0976♦_+--.s-:...:.►w.:.:a:wc.!-cl+n1�.•+•.1n:..►•,.n.•.r..,,`....-: ,�..,r:..^,•,., �•,r:�p*^ �^ Y'�,r . ,::y^3..-: _ � _,...�•�...9...;,, .
_ a.er•' w al-•^ti"'.'^'r"S�""..�wo•�.^1,�',r v!,�_..�1— •w��.^y,^,�^.e^3.nvey ,s '-•s'^�, '�'�
+.
NOTE.,
With proper Validation
1
v,w this form constitutes an
Y +. encroachment permit77 77 CITY OF LA" QUINTA
r
APPLICATION .'FOR PERMIT' -
r
w• PUBLIC WORKS CONSTRUCTION' (ENCROACHMENT)
ttR OVERSIZE 'LOAD PERMTT 0ETEiB
'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: 'January. 4, 1991. Minor I .1 1mprovement Permit Class IV
LOCATION OF CONSTRUCTION move eatxiDtnent +
(Street address.or,Description of, Location) s -
.�` 'pPURPOSE'OF;CONSTRUCTION` ! ! d02er ' ..Sketch (attach construction plans if appropriate)
10 t
' DESCRIPTION OF CONSTRUCTION =r w;,• neignt and
wt�ght legal,, -length legal • 1 SS; Haul Route: Avenue 50 to''
-Eisenhower to Fernando `to Lot
' DIMENSION OF INSTALLATION OR REMOVAL ' 19 in•the, Enclave
SIZE.OF EXCAVATION, IF;NEEDED
• .a ` / /
* ��
'APPRO T
RIMA E TIME. WHEN WORK,WILL BEGIN'
1 /
one. , . ay, permit only
~ APPROXIMATE -TIME OF COMPLETION'
-ESTIMATED CONSTRUCTION COST $ • ` '
(Including removal of'ali obstruction materials, and'debris, backfilling, corn
{paction, and placing permanent resurfacing 'and/or.replacing^ improvements)
In consideration of the granting 6f. -this permit, the applicant• hereby agrees`.to: F'
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 pe-rsons or property
i,.
' happening or occurring as a proximatesresult 'of;any work undertaken under the,permit granted pursuant to this application:
y Notify, the Administrative•Authbrity aY'least twenty-four (24) hours in-advanceYof the'time when. work will be started.
'l.
Co, ply, 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.
i t Signatuce��Applicant or Agent
•.P F'ml�Y'V T anA' 1 aa'rilea_ -64n AV -- ca-rmtida Dunes C •3A 4b-47.46
i
Name.of.Applicant•(please print), ti Business Address -N�,JTelephone No.
Name of Contractor a.nd Job Foreman;,- ; i Business Address Telephone No+. '
Contractor's License No. City Business License No.
' JF OpReilley Royyl- Iris. 'GSP 119629
Applicant's'Insurance Company Policy Number
FEES: ' Subdivision.lm rovement Permit 7 -,Class III ' ' 0 S;1
p 1�AS�t9T(IT.RL~r4-9S. 10.00i0
Public'improvements: 3% of estimated construction costs r ,
...Private improvements: 3% of estimated construction costs TO,
(� '7
-Minor Improvement Permit - C_ lass•IV: See; attached schedule ,
0 9 ? .s
Inspection Fee $ PERMIT VALIDATION
• •
Permit Fee 10.00 PERMIT NO. 0976
Penalty tt
' Cash Deposit-Surety'Bond DATE APPROVED 1/4/91
if required -1/7/91
EXPIRATION DATE
TOTAL:' $ 10:00 1/4/91 '.
DATE ISSUED--
."Receipt No.
By—
Received by Date' v Administrative Authority
-''Recorded by ,TELEPHONE: (619) 564-2246
b ra�•-. .+..,-.a ca. o w �...a—..-� .. .w ... R? e...,...a.._w c�,s. �. 4►rs ., .�, .s, w�w...�.e� �,..w ..... r �...�, � s- .��.. � ...., � ... .a.�. a
{-.
