0977,..•,,,,...... .,.�.,« � a�:�^^'""= '•*^,-r- :-•�.--•�' �,— w-•..�-•.,...-•,...,.:.*-«'.. c+..t•.;�•-::t•a-- ,e�•• _�.«.::a,..�-..., ..,-.-.e4..�w ..may.. - , , .
Of
1
With proper validation �. 2
this form constitutes an
CITY OF LA'-O.UINTA,.
encroachment permit ,
• = APPLICATION' FOR` PERMIT Eg
ti
•:PUBLIC WORKS CONSTRUCTION. (ENCROACHMENT)
OF
1
' 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�MINO,R IMPROVEMENTS and APPR,OV,ED SUBDIVISIONS .
• "1,. •�. ,' ' 'K `, `�'� - }n3 • T^ i+'• , - ^ , .• 'tel '._ y - ,•...•
fan 'ary '8;' :1991 ` • Subdivision Improvement Permit — Class III
r DATE: ' • '.' Minor Improvement Permit'da'ss IV
` LOCATION OF CONSTRUCTION" 5424'5 �Avenida,Rubio"La Qtxinta:
(Street address or Description of Location) , �•- �' ; '
=dri'veway aroach '
' PURPOSE OF CONSTRUCTION • pp , Sketch (attach co'n'struction plans if appropriate)
DESCRIPTION OF•CONSTRUCTION t r
�' "- �. ,• Y. r .,:per ,Riverside Goo.- Std.. # 207.
DIMENSION OF INSTALLATION OR REMOVAL •,seeattached t
w
N -i F NEEDED'
SIZE OFrEXCAVAT -
10
IIHEN'WORK WILL'BEGIN -119191
APPROXIMATE TIME V
t , r_ •,•
APP ROXIMATE'TIME.OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of .a 11 obstruction, materials, and'debris, backfilling, com
paction-and placing permanent:'resurfacing 'and/or'replacing`improvements) J T ' +' t•'
In. consideration "of the granting of this .permit, the applicant' hereby"agrees to:•.`-
•- Indemnify;.defend and save the City;.its$authorized agentts;-officers; representatives an&employee's', hai'mlessffrom"a d against.any and all
penalties' liabilities, or loss resulting -from clairns or court action and: arising out of any accident, loss ort -damage to persons or- property -
�,happening'or occurring as a proximate"result of.any work undertaken•under the permit granted pursuant,to'this.application.
FT I Notify',the Administrative Authority.,at least twenty-four•(24) hours`in advance•of_the�time when work''will be,farted.'. ` • s
Comply. with all -applicable City Ordinances,.the terms -and conditions of the'permit•and all applicable rulesandregulations of the City of, •.
* La Quinta and to pay for any additional replacement necessary as.the'result.of. this ,work.
14
+' t : �. ^ . .. • Signature of Applicant or -Agent
:James ,A. Stbnet: �_ 38152' Rock •Ci mlii �P'lm Desert346-;4020
------------
Name-of Applicant (please print) r +.' Bus inegs'Address' `°' ':� Telephone No.
, t•
,,Mark -. Troup + r•r ,. � ,, .
Name of;Contracto'r and Job Foreman ,' •' Business -Address: _ �' 't ' ' Telephone' No.
on, file' ¢ .� " .•. s' - 'on, f, le. #
Contractor's License No.
City,Business License No.
' on' f ile i _ .
Applicant's Insurance Company Policy ,N umber r,' '
FEES: Subdivision Improve ment.Permit =Class 111 r T
Public improvements: 3% of estimated construction costs .,.� 5AS"H�STii ig ��� '30.00 1
Private improvements: 3%.of estimated.construction costs
t � .: 0 9 71: '
Minor Improvement Permit = Class IV: See attached.schedule
Inspection Fee $ .20.00 ` PERMIT `VALIDATION°
4
Permit Fee 10.00 097? r '
PERMIT NO.
Penalty/ /
Cash Deposit -Surety Bond DATE APPROVED 1 8' 91
if required EXPIRATION DATE 1/10/91
1
TOTAL: $ 30.00 11/$/91-
DATE ISSUED "
Receipt No.y/dA1t:�..-_t ,
Received by Date `f r _ Administrative Authority
Recorded by TELEPHONE: (619) 564-2246' .
�,-.�..�'hFlui",'i�,'rrti•l�ia�'`=.,�. ,��=�{c:"�^ ... 'tn,!•. '3�`-tu.,..�x+..t' ��, j+`�.': _.i•'t,ik..cj..._t-',r.�t::^�p►�`..��r,'i;:+��,�._:•,tft+fi,`-.����-.Lire:�.+'`r44`:".'�i''?:.r.�.'��'�f��_ .�s*'+� ..L.1
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.x w
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
January -8, 1991 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54245 Avenida Rubio La Quinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION driveway approach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
per Riverside Co. Std. # 207
DIMENSION OF INSTALLATION OR REMOVAL see attached
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/9/91
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:
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.
Signature of Applicant or Agent
James A. Stone 38152 Rock C' cle Palm Desert 346-4020
Name of Applicant (please print) Business Address Telephone No.
Mark Troup
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file
Contractor's License No.
on f ile
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
10 Y P9?8Tk _?'_9 s 30.00 0
Private improvements: 3% of estimated construction costs t -1'7 '
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
$. 20.00
10.00
TOTAL: $
30.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 0977
DATE APPROVED 1/8/91
EXPIRATION DATE 1/10/91
1/8/91f
DATE ISSUED
Bye
Administrative Authority
TELEPHONE: (619) 564-2246
L
NOTE.
With proper validation
this form constitutes an
encroachment permit.
CITY OF LA QU1NTA
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: r L/v Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 7 '2 U ,1 D
(Street address or Description of Location/)
PURPOSE OF CONSTRUCTION/�'1)"P 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, ba,—*filling, 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 the result of this work:
Signat of Applicant or Agent
Name of Applicant (please print) Business Address Telephone No.
1�W %rlD of
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's Lice s No.. City Business License No.
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 NO
Minor Improvement Permit _ Class IV: See attached schedule ' o
Inspection Fee S I PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 5642246