0968NOTE:
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.Permif— Class III.
DATE: ' 12-27-90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTIONtIP-Pan 'ITTIUMNC'IAMP 11T3
(Street address or Description of Location)
PURPOSE OF.CONSTRUCTION CURB CUT Sketch (attach. construction *plans if appropriate)
-DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
'. :
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
ncludin removal of all obstruction materials and debris backfillin com-
(Including 9.
paction and plaeing permanentresurfacing 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'underfaken 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 allapplicable rules and regulations of the City of.
La Guinta and to pay for any additional replacement necessary as the result of this work! '
Signature of Applicant or Agent
WILLIAM A HALL 49001 COACHELLA.564-220$
Name of Applicant (please print) Business Address Telephone No.
r.RTr 'r)LT.TT-r�t+CL�Dm L7rYn C`DnTrTf C '.7onr, rr,
Name of Contractor and Job Foreman y Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit = Class III Q05fg2 j,q g$33 i2-27-901 i o '
10 CASW i. TOTAL i 30: GG
Public•improvements: 3% of estimated construction costs r
Private improvements: 3% of estimated construction costs p�T
Minor Improvement Permit -Class. IV: See attached schedule A`�® 0' 01
Inspection Fee nn PERMIT VALIDATION
Permit Fee y'C 0968
• PERMIT N0:
Penalty 12--26-90
Cash Deposit -Surety Bond DATE AP..PROVED
if required12-27-90
EXPIRATION DATES
TOTAL:: $ 30.00 DATE�ISSUED /� / 12-26-90
Z7 77-7aC
By
TELEPHONE: (619) 564-2246
Administrative Authority
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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
12-27-90 Subdivision Improvement Permit — Class I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION40-0nn VTCZ7MT9 .TrP TV
(Street address or. Description of Location)
PURPOSE OF CONSTRUCTION CM CUT. Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF,EXCAVATION, IF NEEDED
APPROXIMATE -TIME WHEN WORK WILL BEGIN
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)
i
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 1241 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
I;+TIT.,LTAK A HALL -49001 COAChMZA 564-2203
Name of Applicant (please print) Business Address Telephone No.
T�91At i:Y+r.'n.l 'i'\Tf't`,TI'arrl C1r1rT CT)DTA7l^!t_'' ?7Q(1�Fr
Name of Contractor and Job Foreman Business Address TelephoneNo..
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision' Improvement Permit — Class I I I (f 51g•� q0 833 1)--17-90 io
Public. improvements' 3% of estimated construction costs '
Private improvements: 3% of estimated construction. costs
t� '`
Minor Improvement Permit — Class IV: See attached schedule N 4 ` 5
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:' $ 30.00
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 096.8
DATE APPROVED 12-26-80
EXPIRATION DATE /� 12--27-90
T 12-26-90
DATE ISSUED' /
• , By
• \Administrative Authority.
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LX 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
DATE: 2%%90
LOCATION OF CONSTRUCTION
Subdivision improvement Permit — Class 111
_ Minor Improvement Permit Class IV
45/cS-i/ll-oG✓ul� S12,
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION / _ 1&Ske�tch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $G'Gf/�i�
(Including removal of, all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/orreplacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
lndemnify,-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 an
applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of thi rk
Signafufe of Applicant or Agent
Name of ppiicant (please print) Business Address Telephone No.
y .
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 improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit— Class IV: See attached schedule
Inspection Fee $ II
Permit Fee .I
Penalty
Cash�Deposit-Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. t
DATE APPROVED
EXPIRATION GATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 5642246
NOTE: • • r
With validation
proper
this form constitutes an CITY OF LA QUINTA
'
encroachment permit •
APPLICATION FOR PERMITS
!
PUBLIC' WORKS CONSTRUCTION (ENCROACHMENT)
'� ` c�'MoF
• � " T���S
• t
f
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
12-27-90, Subdivision Improvement Permit — Class I II
i
DATE: Minor Improvement Permit Class IV
r
LOCATION OF CONSTRUCTION49-840 F.TSFNRDWER DR
(Street address or Description of Location) '
S` _
•
PURPOSE OF CONSTRUCTION CURE CUT Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL —`
f
L
➢
-
SIZE OF EXCAVATION, IF NEEDED ~
• APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction; materials, and debris, backfilling, com-
om"pactionIand
paction I andplacing permanent resurfacing and/or replacing improvements)`
F• "
In consideration of the granting of this permit, the}applicant hereby agrees to:
r 1
+ Indeninify,.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 a all pplicable rules and regulations o_ f the City of
' .. La: Ouinta and to pay for any additional replacement necessary as the result
Signature of Applicant or Agent d `
TfIJLIAM A HALL 49001'COACHEGLA.564-2208 -
Name of Applicant (please print) Business'Address, - Telephone. No.
+ cPRTbL_37911655 s 1
-'DA11j unrsrnt 4]>±SER'L 33=
Name of Contractor and Job Foreman Business Address Telephone No. -
r
Contractor's License No. w `. City BusinessLicense No.
Applicant's Insurance Company f Policy Number -
-
i' FEES: ASubdivision Improvement Permit —Class IIIio
8833 2-27-90 O 0
' 30:00
1.0• CASH i TOTAL
Public improvements: 3%of.estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule
Inspection Fee V' $ _?n_nO PERMIT VALIDATION
f
3.r Permit Fee ` 10.6'G i PERMIT.NO. r 0968
r
Penalty "'• 12-26-90
DATE
Cash DepositSurety Bond ",
;
{. if required 12-27-90
E PIRA ON DA E
'
TOTAL: $ 30:00' 12-26=90 t
t
)
+. ;fr DAT
` Receipt No.
Received by Date _r Administrative Authority
Recorded by TELEPHONE: (6191564.2246•
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