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4
NOTE:
With proper validation �' Q
this form constitutes an CITY OF LA QUINTA 404
encroachment permit r
' APPLICATION 'FOR PERMIT. r '
PUBLIC ,WORKS'.CONSTRUCTION•- (ENCROACHMENT)
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
•y { Subdivision Improvement Permit'— Class III
DATE.: 1 1 --'DQ- 0 A Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
,DUNE PALMS MOBILE HOME•'PARK SP,5'9 '
[ • A ('—A='fln �lfTl�T �'AT
' 'nTT /�A G+''T 7%, ` 7TTT�f' I , fc,_ .• - •r -� '
4 (Street address or Description of Location)
P�URP SE F CONST NSTAL MOBILE HOME , n
0 O O Sketch (attach construction plans if appropriate)
i + `1'
'r DESCRIPTION OF CONSTRUCTION.NSTATjL MORTT=F , F HnM4
• ;; * +tet • ,+•. V � '+' ,• � .`, .+ Y ,t, '
DIMENSION OF INSTALIAyTION OR REMOVAL 24x4'0 A.
`\ u SIZE OF EXCAVATION )F NEEDED9/Gi., w
?8548 i0 g29g ii ''0--90 14
10 LASH i TB AL � i0 `00 ,
APPROXIMATE TIME WHEN WORK WILL BEGIN 1'1 LF -9f1'
APPROXIMATE TIME OF COMPLETION-1.-25—�C t 3
ESTIMATED CO NSTRUCTION'COST $ '' ; •- in !�
(Including. 'emoval of all obstruction; materials and debris, backfilling, Com -'r �'•'' -,r
d 3: t. r `
paction and placing .permanent resurfacing and/or replacing improvements)
In consideration of the'gra'nting of'this permit, the'applicant'hereby agrees to: t
•indemnify,4defend 'and save the City, its authorized agents, officers, representatives and employees, harmless from and against,any and all
rpenalties,dliabilities for 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.prokimate result of any, work undertaken under the' permit granted pursuantto'thisrapplication.' t
'Notify the Administrative Authority at -least twenty-four (24) hours in advance of the time when work'will be started. ti [
Comply with all applicable?City Ordinances,'the terms and conditions of the permit 'and ,all applicable'rules'and regulations o he City of `
La Quinta and to pay. or any additional replacement necessary as the res t;of this work. ' a
r '
t. Signature of:Applicant or Agent
ECONOMY- HOMES. r 48•-477 -HWY 86 '398-6114' # = tf
' Name of Applicant (pleaseprint)• ;.- Business Address ''' •Y .''Telephon_e;No. h
JAMES' B WHITTINGTON-COACHELLA 398_-6114
Name of.Contractor and Job Foreman 'Business Address' • ! ' Telephone No.
•a •443215
Contractor's License No. ' "' ,-; ; City Busibes's'License No:
Applicant's Insurance Company ( r " 'Policy'Number,
FEES: •Subdivision Improvement Permit — Class III r •r
Public improvements 3%hof estimated construction costs;
k Private iinprovements:-3% of estimated construction costs ` ►' 4 . _
r. ;, _ .�`ar, 099. y, a
Minor lmpiovement'Permit — Class IV: See attached schedule
Inspection. Fee 4 '$ 1 o . 00 ` ;r �' " ti ` PERMIT VALIDATION
Permit Fee �� '' i
PERMITrNO. *�
Penalty ' • . Y , , '• i
i s. r ,rf . •,�. ��� m DATE APP ROV_EDT` ,• 11,20'-90
Cash Deposit -Surety Bond
if required' 7 ti, '" r EXPIRATION DATE /11'21=90
$00 ,• r a . ;,
DATE ISSUED'5n—,on-
TOTAL: / ' }�`i _'
y• r << �,
Receipt No. t .�� i; •y, 'X[i ,�.1/ ?
Received ey '; Date ' �'+v "',v ��, Administrative 'Authority
I
Rec ,rded li41
o y 'TELEPHONE: (619) 564-2 46
2,
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y ✓ \ �
f � v
NOTE: '
With proper validation
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, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION DUNE PALMS MOBILE HOME PARK SP 59
A r_. A r1A "JITT1 "'AT i�Ar TA ^rgrj_�mA
(Street address or Description of Location)
INSTAL MOBILE HOME
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION.NST.ALL MOATLE HOME
DIMENSION OF INSTALLATION OR REMOVAL 24x4Q
SIZE OF EXCAVATION, IF.NEEDED �slr-�Ia9A
4f'YU 1- 005i8FAS0 12987 i10-90 14
APPROXIMATE TIME WHEN WORK.WILL BEGIN 11— is -90 10340
APPROXIMATE TIME OF COMPLETION 11-25-90
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 f'
ECONOMY HOMES 48-477 HWY 86 398-6114
Name of Applicant (please print) Business Address Telephone,No.
JAMES B WHITTINGTON COACHELLA 398-6114
Name of Contractor and Job Foreman Business Address Telephone No.
443215
Contractor's License No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II I
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:
$ 10.00
$10.00
Receipt No.
Received by Date
PERMIT NO
N° 0q?q
PERMIT VALIDATION
0928
DATE APPROVED
EXPIRATION DATE
By
11-20-90
f
1-21-90
1-20—A0
Recorded by II TELEPHONE: (619) 564-2246
Administrative Authority
r
J9.
