0028NOTE:
With proper plidation
this fgrrn 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
�: arch 7 3-924� Subdivision Improvement Permit — Class I I I
DATE:
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION E/C ishlncrLon Streit fzrom Avenida. Ult..lm0 to AVmida Nuestra
See 6 TAS R.7R Ass Bock 769, Page:; 6, 7, 13 and 1-4.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION C,=,* -h in Desert Club Tract
DESCRIPTION OF CONSTRUCTION Luxied telephone cable
crust la, st rantsa and tech 15' 00 ° - Sea attaches D,;q.
DIMENSION OF INSTALLATION OR REMOVAL t,A=lea
t,-Aerhone cable; 3350' a,=ial taepimme cable.
SIZE OF EXCAVATION, IF NEEDED Trer-ch, 32" dee» r„ 1' wide
APPROXIMATE TIME WHEN WORK WILL BEGIN 3-15-84
APPROXIMATE TIME OF COMPLETION 9-15-L"
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:
Sketch (attach construction plans if appropriate)
T
1.0. #;543-31282-I
AT,L FAS STRTMS MUST BE BORED UMM,
FOR CROSSINGS.
&Z Ai.' ' .Ot-D L- A!jTMG.. .
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.
/s/ C. Rtllz
Signature of Applicant or Agent
c ?v T. 11;.--?H,,J0,' CONPIVff, 83-7n Avenida 47, Didio, cn, 922ol 347-075
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
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:
$ 713,
16 nt5
$ :26,[ l6
Receipt No.�
Received by
Date o
PERMIT VALIDATION
PERMIT NO. 026
DATE APPROVED_March 7, 19841
EXPIRATION DATE Mirch 7, 1995
DATE ISSUED��
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
With ro rvalid t'
W 0 K 543'
,,
r6bruaiy 6',
P, P_ a lon
this form constitutes an
nq qt-!permij ,CITY OF. Lk%QUINTA
_APPLICAT-ION FOR PERMIT
-PUBLIC -.WORKS .",CONSTRUCTION IENCROACHMENT)
OF
It
For f the,,�.66 nstructi6n of .-public. or- -private- curbs; driveways, paverneints,.sidewalks, -parking lots,.. -sewers, water mains
like public vviorks'�improvemen
and othe�' is in connection)with'Ml NOR IMPROVEMENTS and APPR
OVED.SUBDI VISIONS
7
Subdivision- improvement Permit =.Clasis Ill
DAtE:-_' _'Fdbruary! 61-1984
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION E/0-Viashington St from Ave Ultimo to Ave Nuestra
Sec 6 T.6S,.-R..7E Ass Dook 769 pages 6,7 13.and 14
(Stieet address or.Description of.Location)
PURPOSE OF CONSTRUCTION _growth in -.:Desert C.lub. Tract,
Sketch (attach construction plans ifappropriate)
DESCRIPTION OF'CONSTRUCTION _hiiried t e 1 ephan t- - r a hl P du t A14 ,xWS
11 streets and7trench 1500' ;-! -see a'ttarhed.c1wcr fc)r
lora-
tions call Mr Ruiz at 619/347-87'76. he elve.-e-d
DIMENSIO111.1 OFN'S7,*.LLATION.OR REMOVAL install buried 'tele-
phone cable.; remove 3 35 . 0'...aerial telephone cable
-SIZE OF EXCAVATION, IF NEEDED-, trench., -.32" deep - x -1 t; wide
x 1500'
APPROXIMATE TIME WHEN WORK WILL BEGIN 3-15-84
APPROXIMATE TIME OF COMPLETION 9-15-84;
ESTIMATED CONSTRUCTION COST $
removal of all obitructjon,.-materials,:and debris, backfilling, com-
paction and,placing permanent . t resurfacing and . /oe're . pla61 ovem6nts
. ng .. impr see. -attached. drawing...
)
.10 consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives- and I 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.
-TELEPHONE CO. OF CA. -'-,83-'
Name of.Applicant. (please plint)
Signature of Applicant
Ave. 47, Indio, CA. 92201
Business Address
nt
619/347-877-S
Telephoine" No.
Name,6f Contractor.an'dJob Foreman
Business Address Teliphorie No;"
Contractor's License No.
City Business License No.
su
'Applicant's I n , rance,Company
'FEES: -Subdivision.l.mprovement Permit —Class Ill
Public improvements:'3% of estimated construction costs
Private improvements: 3' of estimated construction costs
Minor Improvement,Permil —Class IV: See attached schedule
lnspection,.Fee
Permit Fee
Penalty
Cash Depbsii-Sorety Bond
if rLquired
TOTAL:
Recc!ipt No.
by
Date
-3 bV
-Policy Number
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
,.k _X'I.RAT'01\1 DATE
DATE issuEb