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With proper validation 2
-this form constitutes an
encroachment permit = -
.CITY OF LA QUINTA f o
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)��
OF t.
For the ..construction of public •or private curbs, driveways, 'pavements, sidewalks„ parki ,jots,, sewers, water mains
and other,,like'public works improvements inconnection with MINOR IMPROVEMENTS -and APPROVED SUBDIVISIONS '
Subdivision Improvement Permit- Class III '
DATE: NO27 , 1'99 Permi t 0 Minor Improvement -
` V . - m Class IV
LOCATION OF CONSTRUCTION TR 25237 77-350 Avenida Fernando . • .
(Street address or Description of Location) -
y
PURPOSE OF CONSTRUCTION tract, iSketch (attach construction plans if appropriate).'
DESCRIPTION OF CONSTRUCTION. CQnrret-e'—foo ends. P�.. � )• •,
-an'c-gravity–wall r
DIMENSION OF INSTALLATION ORREMOVAI<9-6'. _.Of__f.OA:t.i.nds C—Q.— -
SIZE OF EXCAVATION, IF NEEDED
" APPROXIMATE TIME WHEN WORK WILL BEGIN 11/26/90,
APPROXIMATE TIME OF COMPLETION 30=6.0 da�7s .a -
ESTIMATED CONSTRUCTION•COST $ 291—,5_&C' "'491�,3 G
(Including removal of all obstruction, materials, and debris, backfilli g, com - '
paction and placing permanent resurfacing and/or replacing imps v ment
In consideration of the granting'of'this permit, the. apple ereb rees to:
• Indemnify, defend and save the City, its authorized age' s, off ,ers,,representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting 'from claims or c urt do and arising out of any accident, losslor'damage to persons or property
happening or occurring as,a.proximate .result of 'a ork'u de aken under the permit granted pursuant to this application.
Notify the Administrative Authority at least enty- ur (24) urs in advance of the time when work will be started. ,
Comply.with all applicable City Ordinances, th terms- nd conditions of the permit and all applicable rules and regulations of the City of ,
La Quinta and to pay•for any additional replace ent-n cessary as the res u t of. this work., „
y Signature of.Applicant or.Agent 7
Ohio Citizens Investment Corp PO Box 780.La-Qu nta '.564-2155
Name of Applicant. (please print) , Business Address " 'Telephone'No.
..•JHT Const. 393 W.•Athel Ste. 9 San Bernardino, CA 92401• '714-.,885-8382:
• Name of Contractor and Job Foreman Business Address Telephone'Nd. -
5%3749 1701. �.
Contractor's License IN 6. City Business.License. No. • ;
Ci:;na MFCDi6722182 & G131141.49 t
Applicant's Insurance Company Policy Number ,
FEES: Subdivision Improvement Permit — Class I I I -
-Public improvements: 3% of estimated construction costs -
Private improvements- 3% of estimated construction costs
°' 0:93
Minor.•Improvement-Permit •- Class IV: See attached schedule 1V- ,
Inspection Fee$ 7330:00 PERMIT VALIDATION ' e
;Permit Fee ' PERMIT NO. 09.34[
Penalty DATE APPROVED 11/27/90
Cash Deposit -Surety Bond .
if required
EXPIRATION, DATE 4/3 0/91
TOTAL: y$ 7330 .00 11/27/90
r DATE ISSUED'
Receipt No.
