0747NOTE:
With proper validation
this form constitutes an
encroachment permit h CITY OF LA QUINTA
4 APPLICATION FOR .PERMIT
I
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
July 20 1990 Subdivision Improvement Permit — Class II I
DATE: 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 CONSTROCTION 980 C front end
loader 13 h 10'w, lbs legal HAUL ROUTE: Avenue 54 to
Jefferson, north to -Avenue 52
DIMENSION OF INSTALLATION OR REMOVAL west to Washincjton north to out'
of City limits
•SIZE'OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/24/90 ONE DAY TRIP ONLY
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 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.
49
�S�nature of Applicant or Agent
Vaquero Development 77-760 Spfin field Ln Palm Desert 345=9080.
Name of Applicant (please print) Business Address Telephone No.
Nal Stone/Gary Hightower 360-1015
Name'of Contractor and Job Foreman Business Address Telephone No.
50.056 A B &
Contractor's License No: City business License No. c�
Deans and Homes 12.789400
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class 111 0U5 8-)ip 9 07—')U -9U 10
i.0DASH i TOTAL 1U.00
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attacked schedule
NS 0747
10.00
Inspection Fee $ II PERMIT VALIDATION"
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
$ 10.00
Received by Date
Recorded by
0747.
PERMIT NO.
DATE APPROVED 7/20/90
EXPIRATION DATE 7/24/90
DATE ISSUED 7/20/90
vAdministrative Authority
TELEPHONE: (619)'564-2246
s
-71
i✓.+aY.ik-!v�t.`+s:yS�a'.4y*:T'�s.-.r r n. �, w'. r.r e+�rr. wr .r w..a. r �. � ,r..� .� ai. w .e .►s i.� as �. w r rrw «+ s� r r w r. r r.� a` w'o. r..r wv^-�-e.i�` tee.
�r
NOTE:
With proper validation
this form constitutes an
encroachment permit
i
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
July 20, 1990 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION 980 C front end
loader 13' h. 101w, lbs lecxal
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
HAUL ROUTE: Avenue 54 to
Jefferson, north to Avenue 52
west to Washington north to out
of City limits
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/24/90 ONE DAY TRIP ONLY
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,. i 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 Agento
Vaquero Development 77-760 Spfingfield Ln Palm Desert 345-9080
Name of Applicant (please print) Business Address Telephone No.
Nal Stone/Gary Hightower 360-1015
Name of Contractor and Job Foreman Business Address Telephone No.
50.056 A B &
Contractor's License No. City Business License No.
Deans and Homes 12789400
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111 085i8l A0-9
li A'TQTAL~ 0 iQ
50.00
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule
10.00
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
$ 10.00
Received by Date
Recorded by
I
0747
PERMIT VALIDATION
0747
PERMIT NO
DATEAPPROVED 7/20/90
EXPIRATION DATE 7/24/90
DATE ISSUED 77//20/90
By
`Administrative Authority
TELEPHONE: (619) 564-2246