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NOTE:
With proper4validation :' r• '04 2'
this form constitutes an
CITY OF L
encroachment permit ' A 'QUINTA
APPLICATION' FOR PERMIT
`I.med:m 4+
PUBLIC -WORKS CONSTRUCTION (ENCROACHMENT)
For the construction. of public or private curbs, driveways;' pavements, sidewalks; par lots,'sewers Y;"water" mains.
and other' -like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
+ t � is c 1 }. •. ! .. � ' •fi' •+ � • r
6— 8-90 "x Subdivision Improvement Permit —•Class III '
t DATE: ; Minor.lmprovement.Permit Class IV,
LOCATION OF CONSTRUCTION ONE OVSI
ER2E.TRTFf ONi,Y F,� •,• '`'
(Street address or Description of Location)
' ;PURPOSE'OF'CONSTRUCTION r, +Sketch (attach construction plans if appropriate):,
DESCRIPTION OF'CONSTRUCTION'
FROM 14 .CITY LIMITS
+ . ! , ' ' OVER 'WASHINGTON MILES
h; , t yT0 MILES"AND ;DATE •PALM;°
' DIMENSION OF•INSTALLATION OR REMOVAL �,. •
SIZE 0F•EJXQArV*_F1ON iF;NE�EDED'H.73 ?:;C�47�PPF�2 9:e ' � h'•g11` 12 Wide- ,
• ;' 1 !A l ? (7 1! �V l _ C _ r -.M tr :Ch,
APPROXIMATE. TIME WHEN WORK,WILL BEGIN •"" = r, ti '
_19,
go
APPROXIMATE TIME OFCOMPLETION�'' ^�-�""`L ''( �`� • a -
ESTIMATED CONSTRUCTION:COST $
(Including removal'of,.all, ob"structionmaterials, and debris; backfilling, com ,•; + t.(�i '' �r ,�
paction and placing permanent -resurfacing and/or replacing improvements)
In consideration of the granting of this'permit, the applicant hereby agrees to:
, .. �•. , • � • : ' , � - .•, - r � . . • •fin ' s ,." r �! - a, 4 _'''�' - T • � '7 ,
indemnify,•defend'and save;the City, its authorized agents, officers,, representatives and employees, harmless from and against any and all' ~
t
penalties, ,liabilities or loss iresulting' from claims or,cou'rt action and arising,out,of,any accident, loss or{damage to persons or property- f
rhappening oroccurring.as-a proximate result of any work undertaken under the permit granted pursuant to•tliis application.
1 Notify the Administrative Authority at least,twenty four`(24).hours'in advance of the time.when work will be started.
� cwt . ... ;
Comply,with all applicable City Ordinances,+the terms and conditions;of the permit and -all applicable ruI' nd'regulations of the City of',4.
La-Quinta and. to'" pay for•any additional replacement necessary as the result of this ork.`„
ex
Vr
Signa'tur ofAppl,i.cantor*Age'`n':
CATTRAC,'r0N TRTTCTTnN 1 1;0,4n GT.017' R Al V 11nN'rV"hjTj hA ' <#��__4 r" 1'IrA ICC;Z.11 A4
Name of Applicant (please print) . Business Address '+ �'. , u Telephone'No.: -
RANDY HOTCK A150-30 GT,0VVP`"A,VV PONTANA rA' AIi1111K 71 Q '45R-1 T,Ar.
'Name of Contractor and Job! Foreman ' Business Address • r ' • Teleph! ne.No.
AQP%7r1' e , .� J , yL%
Contractor's License No. + ' - - . City Business-License•No. `- {
A•TTSTTN, CnOPRR AN17 PRT�'F. x-771 A rtQia1 nPay
Applicant's Insurance Company,• • Policy Number s' `
,:.
4 = ppUSi U NAV, io
FEES: Subdivision Improvement Permit ,•Class III' , t ' - �.0:'S 1i�1-�. 10:00'
ar Public improvements: 3% of�estimated construction costs
.{ . , • +�
,;„;Private improvements: 3% of estimated construction costs'
1 .
NS
.I Minor Improvement Permit Class IV: See attached schedulei V1
Inspection Fee $-PERMITVAL'IDATION
Permit Fee 10.',00 0712. r
PERMIT NO.
Penalty '
Cash Deposit -Surety Bond . DATE APPROVED •` 6-18-90
if required EXPIRATION DATE
,T /6 -19-9D '
,TOTAL: $ ? 9�on i DATED —18-90
4
Receipt No. BY ;.
