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512`—�,�.-•7-^--¢-�--•._!—�.�'_i--"�:N^�'�.'`��• � s•�--,,:,••--..�_...�,;,._�y.=.� - .._. - - .�.A�� .. �-• lv �� � =•.ram .- 10 ..L " . • . _ _ NOTE: � With �roper validation this form constitutes an CITY OF LA QUINTA µo encroachment permit APPLICATION' FOR .'PERMIT - PUBLIC, WORKS, CONSTRUCTION '(ENCROACHMENT) -�� ' For the construction of public or private .curbs, driveways, pavements, sidewalks,7p5rking lots, sewers, water mains. and other like public work s•improvements in connection with MINOR IMPROVEMENTS and.APPROVED SUBDIVISIONS ` Subdivision Improvement Permit ! Class •III DATE: 1119190 Minor Improvement Permit Class IV, ' • LOCATION OF CONSTRUCTION•y54625 Vallejo., and 54645 Val10 (Street address or Description of Location) ' Driveway approach 31 .. PURPOSE OF CONSTRUCTION Sketch (attach construction plans �ifappropriate) ' { 7 Concrete work 1.SEE ATTACHED SKETCH' DESCRIPTION OF CONSTRUCTION @.SEE. ATTACHED FOR GENERAL, AND SPECIAL r Y PROVISIONS. ` DIMENSION OFIINSTALLATION OR REMOVAL instalt approaches3.DRIVE4JAY SNALL BE CONSTRUCTED ACCORDING :16 OF TO COUNTY'STANDARD #,@07.(SEE ATTACHED). 16 SIZE OF EXCAVATION, IF NEEDED Y �` APPROXIMATE TIME WHEN WORK WILL BEGIN 1JL.i�yU • .. Y APPROXIMATE TIME OF COMPLETION `'l `/ °' ` ESTIMATED CONSTRUCTION COST $ 3UUXU per -approach (Including1removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) ' >y' In consideration of'the granting of this permit, the applicant hereby agrees to: t Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all t penalties, liabilities or loss resulting ,from claims or court action and arising out of any accident', loss or damage to persons or. property .w 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. i Comply with all applicable City -Ordinances,' the terms and conditions of 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. f /l M . •r Signature of Applicant or Agent �y Andy Ysiano • ' La (2uin, a�' 345-4427 Name of Applicant (please print) ' Business Address Telephone No. -Jack-Clark `.'P.O.-Box 1371, La Quinta Ca. - 564-351.1 F ;. Name of Contractor and Job Foreman" . Business Address Telephone No. .506667" Contractor's License No. .. t City,Business License No. • ' b��%� C145 Applicant's -Insurance Company Policy Number FEES: Subdivision Improvement.Permit —Class III a '. y Public -improvements: 3%of estimated construction costs �pyg �{ �1% " ((}}3.-; 3 ' O ., r, •.iO Private improvements: 3% of estimated construction costs �O Minor Improvement Permit"= Class IV: See attached schedule' ` Inspection Fee . $ PERMIT VALIDATION { Permit Fee '" ' ' . . '30.00 . PERMIT NO. 512 Penalty/ r 1 19 90 Cash Deposit -Surety Bond DATE APPROVED`- - y _ if required EXPIRATION DATE L19/90 TOTAL: `$ •.30.00 _ - DATE -ISSUED jl/19/90 ' Receipt No. - 2 - t. ,. 4 ,• By Received by Date �' Administrative_Authority Recorded by TELEPHONE: (619) 564-2246 t" .. �Whru.i���r:r�>�:.:'_ .d'+.ri` ica.:"'a`a�:.T":.r.-.cw— �-�:....�.► ...�. ..� •..� ."_s�':n� ..�..� ri.aw. .� �— ..—►+w. —..�.-07-�"—_��:.., .