9080 (2)ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
See below for Finance Revenue Codes
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.
=111101, y Subdivision Improvement Permit - Class III
Minor Improvement Permit - Class IV
DATE: 1/25/2010
LOCATION OF CONSTRUCTION: CIP 2006-06; Adams Bridge; Adams Street between Corporate Center Dr and Westward Ho Dr
PURPOSE OF CONSTRUCTION: Drilling for Adams Street Bridge over Whitewater River
DESCRIPTION OF CONSTRUCTION: Hollow Stem Auger Borings
DIMENSION OF INSTALLATION OR REMOVAL: 8 Inch Diameters Holes Up to 125 Feet Deep
APPROXIMATE TIME WHEN WORK WILL BEGIN: 2/1/2010 TIME OF COMPLETION: 4/1/2010
ESTIMATED CONSTRUCTION COST: $5;000 (Including removal of all obstruction; materials, and debris; backfilling; compaction and placing
permanent resurfacing and/or replacing improvements)
COMMENTS Obtain a Separate Permit from CVWD for Borings Wlthin. -the ; Channel.
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 occuring 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 at (760) 777-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760)'777-7097 prior to 1:30 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the.terms and conditions of the permit and all ap ble rules and regulations of the City
of La Quinta and to pay for any additional replacement necessary as the result of this work.
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Sigki natu f Applicant 6r ent
Patrick Wilson - Earth Mechanics Inc. 810 Los Vallecitos, Suite 206, San Marcos, CA 92069 760-736-8222
Name of Applicant Business Address Telephone No
2R Drilling, Inc.
Name of Contractor and Job Foreman
C57#709029
Contractor's License Number
3968 Chino, Chino, CA 91710
Business Address
909-465-1765
Telephone. No.
3180
City Business License No
Travelers Property Casualty Co 25674
Applicant's Insurance Company Policy Number
FEES Subdivision Improvement Permit - Class 1
Minor Improvement Permit - Class
Finance. Revenue Code
Inspection Fee E_1
$0.00
Permit Fee E_1
$0.00
As -Built Deposit E-A
$0.00
Cash Deposit -Surety Bond, E_B
$0.00
if required
TOTAL
$0.00
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMSER:.9080
DATE ISSUED: 1, Z7. 109
BY:
WORK INSPECTED BY*: !
PERMIT COMPLETION DA E.*:
If the work Is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of Improvements from.the City Council.
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