By
Received_ by Date Administrative Authority
Recorded. by �'"` - TELEPHONE:.(619) 564-2246
?�.Wut0.5
. '�"��� � ! 8� � t�"�` (�'d� l.v .� :7'v!f�,"•G�iN.l������1�Tty"''2��1A��:.3&•.�.�;y,�1'Y H1�-.�.>..'%�q
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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 II
DATE: NOV. 27, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION TR 25237 77-350 Avenida -Fernando
" (Street address or Description of Location)
PURPOSE'OF CONSTRUCTION i -ran#- IfLzrniToTMe^+Q Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION concrete- footings t ` T•1 '
and.-ctravityb-wall
DIMENSION OF .INSTALLATION OR REMOVAL96 of footings
2.5.50' ct•ray.ty--.wall
SIZE OF EXCAVATION, IF NEEDED
rrY APPROXIMATE TIME'WHEN WORK WILL BEGIN 11/26/9r0'--`,,
w F'APP,,ROX-IMATE TIME,OF COMPLETION 30-60 days f
ESTIMA.T.ED CONSTRUCTION COST $ 293; 500
(Including removal of all' obstruction, materials, a rd;debris; backfilling, com-
paction and placing; permanent resurfacing and/or replacing improvements)
'In consideration .of the: granting' of this permit," the applicant hereby agreesto:
Indemnify,.defend and save'the City, its authorized agenfs,,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 anyjwork and rtak`,under the permit granted pursuant to this application. .
Notify the Administrative Authority at' least twenty --four (24) flours 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.
\' �—
v Signature of Applicant or Agent
Ohio Citizens Investment Corp PO Box"1780 La Quinta 564-2155
Name of Applicant (please print) Business Address Telephone No.
JHT Const. 393 W. Athel Ste.9 San Bernardino, CA 92401 714-885-8382
Name of Contractor and Job Foreman Business Address. Telephone No.
,563749 1701
Contractor's License No. City Business License No.
Cigna MFCD16722182 & G13114149
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 $ 7330.00
Permit Fee
Penalty
Cash Deposit -Surety Bond„
if required i
TOTAL: $ 7330.00.
Receipt No.
Received by Date
Recorded by
i x
Ni! 00,1
PERMIT VALIDATION
PERMIT NO. 0934
DATE APPROVED 11/27/90
EXPIRATION DATE 4/30/91
,DATE ISSUED 11/27/90
By
Administrative Authority
TELEPHONE;i(619) 564-2246
W—
F/
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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 III
DATE:_ Nov. 27, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION TR 25237 77-350 Avenida Fernando
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION +r,--+- iMprnugMen+s Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Concrete footincrs
and aravitv wall
DIMENSION OF INSTALLATION OR REMOVA1961 of footings
2550' crravity wall
SIZE OF EXCAVATION, IF NEEDED
"# APPROXIMATE TIME WHEN WORK WILL BEGIN 11/26/90 \
PROXIMATE TIME OF COMPLETION 30-60 days
ESTIMATED CONSTRUCTION COST $ 291 500
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improv�e�ments),
In consideration of the granting of this permit, the applic'aantt h` eby,agrees
to:
Indemnify, -defend and save the City, its authorized agents, �offi ce rs, 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
Ohio Citizens Investment Corp PO BOX 780 La Quinta 564-2155
Name of Applicant (please print) Business Address Telephone No.
JHT Const. 393 W. Athel Ste. 9 San Bernardino, CA 92401 714-885-8382
Name of Contractor and Job Foreman Business Address Telephone No.
563749 1701
Contractor's License No.
City Business License No.
Cicna MFCD16722182 & G13114149
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
7330.00
TOTAL: $ 7330.00
Receipt No
Received by Date
N! 0934
PERMIT VALIDATION
PERMIT NO. 0934
DATE APPROVED 11/27190
EXPIRATION DATE 4/30/91
DATE ISSUED 11/27/90
By
N Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
fir. O4C v • �
7� • ', �
+' .,
DURATION
w a'
Sax- 1504•
`COMMENT
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'78-105' 'Ca110. Eataclo''i
11-26-90 4:47PM,
'
Leq Quinta, CA r 92.253
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619-564-2246`
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C�' _ • La Quinta, CA 92253
_ = a 619-564-2246
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FAX 'NUMBER: ��.�� :� `.• � , .
