0745f
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
L
July 20, 1990 Subdivision Improvement,Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Miles Avenue e/o Washington TR 23268
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION eletric telephone and ' Sketch (attach construction plans if appropriate)
tv extension
DESCRIPTION OF CONSTRUCTION electric conduit encased
mn concrete telephone and tv conduit 12" above
in sand bedding9Qfe9@V,9@v drM$No. 0668
DIMENSION OF INSTALLATION OR REMOVAL 24 " x 40'
conditions of permit 0668
shall.apply.,to this permit
SIZE OF EXCAVATION, IF NEEDED 7/23/90 4 0745
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/23/90 ,
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
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damageto 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.
Signatur f Applicant or Agent
t & V Equipment Inc. PO Box 131!!66 Palm Desert, CA 773-3150
Name of Applicant (please print) Business Address Telephone No.
Kevin Cashman '
Name of Contractor and Job Foreman Business Address Telephone•No.
570273 1651
Contractor's License No. City Business License No.
Danco Ins. 46-85826-1756
Applicant's Insurance Company Policy Number
r
FEES: Subdivision Improvement Permit — Class I I I
Public. improvements: 3% of estimated construction costs 005182 10 5942 07-20--90 1.0
10 CASH 4 'TOTAL 1 45.00
Private, improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
45.00 f
Inspection Fee $ II
Pcrmit Foo
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
b
f
t
$ 45.00
t
Received by Date
iN° ®745
PERMIT VALIDATION,
PERMIT NO. 0745
DATE APPROVED 7/20/90
EXPIRATION DATE 12/31/90
DATE ISSUE 7/20/90
By
v Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
:�++�.+k+oa�L h�"+-+•(f• w..'r ,w ea a+ r. r w w.... r wr .r r -i. r•r u. .. w w r W. w Yrs r — — — r — -- w r+� .e r r•..w-wYa.- •i'y►
NOTE:' �m
With proper validation 1, yl Q
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
r
July 20, 1990 Subdivision Improvement Permit — Class II I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Miles Avenue e/o Washington TR 23268
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION eletric telephone and ' Sketch (attach construction plans if appropriate)
tv extension
DESCRIPTION OF CONSTRUCTION electric conduit ,encased
&n concrete telephone and tv conduit 12" above
nd
DIMENSION OF INSTALLATION OR REMOVAL
24 " x 40'
SIZE OF EXCAVATION, IF NEEDED 7/23/90 It
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/23/,90
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@feA&V9@vRdr9Y0No. 0668
conditions of permit 0668
shallapply to this permit
0745
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 Ouinta and to pay for any additional replacement necessary as the result of this work.
Signature/oZ- Applicant or Agent
t & V Equipment Inc. PO Box 133. Palm Desert, CA 773-3150
Name of Applicant (please print) Business Address Telephone No.
Kevin Cashman
Name of Contractor and Job Foreman Business Address Telephone No.
570273 1651
Contractor's License No. City Business License No.
Danco Ins. 46-85826-1756
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
Minor Improvement Permit — Class IV: See attached schedule
45.00
Inspection Fee $
Permit Fee _
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
45.00
$
Date
005182 10 5942 07-20-90 10
10 CASH i TOTAL i 45.00
N2 0745
PERMIT VALIDATION'
PERMIT NO. 0745
DATE APPROVED 7/20/90
EXPIRATION DATE 12/31/90
DATE ISSUE 7/30/90
1LA
By n
v Administrative Authority
TELEPHONE: (619) 564-2246
Wifli- proper `validation-
this form constitutes an
encroachment permit
,
G;
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 -mai ns
and other -like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SU_BDIVISIONS.,
Subdivision Improvement Permit'- Class III
DATE: May 25 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION _—_ Miles Avenue e/o Washington
(Street address or Description of. Location) ,-
PU POSE OF CONSTRU TION.4b Ae, =" - - Sketch (attach construction plans if appropriate)
DESCRIP ION' CONSTRUCTIO
DIMENSION OF -,INSTALLATION OR,REMOVAL
_ Mi 1 2G 'AveniiP'
,,• , . per approved CVWD drawing 1.6 04 7
SIZE OF EXCAVATION,,IF NEEDED Zip X'D
APPROXIMATE TIME -WHEN WORK WILL BEGIN 41' 2� y90
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
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'-Adininistrative.fAuthority' 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' City of
La 0ui6ta"and to pay for any -additional replacement necessary as th result of this work.
" Signa a Applicant or Agent
T & V Fgnipm-n_ Tn PO Box 1316 Palm sert, CA 92260 773-3150
Name of -Applicant (please print) Business Address TelephoneNo.'
Kevin Cashman same K
Name of Contractor and Job Foreman Business Address Telephone 'No'.� '
a570273:. : _
Contractor's License`No.
llanr-n''Tncz'°ii•ran'r�r�`
1-65i
City Business License No.
'°46-858.26-1i756r` e
.A'pplicant's Insurance Co'mpany'; Policy Number
FEES: Subdivision'[ mprovement ;Permit = Class I I I
Public improvements: 3%"of estimated construction costs
Private -improvements: 3% of estimated construction. costs
Minor Improvement Permit — Class.,IV: See attached schedule
Inspection Fee $ ' 41; - no
A5i8? -�5- io
t:1 14t tr :i 6TH, i 00
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NOTE: -
I
1) INSTALL 1-2"CND.R-R PER SHOWN LENGTH JOB# 5004038 SHEET 3 OF 9
FOR ALL HOUSE SER/CES IMPERIAL IRRIGATION DISTRICT
IMPERIAL, CA.
2) INSTALL 1-3" CND. R -R PER SHOWN LENGTH
COACHELLA DIVISION
UNDERGROUND DISTRIBUTION
FOR ALL SECONDARY SERWCES.' SCALE: 1"=60' �- o R
VAS TRACT 23288
3) c� TYP/CAL TRENCH DETAIL'
FOR ALL
- � CONDUIT LAYOUT PLAN
HOUSE AND SECONDARY SERVICES.
DATEi 5-17-90 APPROVED
DRAWN S.P.O.
DATE DRWN 162k=CF.AB01A1111G14 DESIGN, E,DeLEON Flle"NaMei T23268