NOTE:'
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
.APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OVLRE1ZE LOAD SIE 717T
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: January 4. 1991
LOCATION OF CONSTRUCTION „�,:oye 010111irtilont
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION D-7 do%nr, Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION t"J�iolntnU
w6c�ght legal, length logal .�3-nl�cn SS Haul Route: avenue 50 to
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1 /7.4C11
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) _
In consideration of the granting of this permit, the applicant hereby agrees to:
Eisenhower to Fernando to hot
19 in the Enclave
P.i.let— -c;
-�
one day perpbit only
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.
Name of Applicant (please print)
Signature ,�&(Appiicant or Agent
Business Address
q " aj l �t r�;
Telephone No.
Name of Contractor and Job Foreman , Business Address Telephone No.
An i9n r-21
Contractor's License No.
Jk' OpHeilley rogrl inz.
19
City Business License No.
OSP 119f29
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III � � I <+ g � i ` ' � t0.04to
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:
Receipt No
Received by
11S.®0
$ 10.00
Date
yl �ii
dk 4 - 4;
PERMIT VALIDATION
PERMIT NO. 0576
DATE APPROVED 1/A /91
EXPIRATION DATE 1/7/91
DATE ISSUED—
By r`A
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE-. /
'With proper 'Widntion
this form cionstitutea in
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
mom.
For the construction Of public or private curbs, driveways, pavement!, sidewalks, parking.lots, sewers, water nNlfq
and other like puglic worsts improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
9ubdivirian improvement Permit - Clan UI
DATE; �-' 9� Minor improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Ddadription of Location)
DESCRIPTION OF CONSTRUCTION f T(I,z
DIMENSION OF INSTALLATION OR REMOVAL
$IZ E OF EXCAVAT'ION, IF NEEDED
sketch (attach construction plans if appal)
Z)-701a�
APPROXIMATE TIME WHEN WORD WILL BEGIN �� �
.APPROXIMATE. TIME OF COMPLETION .
ESTIMATED CONSTRUCTION COST S
(Including rramoval of all obstruction, materials, and debris, backfilling, com•
paotlon end placing permanaht rastirfating and/or replacing improvements)
In conviderefion of the granting of this permit, the applicant hereby agrees Im
indemnify, defend and save the City, its euthorited agents, officers, reorawntativas and emploVaa/, harmlen fiofn and against any and 411
onaities, liabilities or Ion rasuitlr§. from claims or Court action and Irking out of arty ueidsht, loo or damage to partona or propdr{y
hipasning or oosuning II a oroxintats resuit of any work undartaKan undst the permit grsntad pursuant to this appiiestion.
Notify the Aorminisiravve Authority at least tvvanty-four (241 hours in adwonce of the .time when work will be started.
Como1v win+ iii ap®I!capte clty Orn, i.nsnoas, the terms and Cooditlons of the permit and au applicable rules and regulations of the City of
I.J oi,tints Intl to pay far Inv additional reply ment neaesfary ea the result of this work,.
Name of A
cant (plantae print)
Signature of Applicant or Agent
Business Address Telephone No,
.Riame of Contractor and ,loll Foreman Business Address Telephone No.
Contractor's Licanse No. City Business License No.
Applicant's Insurance Co npany Policy Number
FEES: Subdlvi91on Improvement permit — Class fit
Public improvemehh: 396 of estimated construction costs
Private improveff4nti: 3% of estimated construction costs
Minor .Imorovernant Permit — Clan IV; See attached schedule
Inspection Foe $
lD °=
Permit Fee
Penalty
Cash Dapo' sit -Surety Bead
if required --
rOTAL:
Receipt No. _— -- - - --
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO,
DATE APPROVED
EXPIRATION, DATE
DATE ISSUED
Adminisftli" Authority
TELEPHONE: (810) 684.2246