0257NOTE:��
With proper 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 .
Subdivision Improvement Permit — Class'l II XX
DATE: April 20, 1987Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Plaza Tampico: Plaza Tamuico (PP 85 3217) Proiect
N/E corner Calle'Tampico at Desert Club
(Street address or Description of Location)
Of const. -water. sewe� " r
PURPOSE OF CONSTRUCTION sketch (attach c_onstruction•plans if appropriate)
Construct strett improvements d.
DESCRIPTION OF CONSTRUCTION See Plans: See approved street plans. The
attached -saecial and general
Curb/aatter, sidewalk, AC/AB provisions are included and made
DIMENSION OF INSTALLATION OR REMOVAL a part of the permit.
ppsArtt Club = 550'
Calle Tamxii cn 1000' USA Inquire No. Z
SIZE OF EXCAVATION, IF NEEDED
Date: 7 -,?7
APPROXIMATE TIME WHEN WORK WILL BEGIN r`
APPROXIMATE TIME OF COMPLETION Dec. 1987
ESTIMATED CONSTRUCTION COST $ 143, 000.00
(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 tf�e—result of this work:
Signature of Applicant or Agent
LANDMARK LAND COMPANY', P..O. BOX 1000, LA QUINTA, CA. 92253 (6I9) 564-3044
Name of Applicant (please print) Business Address Telephone No.
NWS — RON.EVANS, 6946 VAN NUYS BLVD., VAN)ONUYS, CA. 91405 (619) 564-2838
Name of,Contractor and•Job Foreman Business Address Telephone No.
454561 133_,_.•_ • _
Contractor's License No. City Business b" sLNo -
i t iAL i. 4290.00
Applicant's Insurance Company Policy Number
FEES:
Subdivision Improvement Permit —Class Ill
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $10.00
Permit Fee 49290.00
Penalty
Cash Deposit -Surety Bond.
if required
TOTAL:
Receipt No.
$a'nn_nn
Received by Date
-Recorded by
2,571.
PERMIT VALIDATION
PERMIT NO. 2 S 7
DATE 'APPROVED Y1, o r,F7
EXPIRATION DATE /ZA3/ IZr
DATE ISSUED
✓ 7By�
Adminisative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
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 work's improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:—
LOCATION
ATE: LOCATION OF CONSTRUCTION
Subdivision Improvement Permit —Class I I I
'Minor Improvement Permit Class.IV
x1k 1 _cC>
V
(Street address or Description of Location)
DESCRIPTION OF CONSTRUCTION
1
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF•EXCAVATION, IF.NEEDED
APPROXIMATE TIME WHEN WORK WILL BENIN
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION
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:
Indemnify, defend and save the City, its authorized. agents, officers, representatives and employees, harmless from and againsi'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 Groperty
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 124) 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
Le Quints and to pay for any additional replacement necessary as the result of this work
• LOA // w In /
Name of Applicant (please_print)
t •<J l/\ l\ l — 1 N�V T l (A)
- Name_of Contractor, and Job Foreman
Contractor's License No.
., Signature of Appl ci t or Agent
Business Address )LJO Telephone No.
9 Lj ?o r 83
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 . $ �'� p/ ' `" PERMIT VALIDATION
Permit Fee j ! �'
PERMIT NO.
Penalty DATE APPROVED
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: $ 3d � � .
DATE ISSUED—
Receipt No. -
By. .
Received by Date. Administrative Authority
Recorded by TELEPHONE: (619) 5644 246
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
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
�/ Subdivision Improvement Permit — Class III_
DATE: e-rl_P " Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION P/a LJ- %-- As zo 1f 17 ) f7r" j e---/—
(Street address or Description of Location)
�e�,., t�rv� 7 e�i1 ,�s7�o
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPJI� OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
r T •
a.. -
APPROXIMATE TIME WHEN WORK WILL BEGIN Vale
APPROXIMATE TIME OF COMPLETION .0-- 1� 9�*
ESTIMATED CONSTRUCTION COST $ 3, o,-
(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:
5
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
Le Quints and to pay for any additional replacement necessary as the result of this work.
of Applicant (please print)
of Contractor and Job Foreman
License No.
Sig _acture of Applicant or Agent „ L. e'er A -s
Business Address
Business Address
Telephone No.
Telephone No.
City Busin,6ss 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 y e G
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 3®a . C70
Date
7 j--?
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246