511NOTE:
With proper validation
this form constitutes an
:'CITY OF LA .QUINTA
r encroachment permit h? • .. r }
APPLICATION FOR, PERMIT
4 � , PUBLIC' WORKS CONSTRUCTION (ENCROACHMENT) " w
' For the constitaction 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' '
F. r Subdivision Improvement Permit'— Class III
DATE�'1/19/90 : t`' Minor Improvement Permit Class Io_ {' '
ti L'OCATION.OF CONSTRUCTION Within, the' Dayen & earth sections of various_ La' -Quinta streets 'Within.,
the boundaries of General. TeleDhone Companv of Cf.00perations.
(Street address or Description of Location)
i Blanket Permit ' .• ' 't "P ppropriate)
PURPOSE OF CONSTRUCTION Sketch'(attach construction lans if a
1.THIS AUTHORIZATION, DOES NOT INCLUDE
DESCRIPTION OF CONSTRUCTION Ma ntenancea repair of°..: ,EXCAVATIONS.OF FAS'ROADSr4.(MAJWi4ADS) "
4, existing.underground equipment & Insta at on. r... "
{ y . �• . _ s . ' 2:PERMITEE SHALL NOTIFY CITY HALL-' A''
DIMENSIONOFINSTALLATION'OR REMOVAL Not, more han SU••, MINIMUM,OFHOURS`PRIOR `TO THE%START
,.linear•( feet excavated under bl anketr perm t: - OF CONSTRUCTION:
3.SEPERATE .PERMITS 'AIiC_REQUIRED FOR' FAS
'a'SIZE OF EXCAVATION, IF.NEEDED 4 .X 4 be! 0 e and.ROADS:,"i +`'
-installation.
APPROXIMATE TIME WHEN WORK'.WILL BEGIN il•1' Notify City, '• r . ' 'k ,'4.
24" Hours In Advance Of Any Work.
APPROXIMATE TIME OF COMPLETION'December 990it
' ,• �. -'r; t ..�f t j
ESTIMATED CONSTRUCTION COST $
` (Including removal of :all obstruction; materials, and debris,' backfilling, com ..
•paction andplacing permanent Jesurfacing and/or. replacing improvements)' '
n consideration"of the granting of this permit, the applicant' hereby agreesto:' A' $ 'k •' . >'
III" Indemnify, defend and save,the City„its authorized agents, officers representatives and employees, harmless .from and against any and all i
,penalties; liabilities or}loss resulting from'claims or court action• and *arising out'of any accident, loss o; damage .to persons or, property
happening or occurring!as a proximate.,�esult of any 'work undertake 4�under the permit granted pursuant to this application: + 1 p
f .. 'S. s
s ! Notify the Administrative Authority'at'least twenty-four (24)'hours.in',advance of the time when work %Wl.be�staried. ,
f
Ir. Comply with all applicable City Ordinances, the, terms ancd conditions of the permit and all applicable rules and regulations of the City of .,'' • 9
z r La Quintar and to pay for any additional replacement necessary as the result of this work. y
Network Engineering Superv`isor'Facilities,'
Lee' Stauber
r 'k Signature of Applicant or Agent
` GTE+'Of `CA. '' ' '83-793 •Dr. Carreon Blvd:` Indio Ca:`92201 (619)•
'i..� Name of Applicant (please print) err Business Address "Telephone No.
Name of Contractor and Job'Foreman t Business Address Telephone No. .
Contractor's License No...;. r - _ City Business License No.' ' =' ' r ' ,t
Applicant's Insurance Company , r•', ' Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
t, Private' 3% of estimated construction costs •4 ," . ;
{ Minor Improvement Permit'- Class IrV: See attached schedul1.e
Inspection Fee $ ` PERMIT VALIDATION
r Permit'Fee N/A a'., 511, +
PERMIT.NO.
