`7/31/90
46.00 k -
TOTAL: $ 1 11 90
DATE ISSUED
Receipt No..
11<7
t
By
Received by Date Y' �:;. Administrative Authority
Recorded by " .. TELEPHONE: (619)•564-2246
r -
The following General and Special Provisions are attached to and made a part.of Permit No.
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 tracklaVing construction equipment shall not be perm, itted 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. Water 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 isfeltbythe permittee that he mustclose 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,
0
CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than $ Q—, Z) Sax(.)
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 UTILITY C LEA RANCE:'(Substructu res) Priorto making any excavation within the Cityof La Quinta right of way authorized
by permit, the permittee shall contact`all concerned utility companies relative to the location of existing substructures.
Damage to existing substructures resulting from operations conducted under this permit shall be the 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.
Ft5 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 i conformance wo City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461. S'eQ �pQe tAL (Uv 1 S t c7r1 e.4 a,
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 0 T
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.
R 12 )SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
R SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall complywith the
manufacturer's specifications.
R14 COORDINATE WORK: The proposed work• shall be subordinated to any operation which the State of California or
City of La Quinta may conduct in 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 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out so they may be readily and correctly
he replaced by a licensed.civil engineer or survevnr at the expense of the oermittee. A r-mmnipte cot n.f r^.twz chn,Aii ^ *".
_.... _..,..�._ ........., _..y���;, ci N.— ,u a is i cmuvai of any monuments. i-nisoincesnail
be notified upon completion of replacement of all survey monuments for proper project clearance.
131,6 SURVEY, MONUMENTS: Prial excavation or beginning"of construction, all *ymonu`ments shall be tied out by City "
of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved.
17 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.
R18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to 1
pavement straight edge shall be corrected.
R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 linealfeetof opentrench before backf ill operations must
. • ',t
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. '
R20 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 (spongy or
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 not greaterthan
three feet 0) and vibrated using vibrotamper or equivalent equipment. Alternate methods may be 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 off ive-f dot (51 lifts where trenches are of excessive depths: Care is to be exercised that the • " ,
` 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 is the 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. '
yR23 , 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.
R24 • COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
„ One (1) copy of each testshall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
' Compaction tests shall be made asoutlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State
.° of California, dated January 1973. ti }
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
t, 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
r•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
t be accomplished by a licensed contractor engaged in the business of pavement repair.
• R30 STREET RESTRIPING: Where street striping is still visible oA 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 sectionswhich 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 in the following paragraph. Where it
becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at any one 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 any one time.
` Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times.
a 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
uy this permit. `
' d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREE_ S 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.
Lt OF.
�y 78-105. CALLE . ESTADO LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 �.
4� FAX (619)564-.5617
ADDITION CONDITIONS '
ENCROACHMENT PERMIT NO. 501
R33 Contractor -shall -.comply with.the local.noise ordinance
with -regard to construction operations and.maintenance of
equipment .,within one mile of, human ..occupancy shall be.
performed 'only during the time periodsr'as follows
;October 1 to April'30: Monday-Friday•7:00a.m.-5:30p:m.
Saturday .8:00a.m.,5:.00p.m.
May.1'to September 30 Monday -Friday 6:00a.m.-7:00p.m.
' Saturday •8:00a.m.-5:00p.m:
Work shall be prohibited`: -anytime on".Sunday and Federal
holidays..
R34 The Permitted --shall provide' and maintain traffic control
in:accordance'the CalTrans,Traffic Manual. Field'
adjustments in detouring shall be accomplished as directed
in order to.adjust to°actual field conditions. It shall
be`the Permittee's responsibility to adequately barricade
and detour the construction.,site.
R35 Peimittee.shall be•.responsible.for dust control.
Construction water source shall be -,subject to the approval
of C.V.W.D.-and the City Engineer.
R36 Permittee shall -assume -responsibility for repair of
existing.pavement that may breakdown at.the access point.
to Jefferson Street, as well as..any damage to other City
4
streets .that maybe caused. by the Permittee.
''` R37 Permitted -shall furnish, -install., and maintain' a stop
sign, painted -stop bar and message on the access road to
stop traffic prior to entering -Jefferson Street.
r R38 Permittee shall paint,an 8-inch wide delineator strip
'between the through -traffic lane and the decelerator lane.
as.directed'.by.the City Engineer.
R39 Grade control -for the,construction shall be set by a -
registered' civil engineer'employed by the'Permittee and
shall be."cerified•,by the same.engineer following
construction.
• � s
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
January 11, 1990 Subdivision Improvement Permit —Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract 24890 Boundary and Jefferson Street Approximately 1360
South of Avenue 50
(Street address or Description of Location),
PURPOSE OF COttyy TRUCT1ON Temporary Entrance to Sketch (attach construction plans if appropriate)
Temporary G)0 Clubhouse Parking Lot
DESCRIPTION OF CONSTRUCTION Entry Paying Acceleration
and. Deceleration Lanes
DIMENSION OF INSTALLATION OR REMOVAL 2600 Square Feet
SIZE OF EXCAVATION, IF NEEDED one
APPROXIMATE TIME WHEN WORK WILL BEGIN AS Soon as
Possible
APPROXIMATE TIME OF COMPLETION One Wee
ESTIMATED CONSTRUCTION COST $ 1, 326 '
(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
LANDMARK LAND COMPANY OF CALIFORNIA; INC., Box 1000, La Quinta, CA 92253 (619) 654-8170
Name of Applicant (please print) Business Address Telephone No.
CoVal Construction Co:, Box 1767, Indio, CA 92202 (619) 715-8200
Name of Contractor and Job Foreman Business Address Telephone No.
449981 688
Contractor's License No. ,-` City Business License No.
Home Indemnity, March McLennan, San Bernardino, CA GLR908616.5
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
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
-DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
r
NOTE:
With properwafidlition
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
January 11 1990 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION `Tract 24890 Boundary and Jefferson Street Approximately 1360
South of Avenue 50
(Street address or Description of Location)
PURPOSE OF �ONSTgL1CTfON Temporary Entrance to
Temporary o Clubhouse FarKing Lot
DESCRIPTION OF CONSTRUCTION Entry Paying Acceleration
and Deceleration Lanes
DIMENSION OF INSTALLATION OR REMOVAL 2600 Square eet
SIZE OF EXCAVATION, IF NEEDED one
APPROXIMATE TIME WHEN WORK WILL BEGIN s Soon as
Possible
APPROXIMATE TIME OF COMPLETION ne ee
ESTIMATED CONSTRUCTION COST $ ' 1.326
(Including removal of all obstruction, materials, and debris, backtilling, Com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)=
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, -defend and save the City, its authorizedagents, 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 Quince and to pay for any additional replacement necassarv- as the remit of this work.
Signature of Applicant or Agent
LANDMARK LAND COMPANY OF CALIFORNIA; INC., Box 1000, La Quinta, CA 92253 (619) 654-8170
Name of Applicant (please print) Business Address Telephone No.
CoVal Construction Co., Box 1767, Indio, CA 92202 (619) 775-8200'
Name of Contractor and Job Foreman Business Address Telephone No.
449981 688 .
Contractor's License No. City Business License No.
Home Indemnity, March McLennan, San Bernardino, CA GLR9086165
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 PERMIT girl
NO Sol
•
PERMIT VALIDATION
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246