—�: �: '.T�' ? r NOTE: With 0-�6per 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:1/19/90 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 54625 Val l.e.io and 54645 Val le10 (Street address or Description of Location) 31 PURPOSE OF CONSTRUCTION Driveway approach Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION concrete Mork 1.$EE ATTACHED SKETCH @.SEE ATTACHED FOR GENERAL AND SPECIAL PROVISIONS. install approaches3.DRIVEWAY SHALL BE CONSTRUCTED ACCORDING DIMENSION OF1INSTALLATION OR REMOVAL TO COUNTY STANDARD # @07. (SEE ATTACHED) . SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 172,1790 APPROXIMATE TIME OF COMPLETION 1�L4 ESTIMATED CONSTRUCTION COST $ �00.00 per approach (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>resultt of this work. Andy Ysiano Signature of Applicant or Agent La Quintarr 345-4427 Name of Applicant (please print) Business Address Telephone No. Jack Clark P.O. Box 1371 La Quinta Ca. 564-3511 Name of Contractor and Job Foreman 506667 Contractor's License No. Business Address Telephone 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 30.00 $ 30.00 Date ,'T 512 PERMIT VALIDATION PERMIT NO. 512 DATE APPROVED 1/19/90 EXPIRATION DATE2/19/90 DATE ISSUED 1/19/90 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 The following General and Special Provisions are attached to and made a part. of, Permit No. ' 4 M " GENERAL PROVISIONS T. following shall always apply: a ; 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 (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 fitteclwith smooth -faced streetpads. All mechanical outriggers shall befittedwith 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. • 4 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.'Allpaved surfaces shall bebroomedclean ofearth andotherobjectionable materials immediatelyafterbackfilland 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.. z . 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 emergent_ y vehicles. In the event it is felt by the permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission. F SPECIAL' PROVISIONS ' t;1 The follwing shall apply ONLY when indicated: r r 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 amount of 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 . ~ , R3 UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way authorized r by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. .j _ .Damage to existing substructures resulting from operations cond_ ucted under this permit shall be the sole responsibility of the permittee. R4 UTILITY CLEARANCE: (Surface structure's) 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 lmprovementStandards and Specifications, Ordinance #461. T 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 ofplanandpFofileand/or grades as established by a licensed engineer. 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 ' c ncr a driveway approach shall be constructed in nformance with City of La Quinta Sta dard #207. �L o SkAl l b� C?-%STR�C.Teci 'To [ounT� STi4r%c`ARd - It- 3.O"7 CSee 4TTw�-h,) R10"-DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter exists 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- 4 aggregate base. Driveway construction shall conform to attached drawing. ' R 11 CULVERTS: A inch diameter ( )culvert shall be installedwith 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 R1 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 complywith the manufacturer's specifications. 