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
v..4: 4�,j���yi�J-: ._�-.�. vl._ �`�r• �..... � � -` '•�5s�•.'�'��`"✓""^•:.+.:-n..��.�^''..i-.ti-aC+t...t..•�7'".. :'*..� L�y.++y+.y^�.!4ti:i„�lel�; 1�;:�': .yC �'W.;i�i'..yf5�' :�..A...}✓''�
A
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NOTE:
With proper validation 4 2
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
6-18-90. Subdivision Improvement Permit - Class II I
DATE: Minor Improvement Permit'Class IV
LOCATION OF CONSTRUCTION ONE OVERSIZE TRIP ONLY
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION FROM N/ CITY LIMITS
OVER WASHINGTON MILES-
DIMENSION'OF INSTALLATION OR REMOVAL TO MILES AND DATE PALM
SIZE OP PX'CAVAl'PON',-IP'N'EED'E'D-623 SCMAPPER 14 1 2 hi 12 wide
1
APPROXIMATE TIME WHEN WORK WILL BEGIN ,
6-19-90 t/( .� I
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(including removal of all obstruction, materials, and debris, backfilling, com- 5,16,pu-) '(Y
paction and placing permanent resurfacing and/or replacing improvements) �j/
'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 the, result of this work.- - -
Signature of
%-A'al lX%AW- l+Vl.VA AX%Ul�1.l VlY - .I.JU.�U r7 JL.IV !/L�ll ,H,N L. A' VIV-A-H LV /•� l.,M y/. ]_7�n / A,K .7-]7-.A 1 Lll r1
Name of Applicant (please print) Business Address Telephone No.
RANDY HOICK 15030 SLOVER AVE,FONTANA CA RA235 714 355-1149
Name of Contractor and Job Foreman. Business Address Telephone No.
,x96725
Contractor's License No. City Business License No.
AUSTIN COOPER AND PRICE 77[n1R35A91'(1IdAF'
Applicant's Insurance Company Policy Number
45 F3 ? U -I.d it3
FEES: Subdivision Improvement,Permit - Class II I $. 4 SH. fi tTd ,b •1 10 00
Public improvements: 3% of estimated construction costs;
Private improvements: 3% of estimated construction costs Q
Minor Improvement Permit1 Class IV: See attached schedule 0712
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
10.00
TOTAL: $ in nn
Receipt No
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 0712
DATE APPROVED 6"'18-90
EXPIRATION DATE 6-19-90
DATED .s6-18-90
By
Administrative Authority
TELEPHONE: (619) 564-2246
• ,018-90 r Subdivisioovement Permit — Class III,
`-'DATE.: Mi mprovement Permit Class IV
LOCATION;OF CONSTRUCTION ONE. -OVERSIZE TRIP ONLY
(Street address. or Description of Location) "
PURPOSE,OF CONSTRUCTION. 'Sketch (attach construction plans if a'ppropriate)`
DESCRIPTION OF CONSTRUCTION' FROM N/ CITY LIMITS
OVER WASHINGTON MILES
DIMENSION OF INSTALLATION OR REMOVAL TO MILES AND DATE PALM
SIZE OF X Tj NMf•RtEEDE3.6 2 3 SCRAPP .R 141? high 12 wide
APPROXIMATE TIME WHEN WORK WILL BEGIN
6-19-90
APPROXIMATE TIME OF COMPLETION
CONSTRUCTION COST !$
ESTIMATED CONS $
0
(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: j
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'Adminisfraiive Authority at least twenty-four. (24) hours in advance of the time when work will be started.
Comply with all, applicable City Ordiriances, 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 'rk.'
Sign iy�e of'Appl' ent
CATTRAC CONSIRTICTTON 1 S wi n ST.QVF.R AIF. Fnt\TmALJA rA 9911r, 71 A 355-11146
Name of Applicant (please print) Business Address Telephone No.
RANDY HOTCK` 15030 SLOVPR AVF PCIINTANA CAg335_71 A " 35.-,-L1 AG
Name of Contractor and 'Job Foreman Business Address Telephone No.
49 72';
Contractor's License No. City Business License No.
AUSTIN COOPER AND PR TCF Z.7 �,��5b9�9108Q_b
Applicant's,Insurance Company' Policy Number
is
FEES: Subdivision Improvement Permit -Class 111 :i. •ASH i TOT( : i 101. 00
t
Public improvements: 3% of estimated. construction costs .i
Private improvements: 3% of estimated construction costs i
Minor Improvement Permit— Class IV:'See attached schedule NV 0 7 12
Inspection Fee $ PERMIT VALIDATION
r ! •10.00
Permit Fee
Penalty '
Cash Deposit -Surety Band
if required
TOTAL: $ I ^ ^ :.
Receipt No. .
Received by ; Date "
Recorded by
r
PERMIT NO. 0712
DATE APPROVED' 6-18-90
EXPIRATION D ti -1 c)—,()n
DT'E mk u w -18-90
B
Administrative Authority
TELEPHONE: (619) 564-2246