Penalty �r , ,M 1/19/90 rr
r DATE APPROVED
#Cash Deposit -Surety Bond ,
if'required EXPIRATION.DATE 12/31/90' '
TOTAL: 'DATE ISSUED 1/19/90
Receipt No. - ,.•p 640(1 r r
Received by "Date ; it o + Administrative Authority
N
Recorded by I'TELEPHONE: (619) 564-2246,
f
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 Permit Class IV
LOCATION OF CONSTRUCTION '"3ithin the Doi"9cm earth sections or, various La Quints. itr etc- with!n
tho boundaries of C,eneral Telephone Company of Moorler Lions.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
t�,',vntenance 6 reP air or 1. HIS AJTMORIZATION OWS NOT INCLUDE
DESCRIPTION OF CONSTRUCTION EXCAVATIONS OC FAS ROADS (!MAJOR RO APS)
exis ibLp underaroond agiiiipvywt L installation.
2.PER IITEE SHALL 10TIEY CITY HAIL A
DIMENSION OF INSTALLATION OR R OVAL'',Qot more tnan 8u MINIVU'l OF 24 HOURS PRIOR TO THE START
'iinenr feet excavatid ender blanket permit. Or CO",1STRUCTION.
3.SEPERATE PERMITS ARE REQUIRED FOR rAS
SIZE OF EXCAVATION, IF NEEDED 4 X_ P On.. r 1 D e andRbP,,AS. `
instillation.
APPROXIMATE TIME WHEN WORK WILL BEGIN Ji I 1 Notify C; ty
24 Hours In Advance Of �ny Mork.
APPROXIMATE TIME OF COMPLETION uece,,,,T�r 199U
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.
Network Engineering Supervisor Facilities
Lee Stauber
Signature of Applicant or Agent'—�_
GTE Of CA. 83-793 Dr. Carreon Blvd. Indio Ca. 92201 (619)� :v
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
N/A
Inspection Fee $
Permit Fee N/A
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ -0`
Received by Date
PERMIT NO
PERMIT VALIDATION
511
DATE APPROVED 1/19/90
EXPIRATION DATE 12%7,1/90 _
DATE ISSUED
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
i
1 y/
The following General and Special Provisions are attached to and made a part. of Permit No. �JJ
K
GENERAL PROVISIONS
The following shall always apply:
ENCROACHMENT ON PRIVATE -PROPERTY: This permit authorizes work to be accomplished within City of La Quinta rightof way
ONLY. Whenever construction extends within private property, it shall, be the responsibility of the permittee (orhis'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 cleaRof earth and other objectionable materials immediately afterbackfill 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 isfelt bythe permitteethat he mustclose a streetfor
any length of time, permittee shall contact this office to obtain the necessary permission.
r 1 �
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 not less than $
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 . r
R3 TILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of 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. I
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" valueof not less than and in conformancewith Cityof 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. It ,
J
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
R11 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.
R12 SIGHT CLEARANCE: Sight clearance of 600 feet in either directionshall 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.
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
City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
Dcenterline
SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the of all streets or property lines when involved shall be completely tied out so they may be readily and correctly
be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notesshowing 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.
31
R16 `SURVEY MONUMENTS: Prio0excavation or beginning of construction; `all s•y monuments 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. -
.R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straightedge 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
pavement straight edge shall be corrected. ,
R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000lineal feet of 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. F -
R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimentalto its usefor 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 trarisit-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 orca maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the
backfil.l 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.
R23 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 test shall be forwardedto 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.
R25 'TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch'
consisting of 2 inche'sof SC-800 shall be placed on a prepared subgrade. The SC-800 temporary paving shall be placed
after a maximum of 3,000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall
xthe placement of the temporary pavement exceed a five (5) day limit.'
R2 ,' 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 ss -base shall be.placed no later than days after completion of
temporary road repair. SCe (1L�Ci 1 T (Ov)A L Co^d j Tic V-% jZ 40 i
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. v
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 repairto
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 safelywithout 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 in thefollowing 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,-Divisioh 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 500 feet 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. Ali tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public WorksInspector.
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.
