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NOTE: • .
With proper validation r •>
this form coristitutes an
CITY OF LA•'QUINTA
encroachment permit ,, r,
APPLICATION FOWP.ERMIT,,
•' PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
'For the �constructiori -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
' ,,
'rDATE: Dec4ober'20. 1A90 • �.s •. 4 Minor Improvement Permit Class IV, .
LOCATION OF CONSTRUCTION' drj.;7 oaav amroach 54-:370 Avei.nida Herrera- 'x
(Street address o'Descriptior Diption of Location) '. ' ,' a tr=.. - r ' ' ' • '
. F y appr6ach .. p -appropriate)-
PURPOSE OF CONSTRUCTION drivewaY � :Sketch'(attach construction �lans�if. • '
' DESCRIPTIO_ NOF CONSTRUCTION !!""Gconcrete r 'p&'` iverside` County Std.;'# 207
�. - . see attached t '
DIMENSIQN OF INSTALLATION ORREMOVAL lily i
SIZE OF EXCAVATION, IF NEEDED
.. ,, t
,APPROXIMATE TIME WHEN•WORK WILL BEGIN' tormeCl.asl or,,,
,this date
' t - •12/•24/90;, . . ,. -.. �- � ' � .
APPROXIMATE TIME OF COMPLET'ION'
ESTIMATED CONSTRUCTION COST $ 1600'.00
(Including removal of all obstruction;`materials, and debris, backfilling, com + "• f 4. '
'A :paction and placing "permaneWresurfacing and/or. replacing,improvements) ,
{'In consideration of the-g'ranting'of this permit,'.the applicant hereby'agrees to: t `
t ' Indemnify, -defend and save the City, its authoriied'agents,,officers,+representatives and employees, harmless from,and against any and all
~' penalties, liabilities :or loss 'resulting'from•claims orcourt'ac;ion'and arising out of any accident; loss or�damage'to.persons o� property
' happening or occurring.as a;proximate �esult`of any work undertaken`under the permit�g�anted pursuant to this application.
t ,
Notify the 'Administrative 'Authority at least twenty-four (24) hour's 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'ffie esu6t'of--this work. , " •' T i
Sigriature of Applicant o'r Agent` #
i De'vcon Investment'Proper tiffs., Inc.. 441 S. Calle cilia # 4' I'alin� S"ings - 92262 322 3
Name of Applicant (please print) w Business Address * �'" ti Telephone'No. `#+` •.
Name of Contractor arid Job,For'emank= • ' Business Address . ,�+ �, Telephone'No` { M
' •. , :.. nr•i f i l t� hi i i 1 rl i ryr 'i�s�ttit- . � • y Y " _ - � • .. _' '� ;.. c
' Contractor's License No " . + • ` r City Business License No. '
on f i7,e building Aept « , �.' . - T ` • ..
r a '
ti
.
Applicant's Insurance Com anY •t ,'Polic Number _. .
,
w FEES Subdivision Im rovemeni Permit — ClasrIII .f' ' OO iii 1 *�377pp i �. 30.'0 0
Public improvements: 3% of e`stirnated construction -costs �,: 1• f:. , ;
- • , :1. I.
O
1
• Private improvements: 3/° of estimated construction costs7V
Inspection
" T® • " ,� .
*Minor.Improyement Permit -Class IV: See attached schedule' d�"
«' • •4 . �.� - �'� 20'.00''.. .:' � a',' , ~•_ ••, ,: .+,:�� �' .:. ,
Inspection. Fee •$ PERMIT VALIDATION
Permit Fee
n nn ! -� PERMIT NO.
` 09Fr1` r
Penaity • - - *' 12/20/.90 '
Cash Deposit -Surety Bond , DATE APPROVED
if required , t t` } EXPIRATION DATE x12331`/90 •
' 30.00' t i
TOTAL: r $ DATE ISSUED 12/20/90 ,
Receipt No. ► t , r �1- <.
by A
Received by Date .�'� } ' ' Administrative Authority."
t
Recorded by ,TELEPHONE: (619)'564-2246
, _ y�'M�aI4r+�-�aa�.r w rr 4i S ,�'„�:., .i..r W w M Rf �.. W /r -f_+. lti..w.. M� 4�..lolS.Jro w.M • M�1Gw� w rs ,lw. w�-M!,. N �. i�r � � R w�-�.�.s-M.-R
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 II I
DATE: DeCertber 20. 1290 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION driveway amroach 54-370 Aveinida Herrera
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION driveway anproach
DESCRIPTION OF CONSTRUCTION 4" concrete
DIMENSION OF INSTALLATION OR REMOVAL 20'X16"
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
per Riverside comity Std. # 207
see attached
APPROXIMATE TIME WHEN WORK WILL BEGIN tonmad as of
this date
APPROXIMATE TIME OF COMPLETION 1212 X90
ESTIMATED CONSTRUCTION COST $ IbOC.U0
(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-ttie,resuI.t of-this,work.
