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4. r a4 •cap.. .� r � • �' rV. � ty.- NOTE:. With proper validation j, e • +"_ this form constitutes an +' '61 TX OF LA :QUINTA t , r encroachment permit '. , n.w•: ... •. • -!' SAPPLICATION -.FOR�'PERMIT } PUBLIC WORKS, CONSTRUCTION- (ENCROACHMENT) I JFor the construction +of public or,-, private curbs, driveways,' pavements, sidewalks, parking lots, sewers, water mains andotherlike public,works improvements,in conriection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III 4 DATE: NOVerfil er' 6.. 1990,►' ' ' Minor Improvement Permit Class IV t LOCATIONrOF:CONSTRUCTION driveway=-Appraoch` 53--780 .Juarez, and •53800 Juarez (Street address or. Description of Location) F �►, `r = construct driveway appraei^h • ' PURPOSE OF CONSTRUCTION Sketch (attach construction -plans if appropriate) DESCRIPTION OF CONSTRUCTION per Riverside County .S'!andard No., 207,1 sed,attached , 'e ,..YDIMENSION OF INSTALLATION,OR REMOVAL' SIZE OF EXCAVATION, -1F NEEDED �`. APPROXIMATE TIME•WHEN WORK WILL BEGIN APPROXIMATE TIME -OF COMPLETION'` , } ESTIMATED CONSTRUCTION:COST $ + ° "• , ',.. (Including removal'of all obstruction, materials, and debris,:backfilling, com= paction .and placing permanehtL�esurfacing and/or" replacing improvements) I 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, harry less from and against,any and all `penalties; liabilities or<Ioss 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-fo6r,(24) hours in'advance of the time when work will be started. ' *'� �. G L ti - ti _. 0.'14„ ✓ _ • , ` Comply•with'all `applicable City; Ordinances; the terms and conditions of the permit and all applicable rules and regulations of the City of i La Quinta and to pay�for any additional replacement necessary as the result of this wo ! , =Signature of Applicant or Agent 1 Southwest `Partners z ' Name of Applicant (please print)"" -: ' Business Address Telephone No. Tom Totes- r48= 00 Beverly, Palm ,Desert, CA •346-7767 ti Name of Contractor and Job Foreman `• Business Address Telephone No. Contractor's License No. 'City Business'L•icense.No.•,• `.� • - +. .' � • a ♦ ' a �' . ih Int -- Applicant's Insurance,Company s. Policy Number �. c Y4."FEES: Subdivision Improvement Permit Class 111 . : : •0 —90 k4 12V.VV58�Ap CC Public improvements: 3%'of estirnat.ed•construction costs j r Private improvements: 3% of.estimated'construction costs,• • *' -i. fit.• - .+ 11 .4 Minor Improvement Permit — Class IV: See attached schedule" N' ©�+� ' Inspection ;Fee $� `t `' 20.'.0.0` o ' S`-� PERMIT' VALIDATION ' • ..mer a. . t, ,a. r _ . Permit Fee PERMIT N0, 0893 Penalty ` •r E APPROVE 1.1 II ATD • Cash Deposit -Surety Bond ., . •• D a 12/"31/90 if required EXPIRATION DATE 20.00 t .$ TOTAL:.. DATE ISSUED 11,/,5 /90 ' 'Receipt No., r s .r � ' . _ -. ' . . . Received by, Date a t. Administrative Authority, Recorded by `1 1: - TELEPHONE: (619) 564-2246 ' I •?" 1 - < ''f�i.�•a..t �..�.-w'��w-.�•��1+-w..R+.L..a.o.t...,a:-.r-.:��LSfw�rsi....±w..►•o swm.�lr-..-ww.T�++�+.w ....w e.•.�,w�.o wM. - NOTE:. With proper validation this form constitutes an encroachment permit ' PUBLIC CITY OF LA QUINTA APPLICATION FOR *PERMIT 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 II DATE: November -6l 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION driveway appraoch 53--780 Juarez, and 53800 Juarez (Street address or Description of Location) h PURPOSE OF CONSTRUCTION construct driveway appres.cSketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME`WHEN WORK WILL BEGIN 11./6 190 per Riverside County STandard No. 207, see attached -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�arl.l'applicable rules and regulations of the City of La Quinta and to pay for, any additional replacement necessary as the result of thiis or.. -Signature of Applicant or Agent .Southwest Partners . Name of Applicant (please print -)-J' Business Address Telephone No. Tom .Toles .-4$,-100 Beverly, Palm Desert, CA 346-7767 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number `FEES:, -Subdivision Improvement Permit —Class III OC i 8ibUO3 1 i 0. —90 „� „k4 c2H i TO (AL � � �, . Vv Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction -costs Minor Improvement Permit — Class IV: See attached schedule N? 0 S O Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $ 20.00 $ •20.00 Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 0893 DATE APPROVED 11/5/90 EXPIRATION DATE 12/31/90 11/5/90 DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 NOTE: With proper-vaiidatkwr.- 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, wataf maim , and other like public works improvements in connection with MINOR IMPROVEMENTS'and APPROVED SUBDIVISIONS' DATE: LOCATION OF CONSTRUCTION (Street nodress or Description of Location)-, PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION; DIMENSION OF INSTALLATION OR REMOVAL 11 Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if apprnpsig SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN , APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCT -ION COST S (Including removal of all obstruction, materials, and debris, ba -*filling, 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 saw 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 pr'eparty° happening or occurring as a proximate• resuit avany work undertakom under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four 124) hours in advance of the time when work will be started. Comply with all applicable City Ordinances. the terms and conditionsof the permit and all applicable rules and regulations of the City of La Quints and to par for any additional replacement necessary as the result of t " rk. Signature of Applicant or Agent �JDG17%j&o'�J7L Name of Aopl>cant (please printf Business Address Telephone No. Name of Contractor and Job Foreman Business Address*'Telephone No. Contractor's License No. City Business License No. 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 lmorovement Permit — Class IV: See attached schedul4 insoectlon Fee S Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by' Date Recorded by N° PERMIT VALIDATION PERMIT NO. DATE APPROVED . EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: 161915642246