0949t<_'��"�`�y�'�,•u;,+`-967yp7'a8�;x:�`�- 1'kn:,.�''"47`i��" 24®r�� t. • r'" ' =v"' '.,�� ; z. ,
f F94,-
NOTE: , t
With,proper validation
this form constitutes an
«
encroachment permit `•
CITY, OF LA ,QUINTA
r , . APPLICATION FOR : PERMIT-
, •- >.
• '.;PUBLIC WORKS- CONSTRUCTION (ENCROACHMENT)'
c�oF�wsw
For the construction, of public ;or private curbs;' driveways, pavements, sidewalks, parking lots, sewerswater mains .
and other like public'`works improvements in connection with MINOR -IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit —Class III
i DATE: Debember 5•,' ,1990 Minor Improvement Permit Class IV: '
LOCATION OF CONSTRUCTION -
dikieway'approadh, 54255 Avenida.Carranza'
(Street address or Descripiion of Location) .
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) -
DESCRIPTION OF CONSTRUCTION per attached . Riverside Co.
Standard #'207
OF�INSTALLATIN • R REMOVAL
•• DIMENSION O 0 ,
005.182 i0 8533 U-05-90 14
r r M", CASH i, a L
1OT, i 30100 -
SIZE OF EXCAVATION, IF NEEDED �t
's,'APPROXIMATE=TIME WHEN WORK WILL BEGIN 1-215/90
APPROXIMATE TIME OF'COMPLETION-'
ESTIMATED CONSTRUCTION COST.$ , ',:; '•' j
' '(Including removal of all'obstruction; materials; and debris, backfilling, com, .'
action„ and placing permanent-resurfacin and/or replacing improvements)r `
In of the granting of this permit, the applicant hereby agrees to: j' "t +• '
"-
Indemn fy,'defend'andrsave the City, its authorized agents, officers, representatives and erriployees, harmless from'and against any and'all '
penalties„liabilifies or, loss resulting from claims or court action and arising out of any.- accident, loss- or damage to persons orIproperty .
happening or occurring- as a proximate; result of any, work undertaken under the permit granted pursuant to this application.
r Notify the, Administrative Authority at least twenty-four (24) hours in.advance of the time when -work will be started. `
Comply'wiih 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 J
T,mA So1-t1Pv 41625 Eclectic Ste:- 1',. •Palm Desert 340`=1361
' Name of.Applicant'(please print) -Business Address' Telephone No.
Name of Contractor and Job Foreman' Business Address , i Telephone No.
�aRR2a 85.6 ' r
Contractor's License,No. tCity,Business License No. t
Applicant's'Insurance Company, ,} :' Policy.Number
i
FEES: ISutidiVisibn Improvement Permit — Class +Ill + '
Public improvements: 3% 'f estimated construction costs
' Private improvements: 3% of estimated construction costs 4
. , � .'0929
Minor Improvement Permit — Class IV: See attached schedule l
Inspection Fee 20.00 `
( $ ` PERMIT. VALIDATION.: ;t
Permit Fee 1 o _ nn -0949 '` «
PERMIT NO.-
Penalty
Cash Deposit Surety,Bond DATE APPROVED 1'2/5./90. r
if required EXPIRATION DATE 12/7/90
r TOTAL: $ 30.00 '
DATE ISSUED / 12/5/90
•
Receipt No. By -
Received by Date Administrative Authority
Recorded by �' + TELEPHONE: (619) 564-2246 r
« 4
P r197-11-
^ I . - . idM, W .� .iY , �2Cf Y"ti��. 1M. w. �'.Y!' �nW. •M."�}` Ili l\.�11M.�.RM1..®•`W.. Nh R�'•�M^�.lt.l9•. t4".��P" ..! Ml� �!-..�-+4- A.. � .4. Q� .q..
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 II I
DATE: DebeIrik3Er 5, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION difteway approach 54255 Avenida Carranza
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF. INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
per attached Riverside Co.
Standard # 207
APPROXIMATE TIME WHEN WORK WILL BEGIN 12/5/90
APPROXIMATE TIME OF COMPLETION I't l-, U
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:
, 1820 Q 053to4Ri0?. 90 30.004
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. / 1
Name of Applicant (please print)
a5ignatt
ctic Ste.
Applicant'or Agent -J
Palm Desert 340-1361
Business Address
Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
2)4RR2.4 856 .
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class Ill
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 20.00
Permit Fee 1.0 _ 00
Penalty
Cash Deposit -Surety Bond 3
if required
f TOTAL: 1 $ 80.00
Receipt No.
Received by Date
Recorded by
®949
PERMIT VALIDATION
PERMIT NO. 0949
DATE APPROVED 12/5190
EXPIRATION DATE 12/7/90
DATE ISSUED' i 12/5/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
. —;:, 4 e_
NOTE:
With PropervsIkkticxr_•
this form constitutes an•
encroachment'Permir-
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, watW mains,,
and other like public works improvemenwin connection with MINOR IMPROVEMENTS'and APPROVED SUBDIVISIONS'''
q Subdivision Impro4ementPermit — Class III
DATE:/ s ! ` J Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION- '� `l L CL (L/1 -%/'L --a-
(Street addressor Description of Locnioni.,*
PURPOSE OF CONSTRUCTION I v(. W'+ -t 'APO 2'',r ".t
DESCRIPTION OF CONSTRUCTIONa�'
DIMENSION OF INSTALLATION OR REMOVAL
SIZE'OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHENVORK.WILL BEGIN
Sketch (attach construction plans if apprpprisM
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of all obstruction, materials, and debris, ba-lcfiiling; com-
paction and placing permanent resurfacing and/or replacing improviments!
In consideration ofthe granting of this permit, the applicant hereby agrees to:
ndemnity, defend and saw the City, its authorised agents. officers, representatives and employees. harmless from and against anti and ail
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 proximaq-result of env work undertaken- under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four 1241. hours in advanceof the time when work will be started.
Comoly with all applicable City Ordinances. -the terns and conditions of the permit and all applicable rules and regulations of the City of
La Ciuinta and to pay for any additional replacement neeessery as the result of this work.
Signature of Applicant or Agent
J4m9-5 S9'r7 pec{ q/ LL Ciaric �rl �a q l2> L /
Name of. Appucant (please print) Business Address Telephone No.
Name of Contractor and .lob Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's insurance Company Policy Number
FEES: Subdivision Imorovement,Permit —Class II I
Public improvements: 3% of estimated construction costs
Private improvements: 3% ofestimated.construction costs
Minor Imorovement Permit — Class IV: See attached schedule
Insoectlon Fee S
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL. $
Receipt No.
Received by Date
Recorded by
N°
PERMIT VALIDATION
PERMIT N0.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
fc Administrative Authority
TELEPHONE: (619) 664-2246-