0782'+ ` y'.t•�.,}t:•.i7IS:r'�iy'�t,��I�i;t ��?bii% '(�.i%dv�J'�i«�,� '� " .y.5•�.-r �iR{.; ,_ ... ^`�.<-.'"�"',�:,�. t ,y p r r^t+ . 1°.
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;'ire-�`+-�•io:.-r-�:v..-e�...-+—'�......� .. a- ... �., � �........� .. �. ......... �....-,.... — .r.....-«.... �. a.. ,.......� — .�.....�.-............�. �...� ....... �..-.,� _ .,
a
_ r
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 I I I
DATE: August 10, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenida Bermudas, Navarro, Villa, Mendoza, Martimiz
and Calle Nogales
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION relocate for
proposed catch basins
DESCRIPTION OF CONSTRUCTION offset gas lines
around proposed catch basins
DIMENSION OF INSTALLATION OR REMOVAL install
approx. 36' 2" plastic line
SIZE OF EXCAVATION, IF NEEDED 401. x 12" trench
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/13/90
APPROXIMATE TIME OF COMPLETION 4 days
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
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 Agent
So. California Gas Co. 1981 W. Lugonia, Redlands, CA 92373 714/335-7847
Name of Applicant (please print) Business Address Telephone No.
George Macco
Name of Contractor and Job Foreman Business Address Telephone No.
' 259619.• 566
Contractor's License No. i City -Business License No.
Reliance ins. Liability NG1253560
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
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ -0-
Received by Date
Recorded by
- -N2 '0782
PERMIT VALIDATION
PERMIT NO. 0782
DATE APPROVED 8/10/90
EXPIRATION DATE
DATE ISSU DBy ITIR �/ A
��fA
61122,1" Oel�
r` Administrative Authority
TELEPHONE: (619) 564-2246
.�s�..�►�.t�-cA".,FC�;+`„+'"�-�,^'•�i.-+Y..aC �?'+�+w+'+w r. �.i. w w r e�+ r ..�.. t.. a r r .r �. n. cw a a r. w .. w N. w u► �f+ •� r r r++.. r .. r w ti. a..�s-rrtr .r + ... r�. w. w «f+ .e
�A�
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
August 10, 1990 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avennda Bermudas, Navarro, Villa, Mendoza, Martiniez
and Calle Nogales
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION relocate for Sketch (attach construction plans if appropriate)
proposed catch basins
DESCRIPTION OF CONSTRUCTION Offset gas lines
around proposed catch basins
DIMENSION OF INSTALLATION OR REMOVAL install
approx. 36' 2" plastic line
SIZE OF EXCAVATION, IF NEEDED 401 x 12" trench
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/13/90
APPROXIMATE TIME OF COMPLETION 4 days
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 Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
So. California Gas Co. 1981 V1. Lugonia, Redlands, CA 92373 714/335-7847
Name of Applicant (please print) Business Address Telephone No.
George Macco
Name of Contractor and Job Foreman Business Address Telephone No.
259619
Contractor's License No.
566
City Business License No.
Reliance Inas. Liability NG12535.60
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
Cash Deposit -Surety Bond
if required
TOTAL:
$ -0-
$ -0-
Receipt No.
Received by Date
vA 0'92
PERMIT VALIDATION
0782
PERMIT NO
DATE APPROVED 8/10/90
EXPIRATION DATE
DATE ISSUED J
C ''
By r
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE. ,
With. proper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA. 1,
' APPLICATION FOR 1 PERMIT
PUBLIC WORKS CONSTRUCTION: (ENCROACHMENT)
- � .. •. -
t Y .
For the construction •• of public or private curbs= driveways, pavements, sidewalks,_ parking lots, sewers, water mains
f ' and other like public works; improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
1 Subdivision Improvement Permit — Class III
k, --i
DATE:` f 0 "�1� Minor Improvement Permit'Class IV '
LOCATION OF CONSTRUCTION Old vet) ?AA'6-r-R-RVh "
�Air ero I
(Street address or Description of Locati6n)
f,
PURPOSE OF CONSTRUCTION IZEt—g CAME ��, -. Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION -'C?EES—Ak-"- 4-/didE1•' ,
/42CIt�ND P2anerc_7b. C -g-rM PAQIAIs .
DIMENSION OF INSTALLATION OR REMOVAL /A)T-AFL;- APAi20,x,:
r-1-nrT 22' �t� cave �tfy.ar,
' SIZE OF EXCAVATION, IF NEEDED 40" X 11" 7"P7vog �•. '
APPROXIMATE TIME'WHEN WORK WILL BEGIN '
Fo&,� h
APPROXIMATE TIME OF4OMPLETION' bA�S '• -
ESTIMATED' CONSTRUCTION COST $
(including removal of all obstruction, materials, and debris, bad*fillirig, tom-
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, lossor 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 o_ f the permit and all applicable rules and regulations of the City of
La Cwinta,and to pay for any additional replacement necessarv.as the result of work.
Signature of Applicant or Agent
Name of Applicant (please print)' Business Address Telephone o.
Name of Contractor and Job Foreman ; Business Address. Telephone No.
Contractor's License No. t City Business License No.
4.
Applicant's Insurance Company Policy Number
A
FEES: Subdivision Improvement Pirmit —,Class I II
• Public improvements: 3% of estimated construction costs +k
Private improvements: 3% of estimated construction costs
Mirror Improvement Permit — Class 1)4: See attached schedule
Inspection Fee S I PERMIT VALIDATION E
Permit Fee PERMIT NO.
Penalty N .
CashDATE APPROVED
. Deposit-Sur'ety.''Bond. �,
if required x EXPIRATION DATE
,TOTAL: $ .DATE ISSUED R.
Receipt No. ,
By
Received by , Date Administrative Authority
Recorded by TELEPHONE: (619) 5642246'
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COuNTYh' IVE;.iC.S/DE RETIREMENT
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NO.—
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