14 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. �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 readilyand correctly t 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 priorto the removal of any monuments. Thisoffice shall ' be notified upon completion of replacement of all survey monuments for proper project clearance. R16 St 'MONUMENTS: Prior to excavation or beginning of consi n, all survey monuments shall be tied out by City of __ _iinta and suitable payment or guarantee of payment sh— o 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. 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 tot,000lineal feet ofopen trench 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. R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or otherorganic 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 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. R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervalsof 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 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. 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 nocase 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 completibn of backfill and compaction, a temporary patch consisting oftwo 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 issuanceof 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 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 safelywithout 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 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. I. 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. V1-1 1 LI-IIwo 11 -PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 3f, public or private curbs, driveways, pavements, sidewalks, parking lots, -sewers; water mains )rks improvements in connection withr MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III Minor Improvement Permit ClawlV -ION � j > �G VA L L - �.... Lcl `� `� � `( L, l! i�C C ( ocation) } ,.r � i ' I ii C. 1�11 LZ % 1 C t~,. -Yi ' LL(L j I AN _ �T� Sketch (attach construction plans if appropriate► )CTION t^ r: roc' ►^l�`J C UAL -ION OR REMOVAL {G IEEDED WORK WILL BEGIN MPLETION V COST $ %c c"L ; --*s k�; C L q ,', L-- 6c Ld uction, materials, and debris, backfilling, com- ' t resurfacing and/or replacing improvements) ig, of this permit, the applicant hereby agrees to: - the City, its authorized agents, officers, representatives and employees, harmless from and against any and all resulting from claims or court action and arising out of any accident.- losi.or damage to persons or property proximate result of any work undertaken under the permit granted pursuant to this application. uthority at least twenty-four (24) .hours in advance of the 'time when work will be started. y :ity Ordinances,'the terms and conditions of the permit and all applicable rules and regulations of the City of ,y additional replacement necessary as the result of this work. • PROPERTY LINE -� �� "y . - ',� 6", YIN ' F• it C e I I b Z Lax .x..