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FAX,NUMBER:, 619-564-5617
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(Including cover sheet)
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' CITY OF LA QUINTA
enaooanrnont ofatttK
APPLICATION. FOR PIE RMIT
PUBLIC WORKS GONSTRU-6` ON . IENICROACHM 711
'
For trio' oonetruet,on of publld ar' privets burg, drimmaya, Paaomnn. sidstamiko, Dearing lets, save", ,rte.
` •-i .' ' '
and dtner tike oucilo *nN to Fibs in cdnhmow with MINOPI IMPROVEMENTS and APPAOVID 3UNDtV10 ,
/
&At I an ImfarbveMIR Permit — Cleaa III
DATE: /�Or/ .Z% S''O Mine Impnrm ms hmpt.Cjsw IV
LOCATION OF CON9MUCTIO
'
•(Esteem mom a Deftwaft at L.aco t emb /
PURPOSE �'S
.. . OF CONSTRUCTION Lr�t��sL��i'�/�i�2i . aAei� lirisdn tustion plains ifs
0ERC A{1►'TIO CFCa R C,
OSENMON 4� INITALi
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ONO.oR C,MOVAL
SIZE Cis EXCAVATION, IF NEEDIb
r
APP010XIMATE TIME WHIN WOFIK WILL AEGIN'_.1-4254..Z�:��y�
• •
APP140XIMATE TIME OF COMPLI4TION�Q...
-
ESTIMATED CONSTRUCTION CM Ii A=
(Inefuding rertrova of All odettrtrdtlon; memorials, and debris, watlllinp. ftm ;
pMen and plating permaflsttt re01"Afang and/or replacing Improvemetvtal
'
!n'ocnsidoirotibn ai the gtenting•of thb parmn„the applicant hefOoy agrsat fa;
..
.. Indemm,fy, def” enel titre the Cie#, III Cutm,ruae Rodn", atfieorn, ra4mm"a'r" OAd CeNti,tlyReq. maflMeRC ripen Che *gum" arpr fiw yl
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OomalfeN. filoriltl".0t !eW rray.tine tram ClserM or Cdvm WILMA, at" ahaing out of env a,"tlemt, toil N tiow to oftima 9t y .
'
wIn Of OMMAg eI a tNt AiMtR metope of QRV OW vM IMIGH 1011 twit 112%ted ouFs"m to thh Sflmaeit. ,
the'ACAIVI tMratlO AV lolip*ac least tm.fty- aur aill ham In wont will.be :panto."� ,
Cemoiv +nth an Bowi a City. Ordiname, ms tonne Arm aanditrems of two 0"MrT CM 113"tume ruiee ones r"wmoma of hie city of '
-WAD am to Cay tee a w sawftn9, "ossswAam noa� ao isa, isattl et' 11, 1a _.. . .
. Signatura of Appiioant or Apertt n/y=
Name of AaonAant t lasso of I Business Address Tei.onone No.
%io 885- 8
-
Name of Contractor no Joo foremen . SAr,Bo.%rsp, \ Butineq Addre Telephone No.
i
ContramOrt Dante NO City 8uunata L icanse No.,
-�Z/g//$ /
Aephr.ant•s Inturanm Ca flan � Polley Number
'
NEB: Subdivision Itnarovefhant Permit —Class III
public improverfam: 3% at eitimam a conitauetion ecata '
.
Privata imWeI vetnentet a% at 6etlfnamd construction caeca • 1aT� -
Miner irworovement Prxmrt — Claae IV: Sea attacmid schedule
lntoeot,on Fee S ' PERMIT VALIDATION
a.rmit Fee
'
,
.Penalty
Cash 0eoasit•$uremv ®end it
DATE APPROVED '
it tequus0
EXPIRATION DATE
TOTAL: I
QATIISRtl93O
Aaglat No.
, , ,
Relenraq Cv _ Oates.
SV
Administnttye rfattw
e Rees+ets0 by TELE HOUR: (81@) 0SQU111 I '
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