0746} NOTE:,
With proper validation
this form constitutes an
encroachment permit
CITY' OF LA '.QUINTA
APPLICATION. FOR. PERMIT
PUBLIC WORKS- CONSTRUCTION (ENCROACHMENT)
OVERSI[^,E LOAD PPPWITM
For the construction of *public or private curbs, driveways, pavements; sidewalks, parking lots, sewers, water, mains
a,nd other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement -Permit.— Class III .
DATE: July 20, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment t
(Street address or Description of. Location) .
PURPOSE OF CONSTRUCTION . `',Sketch (attach construction plans .if appropriate)
DESCRIPTION OF CONSTRUCTION' L Cat- front HAUL ROUTE: WASHINGTON SOUTH
Fnd..1�aciPr, ruhhPr tirPr 1.3' h,� 1_D' w. ,TO AVENUE 52 east to' Jefferson
...south to Avenue.54 to:outside
61MENSION OF INSTALLATION OR REMOVAL City limits Jr
ONE DAY TRIP ONLY
SIZE OF EXCAVATION, IF NEEDED '
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/23/90
APPROXIMATE. TIME OF COMPLETION
ESTIMATED CONSTRUCTION.COST $;.
(Including •removal of all.6bstruction, 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, claim's 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.'
.fie A
Signature of Applicant or Agent D'
Vaquero Development. 77-760 SDrinctfield Ln. Palm Desert 345-9080
Name of Applicant (please print) Business Address Telephone NO.,r
Nal Stone/Gary Hightower same. 360-1015
Name of Contractor and Job Foreman Business Address . < Telephone No.
501.056 A & B
Contractor's License No.. City Business -License No.
DeAh,s and Homes <12789400.
"Applicant's Insurance,Company Policy Number
FEES: Subdivision Improvement Permit - Class III
005.182 i 5944 07-20-90 10
Public improvements: 3% of estimated construction costs i0 CAS M i TOTAL i - 10.00
Private improvements: 3% of esti mated, construction costs , 07
46.
Minor- Improvement Permit — Class -IV: See attached schedule �� �;
10.00
Inspection Fee $: PERMIT VALIDATION'
Permit FeePERMITM1NO. 0746
Penalty. , .
Cash Deposit -Surety Bond DATE APPROVED 7/20/90
`
if requiredEXPIRATION DATE 7/23/90
TOTAL: $ 10.00 DATE ISSUED— X7/•20/90
Receipt No.. / l
By / �7
Received by Date Administrative Authority
Recorded by "TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OVERSIZE ,LOAD PERMIT
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: July 20, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 980 C Cit front HAUL ROUTE: WASHINGTON SOUTH
end loader, rubber tire. 13' h. 10' w TO AVENUE 52 east to Jefferson
south to Avenue 54 to outside
DIMENSION OF INSTALLATION OR REMOVAL City limits
ONE DAY TRIP ONLY
SIZE OF EXCAVATION, IF'NEEDED
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, represeritatives 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 ofthis ,work.
Signature'of Applicant or Agent
Vaquero•Development 77-760 Springfield Ln. Palm Desert 345-9080
Name of Applicant (please print) Business Address Telephone No.
Nal Stone/Gary Hightower . same.. 360-1015
Name of Contractor.and Job Foreman Business Address Telephone No.
501056 A & H
Contractor's License No. City Business License No.
Deans and Homes 12789400 r
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement 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 $ 10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
10.00
Received by Date
Recorded by
005488 iQ 594 07-'70-90 i0
10 [�ASt� i T�0.00
TAL X
%° 0746
PERMIT VALIDATION
0746
PERMIT NO.
DATE APPROVED 7/20/90
FXPIRATInN nATF 7/23/90
DATE ISSUED- //20/90
By 44�
Administrative Authority
TELEPHONE: (619) 564-2246
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
Subdivision Improvement Permit — Class III
DATE: '� Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
�dtxT�
'PURPOSE OF CONSTRUCTION Sketch (attach construction planss if appropriate)
DESCRIPTION OF CONSTRUCTION 00 C OAT
DIMENSION OF INSTALLATION
SIZE OF' EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
" p"ca-FSr�e. �•
APPROXIMATE TIME OF COMPLETION �: n`+'S^
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, bar-kfilling, 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 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 Agest
ol.Lam` O 1,_e, 77 -iii -lb t o i e�� 3 tt �j O"q
Name of App'lint (please print) Business Address Telephone No.
��.f �fion�, I (i• carte �i'� fns - �a-� _ �� o—►o
Name of Contractor and Job Fo eman I Business Address Telephone No.
Contractor's License No. / \ City. Business.License No. '
)AA'nC, n-YAo.-e__
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
Inspection Fee $
Permit Fee
Penalty I ' .
Cash Deposit -Surety Bond
if.required •
TOTAL:
Receipt No.
Received by Date
Recorded by
PERMIT' VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 5642246