—.6 Z, CMrrERC/AL ?O' rw. I o r1 t • YIN , �� �/ AT - CIOMMERC/AL- SIDEWA L K PROPERTY /N Z. aW I %e d ° i - '� Q Q lb • x' RES/DE,v4/AL II'r/N 30' A/Air. x"�. COMrfRCrAL '1o'r/N. 10 rAX. YIN. 7J WHEN, NO SIDEWALK" t�;�SIDEWALK ' EXISTS OR .IS REDO/RED J. WMERE ABOvE L/Ir/f/NG SLOPES CAN NOf ` BE •rEf BECAUSE Of MEiGMf OF CURB vEpws5 ALL CONSTRUCTION SMALL BE CLASS' "B.� • StOEMILtt 1MvfiL SAID SLOPES ARE OBrArNCO CONCRFTF LO7Y UNDINIL, SLOPE OF WARPED AREA 1. ?0 OF -Futc .ME/6Mr CURB. PF0(/1RFD k - ADJACENT f0.ORrvEWAr SMALL NOf vAR_Y BETw'fEM, AFeviwAVS wtrM/M ANY YORE fMAN 6% FAQY fMf LOYW7UDnwt c.#ADE ONf. vROPFRfY F#o#rAGE. LINE -OF THE rOEMALx. rzBcE aF Y'aME SCHEMATIC vSlONS AEr6Mrofctm ONCE RE$�IVT�AL Cowrwcrlt. B" !' C' 1- 9" 0 ; COYAIy. Yi ;Ziver114f , CONCRETE DRIVEWAY APPROACH 0 ; COYAIy. Yi ;Ziver114f , CONCRETE DRIVEWAY APPROACH U NOTE: �- With propbr validation this for;; constitutes an encroachment permit CITY OF LA;•QUINTA . APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION I (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 — q0 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION. ` VA Li_( --JD ci-nAL 5q b 145 V LLE j (Street address or Description of Location) I ' PURPOSE OF CONSTRUCTION �r 1 Ve U1aL4 ' Or,�l�i 4zc q_ Sketch (attach construction plans if appro riate) DESCRIPTION OF CONSTRUCTION Coyle lei 6L4 DIMENSION OF,INSTALLATION OR REMOVAL Int5+00 A l�f'rt��L � s�/•C�G�! SIZE OF EXCAVATION, IF NEEDED ' ~ APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION "may —.q17 ESTIMATED CONSTRUCTION COST $ 120, ©D P—Eir . 41. I Y JLY�e! .(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 our 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 fii 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. / 64 Signature of Applicant or Agent i AA) D LA Q "lr4TA yya] Name of Applicant (please print)- Business Address Telephone No. ��ICIL Cl_fa21L " �I�..O. '�i?X 13� I. LAl.(1niTi4bL� 3511 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 NO Minor Improvement Permit — Class IV: See attached schedule j� Inspection Fee $' M PERMIT VALIDATION Permit.Fee PERMIT NO. Penalty Cash Deposit -Surety Bond if required $ �310.00 TOTAL Receipt No. Received by ' Date Recorded by DATE APPROVED EXPIRATION DATE C q /I — DATE ISSUED 1 9 19 0 1 By .Administrative Authority TELEPHONE, (619) 564-2246 ` . • t t HOME OFFICE •'SAN FRANGISGt1". '° r ANNlJAI.eRATING EN O wj}l+td, 4 RSEIYIE �r +' "CQMF► Y AT N; x � tr, •,��tJ td.". t '+ fi4 '�?;�� c e IT IS AGR THAT THE CLASSIFICATIONS AND RATEMRREMU11IEi A1�Olii hPiNIAIg1IVt3 r a IN THE CONTINUOUS, POLICY 5$UED TO 'Tilts EMPLOYER ARi "AMENq D'A8`'SH WAG {,O�y'ti r.. Na .. ' ° .:` .ter,• •' ' �. •t.j,J tl ft,t '•., tit : �'?�, * ,., Ml+i if Y:ritt#'t,,� �ll`f Y:'NIrRETARE•YOUp NEW RATfiS, FOR'"" PERIOD INDI'tATED. IF YOUR-.NAMHFOR ApDREliB St lI;D` f`+h,; ' 4 BE CORRECTED OR 'IF 1NSURANCf IS' NOT, NEEDED FOR NEXT YEAR; PLSASIE TE},1." !1S tw + ° : Y 1. ;' *J'• IMPORT ', t t t, a .CONTWUOUS;P011CY - ANT ;.