0298NOTE: — .
With proper validation
this form constitutes an
enr`oachment 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
Febrpary .11, 1988 Subdivision Improvement Permit — Class III.
DATE: Minor Improvement Permit Class.IV
LOCATION OF CONSTRUCTION Avenue 52 & Avenida Bermudas ,
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Storm drain Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 60" Storm drain conduit
const-r_ixcti.On across Avenue' 52 and Darallel
AvEan i da Rp.rmudas
'DIMENSION OF INSTALLATION OR REMOVAL
_ I
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN larch, 1988
APPROXIMATE TIME OF COMPLETION ,Tiilii. 7.88 USA Inquiry No. 402179
ESTIMATED CONSTRUCTION COST$ 2.00,-000.00 Date: February 3, 1988
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or gplacing improvements)
In consideration of the granting of "thisjpe mit,he appki"cant hereby agrees to:
Indemnify, -defend and save the^'City, its- uthorized 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
�E. L. Yeaaer Construction CO., PO Box 87, Riverside, CA 92502 714-684-5360
Name of Applicant (please print) Business Address Telephone No. _ -
E. L. Yeager - Kyrk Reid,'78-505 Ave. 52,_La Quinta, 92253 564-7009
Name of Contractor and Job Foreman Business Address Telephone No. `
140069 501
Contractor's License No. c City Business License No.
Insurance Co. of North America GLPG10727297
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II I
Public improvements: 3% of estimated construction costs
} Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
'"%✓ p 7?
Inspection -Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
Recorded by
N'? 298
PERMIT VALIDATION a
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (61.9) 564-2246 ;
w
10TE;
Nith progr validation
his 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
2-11-88 Subdivision Improvement Permit — Class 111
)ATE: Minor Improvement Permit Chis IV
.00ATION OF CONSTRUCTION Ave -52 & Avenidas Bermudas
Street address or Description of Location$
'URPOSE OF CONSTRUCTION Storm drain Sketch (attach construction plans if appropriate)
)ESCAiPTION OF CONSTRUCTIONbO storm drain' conduit
construction across Ave 52 and varallaLAvenidas
�554'mucic as --
)IMENSION OF INSTALLATION OR REMOVAL
'IZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN March 1988
J'PROXIMATE TIME OF COMPLETION July 1988
:STIMATED CONSTRUCTION COST s 00, 000.00 • USA Inquiry No. 402179
Including removal of all obstruction, materials, and debris, backfilling, com- date 2-3-88
action and placing permanent resurfacing and/or replacing improvements)
n 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 lou 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 env work undertaken under the permit granted pursuant to, this application.
Notify the Administrative Authority at lout twenty-four 1211 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 replacenrnt noceswry as the result Of this work.
Signature of Applicant or Apnj Kyrk .D Reid, Proj . Supt.
E.L. Yeager Construction -Co. P.O.-Box 87, Riverside, CA 92502 714-684-5360
am of Applicant (please print) Business Address Telephone No.
E.L. Yeager — Kyrk Reid 78-505 Ave 52, LaQuinta, CA 92253 564-7009
am of Contractor and Job Foreman- Business Address Telephone No.
140069 501
ontracmes liana No. City Bossiness License No.
Insurance Co. of North' America r_T.pr_i m,)7,)o2
pplicant's Insurance Company Policy Number
EES:
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 sd»dule
apection Fee $
ormit Fee
analty
uh Deposit -Surety Bond
required
TOTAL:
aaipt No.
eceived by Dau
ecorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED '- `/ 7- J 0 -
EXPIRATION DATE 2- 3
DATE ISSUED
By
TELEPHONE: (619) 564-2246
Administrative Authority