0168 (2)NOTE: -7,. r.
o
Withy er validation
• 2.
t 4
+th•is form constitu
tes an
a.
CITY OF LA QUINTA
0
encroachment permit
,'APPLICATION„ FOR PERMIT _
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT),
c�
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 I I I
DATE:_ January 16. 1986 ` Minor Improvement Permit Class IV
LOCATION OFCONSTRUCTION 78-060'0a11e Estado
t (Street address or Description of Location). r
Curb,' gutters and sidewalk. 4 p appropriate).,
PURPOSE OF CONSTRUCTION Sketch (attach construction lans if a
DESCRIPTION OF CONSTRUCTION
Fez
CitY Standards,#,204
207 a a
,. DIMENSION OF INSTALLATION OR REMOVAL 401
SIZE OF EXCAVATION, IF NEEDED t.
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION A
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials; and debris, backfilling,.com ± s
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to: ,
Ihdemnify,-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.^ t
Comply with ail'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 wo/rkk.�-
fe
a y�
Signature of Appl.i:cant or Agent
Rick Johnson Construction P:O.'lox . .La Quinta, CA 92253 -,;.564-2228
Name of Applicant (please print) + '. Business'Address Telephone No.
Dateland Construction
Name of Contractor and Job Foreman * Business Address Telephone No.
Contra'ctor's License No.. City Business License No'
Applicant's Insurance Company a 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 o .
Inspection Fee �$ 10-.00,., PERMIT VALIDATION ".
Permit Fee 66.00` PERMIT 168 `
, - NO.
Penalty • w ''
Cash Deposit -Surety Bond I , DATE APPROVED
if required
'EXPIRATION DATE 2-16-86
t
t r TOTAL: $ 76.00
DATE ISSL 1-16-816 , z
• Receipt No.
Received by Date ' TAdministrative Authority
{
Recorded by e TELEPHONE: (619),564,2246
7.
.A3870 1`'16 : 00 A ,
L• i� ,.,
.s
■
■
■
■
,a
■
■
■
r
0
■
r
r
r
! ALL CONSr*UCT/ON SNAIL BE
CLASS S' CONCRETE.
• M/N/muM rmicxmESS SMALL OF '
6" FOR COMMERCIAL S/OfWALKSt
AND 1" FOR RESIDENTIAL
S/DEWAL KS.
t
A FVC MINIMUM WIDYN OF S/OEWALor
`
SMALL SE B' WMEN rRA1VSM/SS/ON
LINE POLES OR FIRE NrORAVrs
ARE INSULLEO BEHIND'CIJRB.
SEE STD. NO. 400
R/w
YAR.
- -
-
V4*P61t IT.
-
T' L
SEE MD7E :
SIDEWALK
R/w
•
SIDEWALK WIDTH Ad" MAX
`
at
1/4'FE0 FOOT ...
-
I SEE NOPE :
i
t
COMMERC/AL S/DEM'AL K
AvrE
AmvEBAm
&ASE OR APFROYED snEC>
MATERIAL M'NEN SOILS REPORT INO/CATEs
�' }
PRESENCE 01% ExmnlYE SOIL COND/tm.
County of Riverside
•
#R USE-EXYENs/ON Of ROADWAY BASE IF
REJU rme t'M/CIrNEss is -s"oR GREATER
CURB AND. SIDEWALK. BASE
r•
Requirements for Expansive, Soil
REV/S/ONs .
• F
8-11-11 At
STANDARD NO.. 401
0-10-77
LOZ '0N auvaNdlS
Ho doydd d
.( VAUA /YO 21 -78 NOO
•pjwsAiW ;o Aluno:)
.8 1 „O "r /
O 1 O t 9
7VA2&J W0 mixims4v immam
AO /IR9L#4
SNO/SN3MYK7.X X 3-FVJ
J/LrN3MJS
SNOISIAJY
4 M , M
z!
it
I I
Ilk I moo,
--
"1�'
A2dT,—I�d
3 7 VA130/S
7VIJAUX000 J
��•� NIA
=
•X►w
y...x
�►7r'M30 361 !O 36/7
'39rJNOY! AL#310#-4 -4NO
70x717 7rwa7jpjAG7 3M1 NVAU x9 NrNL JN&V
AYrA JOY 77VNf AIM3A/NO O1 LN37r/0r
AN/ N/N!/,w f/YMiA/&U N3JA1138
03#//103& 801.7 JN911N 77/7-4 -40 7
r3#r 03r1Y►.N !O 34007S 7rN/011/.'iW7
,Ot
63N/r[/O 3&P'S3407S O,rS 7/1MW7 x7r.M3O/f
SS,7Md30' /#1.7 -4O JN9/3W -4O 3f1r.739 JAW 3/
i!)Y7N�7
„/. SSr70 3/ 771!Nf NO/17/1YLfM7J ?7r 7
JON Nr.7 S3107S 9N/L/Nv7 3AO#r ?#3NM 'r
CM/flo." si NO slsixi
V 7 VA30/S
S 7 VA13VIS OAF N3MA1
�!
'106. xrw ,O►
, ♦ z -� :x..xrw ,oc
w,w of 7r/aY3wwo,2
'N/w 1r 7ri1N�v/S�Iv x
4 M , M
z!
it
I I
Ilk I moo,
--
"1�'
A2dT,—I�d
3 7 VA130/S
7VIJAUX000 J
��•� NIA
=
•X►w
y...x
•01 -AW,Ot 7x/0
s
1
s
a.o
~
' 1
'3N/7
'
ALYId
e/d
v