06281
NOTE:
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
3
Subdivision Improvement Permit — Class II I
DATE: - May A,,,'1590 Minor. Improvement Permit Class IV
LOCATION OF CONSTRUCTION drivpwa,v a>nnranc.)he:, - yard oils addrasm lasted below
(Street address or Description of Location)
'PURPOSE OF CONSTRUCTION.'' y Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 54-400 Avenida Vallejos
'Avenida Vallejos
' 54-360 AVenida •Vallejos ..
DIMENSION OF INSTALLATION OR REMOVAL 54^300 Avenida Vallejos.
54-440 Avenida Carranza
54-400 Avenida Carranza
SIZE OF EXCAVATION, IF NEEDED
DRIVE APPRMCH—RIVERSIDE CO.
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/7/90 STD. NO. 207
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: r
Indemnify, defend and save the City, its authorized agents, offices, 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.
, r -
. Signature of Applicant or Agent
1.
New. Generation. ;Builders Inc: PO Box 2401 Pini Desert, CA 92262 346-4614
Name of Applicant -(please print)t Business Address Telephone No.
Name of Contractor and Job Foreman Business Address . - Telephone No.
362211 1333
Contractor's License No. City Business License.No.
State Comp 0689435-90
.Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class 111 ppp5f ip 4 Oil 05-04-9(J 10
-l4 SH. i TO rA1. 1 -60 00
Public improvements:.3% of estimated construction costs
Private improvements: 3% of estimated construction costs *To . O S
4 .0
b'�l
Minor Improvement Permit — Class IV: See attached schedule
Inspection. Fee $ PERMIT VALIDATION
Permit Fee 60.00 0628
PERMIT NO.
Penalty
Cash Deposit -Surety Bond
if.required
TOTAL
Receipt No.
$ 60�no
Received by Date
DATE APPROVED 5/'4/90
EXPIRATION DATE ti/7%90
DATE ISSUED /__5/4/90
By—
Administrative Authority.
Recorded by - 11 TELEPHONE: (619) 564-2246
Y�' J
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
May 4; 1990 Subdivision Improvement Permit —Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION drivewav aoraraachPs — various address listed below
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 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 5/7/90
r
54-400 Avenida Vallejos
54-380 Avenida Vallejos
54-360 AVenida Vallejos
54-300 Avenida Vallejos
54-400 Avenida Carranza
DRIVE APPRMCH RIVERSIDE CO.'
STD. No. 207
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 ofAhis 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 the result of this work.
' fes'–
ZSignature of Applicant or Agent'
New Generation Builders Inc. PO Box 2401 Pd1m Desert, CA 92262 346-4614
Name of Applicant'(please print) '` Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
362211 1333
Contractor's License No. City Business License No.
State Comp 0689435-90
Applicant's Insurance Company Policy Number
-90
FEES: Subdivision Improvement Permit —Class III iCF3SH i AT3^01i - 60-00
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs �s Q
Minor Improvement Permit — Class IV: See attached schedule �i C�
Inspection Fee $
Permit Fee 60.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 60.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 0628
,
DATE APPROVED 5/4/90
EXPIRATION DATE 6/7/90
DATE ISSUED /5/4/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
_ •tom---.. .. _.. _ .__ .:. _... -
NOTE:
With proper validation
this form constitutes an CITY- OF LA QUINTA
encroachment permit, .
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
a oP ��
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: Minor Improvement Permit Class IV
LOCATIO OF NSTRUCTION'
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DE RIPTION OF CON RUCTION
DIMENSION OF INSTALLATION OR REMOVAL a r
SIZE OF EXCAVATION, IF NEEDED ----
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION q.
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, `materials, and debris, backfilFrig, coin
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-th/e City of Q
La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of p licant or Agent
Name of Applicant (please print) Business Address Telephone No.
a e of Contractor and Job Foreman Business Address Telephone No.
ntr _ is cense No: City Business License No.
Apply ' Insurance Compa - Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs s
Private improvements: 3% of estimated construction costs
Minor'Improvement Permit - Class IV: See attached schedule
Inspection Fee . $
Permit Pp.
!IND
PERMIT, VALIDATION
e PERMIT NO.
Penalty DATE APPROVED -
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246