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• With. proper validations ` �•' f•' '. *' - , _ , �4
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" • •this form constitutes an _ ` r ' • •} �. ' ' _
t -- CITY OF.LA,, QUINTA
,.: encroachment'permit -
APPLICATION FORPERMIT
'_' •� -PUBLIC 'WORKS. CONSTRUCTION (ENCROACHMENT).
ONE' TRIP OVERSIZE LOAD PERMIT oF
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
Ntive�nber 19 ' '990 �-
DATE: Minor Improvement Permit Class IV
LOCATION OF•CONSTRUCTION. 54055 Vc?1iis e; La' Ou.inta MOVEEOUIPMENT- `.
* T - �.RemoVe pa ra trees
(Street address or'Description of Location) t
' ~ PURPOSE OF CONSTRUCTION L rexnoy 2 palm Sketch (attach construction plans if appropriate) '
CRANE &hh,.' 8' W 0: ' 23' tt length
DESCRIPTION.& CONSTRUCTION _ j
—DIMENSION OF. INSTALLATION.OR REMOVAL
haul. ,ante 11/20/90
.SIZE OF, E{XCAVATION, IF NEEDED -
' APPROXIMATE TIME WHEN WORK WILL BEGIN '�1' 20/90''
••• APPROXIMATE TIME OF COMPLETION '
ESTIMATE66ONSTRUCTION COST $
`=(Including removal of all obstruction, materials, and debris,.backfill ing, com-
paction
om paction and placing permanent resurfacing and/or replacing improvements)
+ Y
<;In'considerationof the granting. -of this permit, the applicant hereby. agrees to:
Indemnify; defend. and save,theCity, its authorizedagents, 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
r 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. x'
r �. r a �,• - � r `� J,`IV �/• Mr! �' Il/� �l:i�.1/!/./'t/! A r � •.
ii,,igignature of Applicant or Agent
Rolierson .Laridscayincr�`'�, PO, Box 862 Indio • •342=0283 t
• = Name of Applicant (ple'ase'print) r Business Address r Telephone No.
• ".Name of `Contractor and Job:Foreman'. - yBusiness Address Telephone No.' '
r ;488
- ----------------
Contractor's License No.: " City•Business License No.
`Cal ,Farm' M. 0445884 � *
•Applicant's Insurance Company - • ..' •; ` S Policy Number
FEES:i' Subdivision Improvement Permit — Class
�19-90 01�
^k vnd construction costs ��APublic improemts e 0,0
' Private improvements: 3% of estimated construction costs a'
M0925-
inor Improvement Permit-= Class lU: See attached schedule
Inspection Fee x' $ -IV*, m PERMIT VALIDATION
Fe
,. •Permit e 'tj •�� � 10.40 ,' � . - '. • • - �• ', •` . •.
' • w 'PERMIT NO. ;
• Penalty <• ','• - � ;4• ;•r• �• 092.5
+ Cash Deposit-Surety,Bond �' DATE APPROVED 11J1�/.90`
if,required` EXPIRATION DATE 1'/2®/90 =
TOTAL: •$ 1.n (ln r ~, 11'/19/90 .
` DATE ISSUED" '
Receipt No. '
;-Received.byDate ; *Administrative Authority
Recorded�by ,•, s { TELEPHONE: (619) 564-2246
* • - % 44
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NOTE:. I $ '
With proper validation
this form constitutes an CITY OF LA OUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP 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
DATE: November 19, :1990
Subdivision Improvement Permit —Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54055 Velasco La Quinta MOVEEOUIPMENT
Remove palm trees
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
remove 2 palm
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION CRANE L"G" h,, 81w, 23 ft length
DIMENSION OF INSTALLATION OR REMOVAL
haul date 11/20/90
" SIZE OF EXCAVATION, IF NEEDED
t 11 2U/JU
r APPROXIMATE TIME WHEN WORK WILL BEGIN
- t -
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: i
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 <
signature of Applicant or Agent
Roberson Landscaping PO Box 862 Indio 342-0283
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
Cal Farm GL 0445884
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
10.00
$ 10.00.
Received by Date
?85'8619 NAALT -90 i0l ooio
N!
Q
PERMIT VALIDATION
0925
PERMIT NO.
DATE APPROVED 11/19/90
EXPIRATION DATE 11/20/90 `
DATE ISSUED- 11/19/90
By
`,Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE: .
With proper vaii kbw
this form constitutes: -an
encroachment permit
CiTY' OF LA QU1NTA.
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks; parking lots, sewers waWmejw_
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 r �'"`'�
(street address or Oesenption of Location) avzm
�U
AdPURPOSE OF CONSTRUCTION � v .. Sketch (attach construction plans if apgtopRisya�--
DESCRIPTION OF. CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
I ,
SiZE OF EXCAVATION, IF NEEDED '
APPROXIMATE TIME WHEN -WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of ail 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:
.1ndemnrfy, defend and saw the City, its authorized agents. officers, representatives and employees; harmless from and against ante and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persona or property -
happening or occurring as a_proxitttate. result of any work undertaken 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 conditions of the permit and all applicable rules and regulations of the City of
La Quints and to pay for any additional replaoenant .necessary as,.the remit of this work.
Name of Aopucant (please orint)
Name of Contractor and Job Foreman
Signet - d p f A
siness Address
Telephone No.
Business Address ) � elephone No.
Contractor's License No. City Business License No.
Farm s 0 0
Applicant's Insurance Company Policy Number
FEES: Subdivision Imarovement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs NO
Minor Improvement Permit — Class IV: See attached schedule j� �
insoectlon Fee S I PERMIT VALIDATION
Permit Fee ?ERMIT NO.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: S
Receipt No.
Received by
Recorded by
Date
„m
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 664-2246