NOTE.
With proper•vaiidatiorty-
tha form constitutes in CITY OF. LA aU1NTA
encroachrr►ent permit
APPLICATION FOR PERMIT'
PUBLICWORKS CONSTRUCTION;.(ENCROACHMENT) '
^ ` ,
For the construction of public or private curbs, driveways, pavements:. sidewalks; parking . lots; sewers; wstw, makes,
and other like public works impfovernents-in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS=
r
j/ Subdivision improvement Permit Class III'•,_.�,�,�
DATE: " ' 5 ' 90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION _
(Street addron:or Description of Location►"•
PURPOSE OF CONSTRUCTIO4-141-_�&,Tz/ rl ��"`-� eL�Sketdr lattach construction plans if approptiae_N,AP.
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR'REMOVAL
SIZE OF EXCAVATION, IF NEEDED K
APPROXIMATE TIME WHEN WORK WILL BEGIN - �29
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S — =
(Including removal of all,obsuuction, materials, and debris, bacltfilling, com• ,
. paction and placing permanent -res urfacing and/or repiacing'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 end all
penalties. liabilities or loss resulting from 'claims or court action and arising out of any accident, loss or damage -to persons or.prt7pilml.,___,�,.
happening or occurring as a proximate result oVany work• undertakenrunder- permit granted pursuant to this application.
Notify the Administrative Authority at least twentv-four 124) hours in of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditic of a permit and all applicable rules and regulations of the City of
La f]uints and to pay for any additional replsoenlent necessary as a it -of this work. l
Signature of Applicant or Agent
Name of Aopncant ( lease print) Business Addre 77 Telephone No.
DaZ77W A -1,11,U VZ
N e of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.., City Business License No.
Aopticant's Insurance Company Policy Number
FEES: Subdivision Imorovemerrt Permit — Clais 111 J
Public improvements: 3% of estimated construction costs
Minor Imorovement Permit — Class IV': See attached schedule
insoectlon ree S `
Permit Fee .
Penalty j q
Cash Deposit -Surety Bond yI
if required
TOTAL: $ I
Receipt No.
Received by Date `
Recorded bV
PERMIT VALIDATION `
?_RMIT %'0.
DATE APPROVED
EXPIRATION DATE'
DATE ISSUED
By
Administrative Authority
r
TELEPHONEi.161815842248: '
'lie
-� NOTE: ;a tta
With proper validation Q" `
this form constitutes an
CITY OF.. LA QUINTA
' encroachment permit' ?
APPLICATION FOR PERMIT
PUBLIC WORKS_ CONSTRUCTION (ENCROACHMENT), . r =" w Y
OF.Tf180
* For the construction of public or private curbs, driveways;Hpavgmenis, sidewalks, parking lots, sewers water - mains
and other like'public works improvements in connection_ with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS t °
Subdivision Improvement Permit —Class II L
DATE: Minor,lmprovement Permit Class IV `
` LOCATION OF CONSTRUCTION DUNE PALMS MOBILE HOME PARK SP. 59
44;=199 D1D1�+I� �A�rA4S Irl!�^HINEVA V
rer. `J
(Stet address or Description of Location)
�NSTAL MOBILE HOME "-
r, PURPOSE OF CONSTRUCTIO `f Sketch (attach construction plans if appropriate) � s
• DESCRIPTION OF CONSTRUCTIOgNSTA_LL. MOBTL•E HOME • .�. F
DIMENSION OF INSTALLATION OR REMOVAL '24x40
SIZE OF EXCAVATION; IF NEEDED i+t.
4rypo 5182 ` i0 2 '0=90 •- 14
S$ CASH S,TOTAL �` 10.00
APPROXIMATE TIME WHEN WORK WILL BEGIN. 11 16
APPROXIMATE TIME OF COMPLETION' 11-25-90
ESTIMATED CONSTRUCTION COST $ t
. (Including removal of all obstruction; materials, and debris, backfilling, com- et
l . paction and placing permanent resurfacing and/or replaci6g improvements)
.Inconsideration of'•the granting of this permit,, the applicant hereby agrees.to:
• Indemnify, -defend and save the City, its authorized agents, officers,rrepresentatives 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 anyworkunci rtaken,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 o he City of
Le Quinta and to pay for any additional replacement .necessary as the re t `of ON work.
{AV
t Si nature of Applicant or Agent -:
'ECONOMY HOMES 48-477'HWY.'86 398-6114
r
Name of Applicant (please•print) Business Address ! Telephone No: `
JAMES,B WHITTINGTON COACHELLA 398-6114
Name of Contractor and Job. Foreman .- Business Address Telephone No
443215
Contractor's License No. ',� City Business License No.
Applicant's' Insurance Company Policy Number
' FEES: Subdivision'lmprovement Permit —Class III .
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs *t
Minor Improvement Permit — Class IV: See attachedschedule s N� 0923
Inspection Fee $ 10 00 ' PERMIT VALIDATION ,
Permit Fee PERMIT NO 0928 ,
Penalty, �.
DATE APPROVED —
Cash Deposit -Surety Bond 1 .
if required 1=21-90 ryti
.., - EXPIRA N DATE '
10.0 0
TOTAL: $ ; D TE SU — —
Receipt No r f
r By
Received by Date ; �:, Administrative Authority• l
Recorded by TELEPHONE: (619) 564.2246 r ` i „• '