0055NOTE: -
With proper validation
this form constitutes an
encroachment permit
01 �
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
I and other like public works improvements in.connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
a
Subdivision Improvement Permit — Class III
DATE: hTncromhar Fi Minor Im rove1 QRd pEove ..
ment Permit Class IV .
LOCATION OF CONSTRUCTION Ww3hington and Eiserihawex
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Under=Und power, telephone Sketch (attach construction plans if appropriate)
="A r V T NY
DESCRIPTION OF CONSTRUCTION Install CtUC't:S s:or rUtUr_e
cable.
DIMENSION OF INSTALLATION OR REMOVAL 50 feet approx.
SIZE OF EXCAVATION, IF NEEDED 12' wide 54"deep
APPROXIMATE TIME WHEN WORK WILL BEGIN 11-8-84
APPROXIMATE TIME OF COMPLETION 11-15-84
ESTIMATED CONSTRUCTION COST $ n/a
(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 regulation of the City of
La Quinta and to pay for any additional replacement necessary as the esult of this work.
` Signature of Applicant or
Johnson Construction Co. P.O. Box.480 La Quinta
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.
458-367
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 RkKKK No Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by
Recorded by
Date
N i5 .
PERMIT VALIDATION
PERMIT NO
DATE APPROVED N- n1 mnbPr 6. 1984
EXPIRATION DATEdNj@y 6, 1985
DATE ISSUED
Administrative Authority
TELEPHONE: (619) 564-2246
2950 Airway Avenue, Suite D
Costa Mesa, California 92626
714 / 979-3376
M. D. JANES COMPANY INC.
May 11,,1986
ED
Bob Weddle, City Engineer JUN 13 1986
City of La Quinta . COMMUNITY DEVELOPMENT DEPT
Building Department
78-105 Calle Estado
La Quinta, CA 92253
Re: Reflections Project TR/18915
Dear Mr. Weddle:
Please extend Encroachment Permit #054 which expired in April 1984 on the
above referenced project. Should you have any questions, please contact
me.
Sincerely,
Susan Guth
Operations