14
_ x
78.105 •CALLE ESTADO r f
LA QUINTA
_ - CALIFORNIA `92253 '- (6191'"564-2246
f LADDITIONAL `"LCONDITIONS
. ENCROACHMENT PERMIT, -NO �;:
R33 Su
e
rvey monuments sh V ' L
all.b protected in place'or` _ x
re-established `pursuant to City^,standards andthe State of
California Land Surveyor's •Act -
Contractor shall 'comply with the local noise ordinance and
constructiont.operations andmaintenance.of equipment within„
n'occupanc
z one half mile of humay shall be performed only y during the 1time periods as`' follows:
e° October ` . ; . - ; • ,'_,<,. ' • ;� `'gin . - ,
1st to, ..Apri1 30 - Monday
-Friday 7.O0a.m.-5 3OP; m.
Saturday 8:00a.m.-5.00p:m.
May' lst_to- Sept. -30th:
y Monday- Friday .6:00a.m.-7:00 m.'.
. Saturday 8 ,
4 .00a.m.-S.00pm. ..
Work shall be prohibited anytime on Sunda Y_ and,.Federal
Federal
at R35 Traffic control � •.: 'r a • ^ ;
shall ,be as per, -Cal Trans Traffic Manual `F Field adjustments indetouring shall be accomplished as
directed,in'-order to ,fadjust- to '•actual field conditions.., It
..shall be°the contractor's;-responsibility'to'adequately Y
barricade' and•`detour t
=.- his site.
R36 All excavation at or.,near-the travel wa
at,the 'end `of the =work t ,shall be backfilled
day; for ,the, protection of the "
traveling. public.'
r R37 This permit is 'only tfor, -work within
J. way. public street rights -of-
Ingress and egress for local `properties,- hill' be maintained`
' • ,, at all times :' _ r
R39' •.' Prior to -wort , . ^� • ``� 1 . k starting, Under round Se Alert
contacted;' at 1=800-422-4133 9 �� rvice shall be
and an inquiry number".shall be
provided 'to` the , City: Public Wo _
rks' Inspector "
' R40 Replacement pavement` shall be. '
existing asphalt .thickness
.. plus- one` .inch,, � :but_ not less . than ;,3' inches of AC pavement shall be -Placed. Class 2 aggre' ate"'ba g s
„ z shall
existin be .as per.
g.or 4 minimum (whichever,is,,greater)
MAILING ADDRESS ',P..6. BOX '1504 ` ;•. " T..
,- LA' QUINTA, CALIFORNIA 92253'
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: 1/19/90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Within the paven & earth sections of various'La.Quinta streets within
the boundaries of General Telephone Company of CA. operations.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Blanket Pemml t Sketch (attach construction plans if appropriate)
- 1 THIS AUTHOR ZATION S NO DE
DESCRIPTION OF CONSTRUCTION maintenance .& repair Ot
existing underground equipment & insta anon.
DIMENSION OF INSTALLATION OR REMOVAL of more than 80
linear feet excavated under blanket permit.
I DOE T INCLU
EXCAVATIONS OF FAS ROADS (MAJOR ROADS)
2.PERMITEE SHALL NOTIFY CITY HALL A
MINIMUM OF 24 HOURS PRIOR TO THE START
OF CONSTRUCTION.
4 X 4 be oe an 3.SEPERATE PERMITS ARE REQUIRED FOR FAS
SIZE OF EXCAVATION, IF NEEDED ROADS.
APPROXIMATE TIME WHEN WORK WILL BEGIN Will Notify City
24 Hours In Advance Of.Any Work.
APPROXIMATE TIME OF COMPLETION December 990
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 •graniing 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.
Network Engineering Supervisor Facilities
Lee Stauber
Signature of Applicant or Agent 3ya-0,'P3
GTE Of CA. 83-793 Dr. Carreon Blvd. Indio Ca. 92201 (619)4-
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
• N/A �� 511 - .
Inspection Fee k; $ PERMIT VALIDATION
Permit Fee N/A PERMIT NO:. 511
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ '0—
Receipt No.
Received by Date '
Recorded by
DATE APPROVED 1/19/90
EXPIRATION DATE 12/31/90
DATE ISSU D 1 119 90 `
By "
Administrative Authority
TELEPHONE: (619) 564-2246