0897~-•-��j: btj• ,`�,�,;, i pi" rk�'..,:�1y` s ,s- Ain yt. W�y,���G•�•�ti`4,y',"ky;i hi -"lf•`i6"..f"�'E Sj✓ ;'� 1, n"ri •�' i '�' � ' '=4�'S6!*.4..r T�",�Aa; 4��^1�. '!i ,.% .'�".`I' e '
�i+r•S�wr.ew•rearnt«a.r....-...-^�..-- .� .. .. w.. ..�.�...,..w a�...�!.+.-.:..+
Qa�D •w..�..r-.ti-+. .� ..��.. ..�. .. .�....+...�-............. _
NOTE: - '
With proper validation
this form constitutes an
encroachment permit
j
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
CONE TRIP OVER SILO .LOAD PCR/ -4/T)
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 II I
DATE: 11' 7-90 0 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MQUE Fadi ) PM E-n,r Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION %Z g 1=)
14' R-10'IAV It0,OM LF5S
DIMENSION OF INSTALLATION OR REMOVAL NC� 7o. 4Lky-( 11 I
i
SIZE OF EXCAVATION, IF NEEDED
4AIII. L j74T -
APPROXIMATE TIME WHEN WORK WILL BEGIN ip p q IIIii 7
G��Sf82CASH$i3TUTAL01
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,rthe City, its authorized agents, officers, representatives and employees, harmless from and against any and all 1.
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.
amti
Signature of A�licange
l or Agent,
t,
EA161NFEF-IN6 5ftAAUDA DUIUES •:5qS 17?8
Name of Applicant,(please print) Business Address Telephone No.
PI COA) I T DUCK! AI&1'
Name of Contractor and Job Foreman Business Address Telephone No.
y
ON FILE
Contractor's License'No: City Business License No.
OA) -FILE
oral . F I �-
Applicant's Insurance Company Policy Number
FEES: Subdivision Improve ment,Permit — Class I II
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 r�
if required '
TOTAL: $
Receipt No.
Received by Date
Recorded by
089 r 17
PERMIT VALIDATION
PERMIT NO. O $ 7 7
DATE APPROVED
EXPIRATION DATE' t5'•90
DATE ISSUED //-7790
By
Administrative Authority
TELEPHONE: (619) 564-2246.
t
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
(GA1 E —rr I P OV.:`k 5)Z - E LOA r> Pi R A4r T)
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: //-7-90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Al OV E E1?!A d PM E-Al7`_ Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION IPP 6 �-
� H � ► ®' ��) � i (fir [?� �.. il:;s �
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
'A AtA L lri OLA Tom.
5,2 (,t,3 1i
&AL.
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
tion and I cin ermanent resurfacin and/or re lacin im rovements)
pac p a g p g p g p
In consideration of the granting of this permit, the applicant hereby agrees to:
7v 4u—.',( III
D
0 3b M4,3&1 044 U A -T94 iG.v14
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
ltt of this work.
esl
a (I I �C\, c,
Signature of Ap, ican - r Agent f
A, Ac VO ENCS1AJ f'khV6 P!'TiWAD14 1X,UJFS 5qS; - 17 �8
Name of Applicant (please print) Business Address Telephone No.
Pi<CO", ) T kMCKIAKA
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
fan( FILE nAl F d L F
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
d'
$ /), oQ
Received by Date
1\41 - 0 � -�,
PERMIT VALIDATION
PERMIT NO. 7
DATE APPROVED>� _ 9Q
EXPIRATION DATE "_ 1b'20
DATE ISSUED -//-7-90
By -
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
TOTE:
lith proper validation
its form constitutes an
acroachment 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
/�('� Subdivision Improvement Permit Class III
)ATE:.qy Minor Improvement Permit Class IV,
C.00ATION OF CONSTRUCTION
Street address or Description of Location►
'URPOSE OF CONSTRUCTION YUQ ���� ����. Sketch (attach construction plans if appropriate)
i
DESCRIPTION OF CONSTRUCTION?�V�'
K)�Sj
DIMENSION OF IN ST ELATION OR REMOVAL
1
SIZE OF EXCAVATION, IF 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. permanent resurfacing and/or replacing improvements)
IIn 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 env 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 st .least twenty-four 1241 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 Quints and to pay for any additional replacement necessary as the.result of this work.
\1_6NI oil
Signature of A Vl carq or Agent
Nuevo Engineering, inc.' 79-811 Country Club Bermuda Dunes 619-345-1778
Paine of Applicant (please print) Business Address Telephone No.
ie of Contr or and Job Foreman
tractor's Li s�N. ;
7
ficant's Insurance Company
Business Address Telephone No.
aye /V
City Business LiiATsq iyp.
EES: 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
ction Fee $
Fee
natty `
sh Deposit -Surety Bond
required
I TOTAL: $
No.
by Date
by
Number
.. N° 06'?7
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: f619) 564-2246