0274NOTE:. .. ...
With prd�0 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:_ August 25, 1987 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract #21120 — La Quinta, CAl
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Golf Cart Path Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Drainage culvert with Cart Parth,construction Tract 21120•
rmmnacf-Pd emhankment•n£ Rin Ran. A 66".Storm Drain crossing.
DIMENSION OF INSTALLATION OR REMOVAL 10 X 65 See apprroved,plans
USA Inquiry No.
SIZE OF EXCAVATION, IF NEEDED 50 Cy
Date:
APPROXIMATE TIME WHEN WORK WILL BEGIN 8-25-87
APPROXIMATE TIME OF COMPLETION 10-1-87
ESTIMATED CONSTRUCTIO.N COST $ 29.769.00
(Including removal of all obstruction, materials, and debris, backfi-lling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defenii 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.
Signature of Applicant or Agent
LA QUINTA JOINT VENTURE 77-350 Avenida Fernando, La Quinta,'CA 61-A 564-1315
Name of Applicant (please print) Business Address, Telephone No.
Anden Corporation Same
Same
Name of Contractor and Job Foreman - Business Address. rs° Telephone No.
333762
Contractor's License No.. City Business License No.'
Applicant's Insurance Company Policy Number r '
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs
h Private improvements: 3% of estimated construction costs-'
274
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee 892.95
`r Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $_ H97.95
Receipt No. c
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 2
DATE APPROVED
EXPI'R:ATION DATE �Z " 3 S-%
DATE ISSUED'
By /� r/�/'.• 5 .
Adm'strative Authority
TELEPHONE: (619) 564-2246
J v~ �✓ 1i�GP 0/'/ j�o iOPv,y� /fi2rRld��Jr.
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
DATE: I�R
LOCATION OF CONSTRUCTION. At ,;F140 Q
Subdivision Improvement Permit — Class III
Minor
)mprovement Permit Class IV
(Street addreu or Description of Location)ji�
PURPOSE OF CONSTRUCTIONS Sketch (attach construction plans if appropriate)
OF CON,9rR.UCTION
CAr L ( Rl_�_ I y Co N5T19L/L %/pit/
7/LAc7 Ivo, -7- !/z
DIMENSION OF INSTALLATION OR REMOVAL /6 X 4 li— 1 (, G " 57BXIK "Lo og"' `'
SIZE OF EXCAVATION, IF NEEDED G
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 4. %`"
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction
om 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
V Quints and to pay for any additional replacement necessary as the result
ignature of Applicant or Agent
-!►_'i 't�L/i����.C:�J�i -� ��`�: ^L�-- J%LLCr_ iT+ !'�►ZSfifSL
r
Name of Contractor and Job Forefillan /
3332e� 2:
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 2 7
Private improvements: 3% of estimated construction costs ! Y v
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Recorded by 11 TELEPHONE: (619) 564-2246
Administrative Authority