0546NOTE
With proper validation
`this form constitutes an " •
'encroachment permit . CITY OF LA QUINTA
s
. _ APPLICATION .FOR. PERMIT --- �
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
f" e
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 Ill
DATE:, Ma rah 27, a.990 Minor Improvement Permit Class'IV
LOCATION OF CONSTRUCTION' 54-750,Avenida Vallejo
(Street addressor Description of Location)
PURPOSE OF,CONSTRUCTION, driveway approach Sketch (attach construction plans if appropriate)
'DESCRIPTION OF CONSTRUCTION- see attached sketch,
DIMENSION OF: INSTALCAT-ION OR REMOVAL
SIZE OF EXCAVATION IF NEEDED-
.
APPROXIMATE TIME,WHEN WORK WILL BEGIN
APPROXIMATE -TIME OF COMPLETION
aESTIMATED C'ONSTRUGTION'COST $
(Including removal of all'•obstruction,'materials, and debris, backfilling, com "
paction and placing' permanent resurfacing ,and/or replacing improvements)
c" 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
pe.nalties;.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 top
ay for any additional replacement necessary as the result of this work. f ''
Signature of Applicant or Agent
Don Bruce
.Name of Applicant (please. print), Business Address 'Telephone No.
Meadowland Development PO Box 921.'Ri.alto, CA 92376 714-875-6000
Name of Contractor and. Job Foreman Business Address Telephone No.
261079 1175
Contractor's License No. City Business License No.
�l on . file ,
.f
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class.I l l 005182 10 3002 03-27-90 y 10
10 CASH _i -'TOTAL 1 J.0. 00
Public improvements: 3% of estimated construction costs
' Private improvements: A of estimated construction costs p,
Minor Improvement Permit — Class IV: See attached schedule. 0546
Inspection Fee $. PERMIT VALIDATION
Permit Fee 10 '00 PERMIT NO.' 0546
Penalty DATE APPROVED 3/2.7/90
`Cash Deposit -Surety Bond„.
if required EXPIRATION DATE 'r,/,in/An
10.00 r
TOTAL: $ ,7T DATE ISSUED 3/27/90 i
Receipt No.
Received by Date
Recorded by
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
t
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_1II
DATE: March -27, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54-750 Avenida,Vallejo
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION driveway aADroach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
. ,- •see attached sketch ,
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
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 against any and all 4'
` 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. ' p
• . { Signature of Applicant or Agent
4 Don Bruce
Name'of Applicant (please print) Business Address Telephone No.
. k
MeadowLand Development PO Box .921,Rialto, CA 92376 714-875-6000
Name of Contractor and Job Foreman Business Address , Telephone No.., ,
261079 1175
Contractor's License No. City Business License No.
. on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II I 005jr82 0 3002 O~ -'27�-9.0 i0
10 CA` H i IOTA 1, 10.00
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 VALIDATION
Permit Fee 10:00 0546 i
PERMIT NO.
Penalty/27/90
Cash Deposit -Surety Bond w tea, DATE APPROVED 3
if required,a
EXPIRATION DATE 6/30/90
10.00
TOTAL: $ 3/27/90
DATE ISSUED
Receipt No. !
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
W
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
}
I Subdivision Improvement Permit — Class III
---------
DATE:---3-29_ Tr Minor Improvement Permit Class IV `
LOCATION`OF CONSTRUCTION
(Street address or Description of Location► ('
PURPOSE OF CONSTRUCTION r Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including ►omnval of clli,'iaterials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or. replacing improvements) _
In consideration of the granting of thin permit, the applicant hereby agrees to:
Indemnify, -defend and save the City, its-a:t`orized 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 terns and conditions of the permit and all applicable rules and regulations of the City of
La O.uinta and to pay for any additional replacement necessery as the result of this work.
Signature of Applicant or Agent
Name of Applicant (please print) Business Address Telephone No.
M`gA.)(►��:,. i_��.c' i� U I�-�I 1Snx- �2' Pu',-ro C/o Yz37G i�/-$75�-.�� z►
Name_ of. Contractor and Job Foreman Business Address Telephone No.
�� •► ��� . ; 117 5 � • • -
Contractor's License 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 N�
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 `
a
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Recorded by II, TELEPHONE: (619) 564-2246