Sid6ature of Applicant or Agent
Devcon Investrmnt Properties, Inc. 441 S. Calle Encilia # 4 Palm Springs 92262 322-7351
Name of Applicant (please print) Business Address Telephone No.
ctanCN
Name of Contractor and Job Foreman Business Address Telephone No.
nn filca N1i1Ainrr rlrnnt-
Contractor's License No.
on file building dept
City Business License No.
Applicant's Insurance Company
Policy Number
FEES: Subdivision Improvement Permit —Class III
iB
Oi0 BT).
7 t7 � �>>5- 0
C &1
10
30, 00
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
ln,nn
$ 30.00
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. C9E1
DATE APPROVED 12/20/90
EXPIRATION DATE 1^31/90
DATE ISSUED 12/20/90
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
F
$TME N T PRO P
441 S. CALLE ENCILIA, STE.
,.
s 4 619-322-7351
PALM`.SPRINGS, CA 92262
' �'
,"
C!esibli g"
745 El Pase�,
Palm Desert. Canfoml "
ate
92260
- 2 2 2 38O4 <.2
_
2
w
PROPERTY LINE
F.0
at
V
,�
qc
4i
o „ o
CAtlMERC/AL ?O • M/N. 40 . MA.
AT commERc/AL
SIDEWA L X
i
PROPERTY L/NE _
26
wl
a
"X RES/DENT/A[ /2 M/N. JOS MAX. X -i. 2' 4 ,IJ
h
COMMERCIAL ?OWN/M. 40' MAX. MIN,
WHEN NO SIDEWALK SIDEWALK
EXISTS OR IS REQUIRED
J. wNERE ABOvE Llmlrm6 SLOPES CAN Nor
i AL4 CONSTRUCrION SHALL BE CLASS ••B•• BE MET BECAUSE OF NE/6Nr OF CURB , DepRes5
CONCREr£ SIDEWALK UNTIL SAID SLOPES ARE 08MINED.
LOWIrVO/NAL SLOPE OF WARPED AREA
?. 10' OF FULL NE/GNr CURB REOu/RED AO/ACENT TO OR/VEwAY SNgLL
'or
vARv
BETWEEN O!./vE MAYS M/7N/N 4NY MORE rNAN 6% FROM TME LON6/rULYNAL GRADE
ONE PROPERTY FRONTAGE. LINE OF TME j/DEwALIt.
NOTE: MEET ENO 'S .
SPECIFIED GRADE
TRANSITION. `RE1E �1
VO EpS •
Ex \
\ice \\ •;;•.:.
L -REVISIONS
77 2-62
maE oF '7t''aw'NS/ONS
Avimr or RESgfNT/& CO NWRC/AL
6 ?, 0" ? o"
B !• 0 ? B"
ttER a� County of Riverside
CONCRETE DRIVEWAY
SCHEMAric I APPROACH
4 I STANDARD N0. 207
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, I
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
PURPOSE. OF CONSTRUCTION'w'� �� U S?�ii Sketch (attach construction plans if appropriate) .
DESCRIPTION OF CONSTRUCTION -ll`
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN' %7�P✓�lD /9 S 1 ��( ``�
3'7,
APPROXIMATE TIME OF COMPLETION 2 0��
ESTIMATED CONSTRUCTION COST 14500
(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: 1k.
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 (241 hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the
IVC614)
Signature of Applicant or. Agent
PAmQ EP-1—im.S _ T.jr 4;"-'fl.5' OCL f AZC,,(`1A' 41
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.
Applicant's Insurance Company Policy Number _
FEES: Subdivision Improvement Permit —Class Ill.
Public improveinentsi:3%of estimated construction costs, .
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee S
Permit Fee
Penalty
_Cash Deposit -Surety Bond y.
if required
TOTAL: $ '
Receipt No.
Received by Date
Recorded by
r No
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By .
Administrative Authority
TELEPHONE: (619) 5642246
- �6.,i��'�• .� .7^{a�%,�Y�..'h1'..f\ �.(w'I ✓y!� i.ri�..�.•".-'"W,t� f~ ��^�.t :\iT��.
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