- THIS IS "NOT' A BILL "' ` �9 ! , j i 'h s • SEND. NO' MONEY IlLESS STATEMENT IS ENCLOSf4 k + to - �•, ii 4•r� THE RATING ;PERIOD 'BEGINS AND 'ENDS AT' 12 ° 01A#1 �r<1.l .'i PACIFsc STAIi�WO 4TIME' ,�r 4'!: �,RATINGr PERIODeT4,' "� "4i-�9 � ^,i � . �GAEEN-THUMB: GARDENING, INC. DEPOSIT •FI#EMIiJM rf, %.U`535►{?1t1i0 P;4, BOX 582', M I N I MUK PREMIUM t {' � r; 356 00 }� ' C INDIO,'CALIF 92202 H PREMI JUSTME '` UK, AD N' PER ODD ' . tAM1V�1ALUT ; itr .t KsMr l--t�, q1; t,.r4•t• i R $, 4 i 'Jr t * C•' T•�R r. '1 of r p:-7 f•, r) : , T,Y `A , NAME OF EMPLOYER— GREEN THUMB GARDENING INC, A CORPORATTION 'CODE ,NO. PRINCIPAL WOAi ,,. , , �,�'rt:. l '< `AND RATES"EFFECTIVE •.0 fl7 ,fll} 901 . A" al�' - *z r n iI Y 'i ! r . •,� ,iti, ja`a t: t„� � LANDSCAPE GARDEN I#G ALL OPi� ATIONS ' 9fa rr Y j, iti a +C , j a •`ti.,I k'Ni 1 � td"ias rl�, -I �{ '�. 1 `nt • ?n, �.., � ", •r , • r�`' .:k � 5�.r "• � �` ; s,� jt �, t'.'�� ,• A �. 1i a. ,'r -.`f i ,�: ,y, t� }iV�f� It )J s. ' a r - ° F je .�.^� �• ,,r• t . t r ' f ,� n r ,itt' a. i a .o tJ'4 > fjt r {r° . �Yn i,v ui, t t:4, ,'' i , • s {r. _ ', , . I�rrr'j, iT'�Si'• t?yi(l r r ii i ;,I' i' �i tl' of i, ., r! ? .4.. ' d ` �• ad , t k�t a,;;,.r rytu^1�a ' '� J+ i • lj7 ! tir >'�t fj %1, . , y, f „ - �, � � ...! ' • + Y j � ��' �•; •r f3 a� r_-,A,"yt» �j Ti +j�,�x,�y t�l `' ,.. - ! r .�•, if D .. ., j . El, rr �! f ;t t i, ',^ t r •rf , ... ul�+�f•M , rZ. ..f1�' - "i,, Vr` r'''. 7_{ ,,''f'}�,y�• #+� 'tCjf :'.�i, �j•t, ;! + ,err �,:� t' •i.f •,f f t _ t e , 3'>t;f. A ,, r.. �J'�i #', •s 1 ��:gc���illf, ' T ti `fr'�:lf , ,:ti �r±t "r;. . ts,l {' ��E jr�t �G:'f �'e tft:r�w ;i`ti,�� 1 C � .v r e b.� f �•, f t �� r � ( F• ; ti 4r, r !�'� �'`w�•�j� j,. iy � ' "j' ! � ���ta S•y }j,t •• lr ,. � �,f�.n f' F '. - 'r +'r'i. T• � � - � >� w C •f � J^l q u a 7 .,jgti r �j. .Z(t)t r, a�: �'•r t 3Jf. .r Fret •P}r d`•V. f�F'1 •��.,,,. �` � �J�IZYrt^�� rt,':� 't (Skis 4 �,`, ,� i ��G��,1{ i d'Y tt3 •r, ys G f jLljy'F a t' ,'@i ��: !'•' t. 1.. �- ,r r �... ; f �•�," _ 'e "!ti • r i "I^�f �i y ,•'i��'}7rp;•1�'�'y!-SEr yii�c7,, K,q., �` k yP; P r f t. at iph a, ,.tm f i , A ' . f - .! ; ' • ( r r. ,f. }!.it�p,k +� j�, lf`j1`, l • �y . ♦ t r f r a..,.. t't, ' f' •'t a'j',r tS rxSer,+�tM� �s° #Vpp•� ",��7i ,A- •} , A , i?:{.r r� � . t ' a T ' ; ' - .. . i - 4 ..,o !; -r ..s.. +•..! .r 2•'f.fl'k r ' iR � ,N'l.✓��4 �Y TNJ r1 t,.. � f 711 ' � � 1 � a , •. � Uh. y'ih l t + 4 t a (r '.`itf''( , : f i' , ,'46 'N�"• t' r!„ j �q 1 .'!t 1'Ir 't ,phi q. ' r Pr r9 f rI � ,;� r r t , A•, �f ,, s t , � i�r;v', I'h•,t+1 f+, "t;, ) , • v"3 !.+' r r f ' �;'�,. I r s: - �r:``•, � +�i} i � � 4'�i� �{`��'+'�.'`i�} + -•4 �? t r >, tit i� °. YI: t f r . .. , .+. �, i r, t f. a.'tA��1� "�•.,,t �r+r • j ti •'r � � r + r�;k �U ° r- , ,�, i'a�'rlir y'.. , , ,'� , id °F` `S•. .. f' .. ..r :l} �7'.`tr, J y�i, 4F1 -if> 4t��,..yr� t,�) i.�, �„c�tisX�•iip� =TOTAL ESTIMATED ANNUAL PREMi,UM. $350 , `r•'t° rF �`M�;jam ¢f �{.�� •.�.' r ,., �f � t.F-.s- r - ''f •t i € ��'h_ � z e� •f,tr S!d�D;t 1NT$R I Gi+r$,t f f +S A AMU: I SSi�SD AT 5AN FRA I 5C0 . • ' 'AP I L e o p * /A � � i7 d'�Sns)�f•¢GiP,tfORtf1, 102d2r:V 7^�r{i`!..>� ' � ,Y%•% .!'• � 1� tpVER Pl:IrASEi � m;•, �f,,srAr+ ` � .ritaf r„ 21l �r(tj�+� A 9-1' �,•[+ 4i , ' `t 'f ,r- ':x; / , ,'!,%;•I"ti; f }. '''t. r,_ ¢ Y + air .rt - lt. o'f r...r �i i+. �� r..>�i ; e �,j}`� 'Y n, .A'M � � �.+ .h:, �-.,�r r� ,r%fit !'-„f.�.t �`f Z�ii:i;t' r�,(yy ��j ,,td ��' �ky�r"�,�q',,, 1,,�� m�'Yii`'rf SXt�G���r�?�F ty�•! .,,` s tb"t Yx +r ,.,. 'eft' 1' .r1i,. ,-w aS.'5,!''f ' T 4 ". 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