0978NOTE:
With proper validation A
this, form4 constitutes ar�-
=encroachment permit . 4 - I I , 'City. OF LA�� QUINTA,
APPLICATION FOR PERMIT,-
PUBLIC- WORKS CONSTRUCTION HMENT)
(ENCROAC
0 . F
For�ihe construction, of public or private 'curbs, driveway's, pavements, sidewalks, parking• lots,* sewers, water mains
and other like public,works improver-h'ents in'connection''with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS-
4..
Subdivision Improvement Permit – Class 111
"I 1991.
January. 9
DATE: I Minor Imp'rovernent Permit Class IV
LOCATION OF CONSTRUCTION TR 23935 .Dune -Palms vVs 's/o. Miles -and'-Mi1es's/sw/o'Dune Palms
(Street address or Deschpti6n of Location)
adjust' 4 man ;fi6ielids.to..
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if 'appropriate)
repl
DESCRIPTION OF CONSTRUCTION ace, 3 parkway lids with
-
street 'lids and Adjust to grade,' adjust` 1 parkway 'lid
to grade 'A reference GTE Permit # 0906'
DIMENSION OF-INSTALLATION OR REMOVAL 30"-dia mh lids' 41: cmiditions of permi. 0906 shall
apply, t6this .permit
#
SIZE OF. EXCAVATION i'l F NEEDED ref. GTE-110,549-41703–I
APPROXIMATE TIME-WHEN WORK-.WILL BEGIN 1/9/91,
APPROXIMATE TIME OF COMPLETION 1/31/91
I 'r ; o� $, L200'
ESTIMATED CONSTRUCTION C ST-
.(Including removal of all obstruction, materials,
and debris, Backfilling',com
paction and placing permanent' resurfacing rand/6"r replacing improvements)
In consid6raiion of the grantihg of. this permit, the-applicarit hereby agrees to:
authorized agents,f cers, representatives and. employees, harmless from and against any and all,
Indemnify, -defend and save the City:,i;s,�j'officers,
_4 or resulting from claims . . . o I r court and a accident,joss or damage to . persons or property
pe ties, liab.ii,ities, rirising ou - t of any.
0 '1, - -
happ , ening or occurring as'a'proxirriale`result 'cf"any'v'�'ork,unclect6ken •uncler- the permit*- granted pursu6nt"to this application.
Notify the Aclnrinis,rative'Auth614 at least twenty four (24)'hours in advance:of the'time when work will be started.
Complywith all applicable. City 0rdinanciis, the terms -and I con.dit ions of.the 'p'erTit and all applicable rules and-regulatio'ns of the City of
La Quinta and to pay for any additional 'replacement necessary as.the-result of this work.
j
/Signatu'
re;,bfAppIicant_br Agent
S
Herman weissker.,. ..M0-.Indu,§tr1a1 Di._`Bkc�gton CA 923L6714/ 877-2470
.Name of Applicalk (please print) k Busiriess Address' Telephone No.-
,
Cary wisser same
Name of Co ritFa6tor and Job Foreman Business Aciclressl' Telephone No.
183556
1661
Contractor L se N6: City Busihe'ss'License No.
icen'
on file
Applicant's Insurance Company PolicyVumber
v Improvement Pe bass' 1.11
FEES: 'Subdivision Im Permit – m
0 _DA" 91
t i
Public improvements: 3% of estimated construction costs w AA MO-FAL 46A,
.,Private improvements: 3% of estimated construction costs.
Minor.Improvement Permit – Class IV: See attached schedule, -No .03
-4
.00 .4
Inspection Fee , 40 PERMIT VALIDATION
Permit Fee, WPERMIT NO. 0978
Penalty
i/q/91
Cash Deposit-Surety Bond DATE APPROVED
if required1/1-1/91
..EXPIRATION 'DATE
TOTAL: $ 40.00
rip P�
•
DATE ISSUED
Receipt No.
•By—
Re6eived by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
zyf+.c�yF'*•1y� J�l'Y .r.�.w4 r. � U �.c, w. .� r tw a... q! �!..-.r. e►..r na N. wa ++. �h R. M+ M� �C. � .R ►res w. e-. y.- e► y. .w ev. rrw w w �w � w w �.. �r
,t
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
TinuC� Subdivision Improvement Permit — Class III
DATE: tY9, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION TR 23935 Dme Palr . W/s s/O i'dl.es and 11ile5 s/E; w/o Dane Pall
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION adtzst ren hole 11015 t0 Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION ","'AE` L4-X_4'v`.y ") `
street lids and adjust to grade, adjust 1 9aar}a,uy 1j
to c1radb
DIMENSION OF INSTALLATION OR REMOVAL
.SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/9/91
APPROXIMATE TIME OF COMPLETION1 31/91
ESTIMATED CONSTRUCTION COST $ 11100
(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:
reference 0'fE Permit 0? 01-3r?6
U11 cm ditions of pa n,# 0906 shall
a1jr to this 7.errnnit
ref. GTL- IND 529-41703-1
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.
Signatu e_of'Applicant or Agent
yze= i V�bissker 2620 Industrial Or. rilcz .1-ington CA 92316 714/ 077-2470
Name of Applicant (please print) Business Address Telephone No.
Gary I'do-ser same
Name of Contractor and Job Foreman Business Address Telephone No.
1 , 536 1661
Contractor's License No. City Business License No.
on 'file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 40.0 ,I
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ 40.00
Date
•�,"pry � : �, '� .-
PERMIT VALIDATION
PERMIT NO. 0975
DATE APPROVED 1/3/91
EXPIRATION DATE 1/31/91
DATE ISSUED 1 /D/%'1
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutei.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
qr Subdivision Improvement Permit — Class III
DATE: // Minor Improvement Permit Class IV
LOCATION OF C9NSTRUCTION Tl� 2 3.33 DCIA r,�Acrn c EJiS' S/o M166-' 61 lyic E�
S/S �J/o ��,� ac,r>,
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Anes ST '4 /in L, os rd GPA a& Sketch (attach construction plans if appropriate)
D SCRIPTION OF CONSTRUCTION E bACt✓ A D �Tjj 6l ElEi2lh/-r- b�lUCo
—NTP—Cif LI QS J o 6rA
DIMENSION OF INSTALLATION OR REMOVAL �A. 0_
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN.WORK WILL BEGIN 79
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION. COST $ !'Z40
(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 grerited 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 Ouinta and to pay for any additional replacement necessary as the result of t is work.
Si r nt or Agent
MAtf 1AfE1S3aF_.2 8Zo I, m4eAt- 0 2, S LMh,JK iJ Cq 91 .,X (1,0 6 99- 24 ?v
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 III
nrva�c nnNruvc�ncnw..aro vi 6aU111O\cV GVIIaV V�.UVfI �.Va
Minor Improvement Permit — Class IV: See attached schedt
Inspection Fee S�
Permit Fee
Penalty,
Cash Deposit -Surety Bond
if required -
TOTAL: $
Receipt No.
Received by Date
ii Pf`nrrle'i iw '
N4
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
• 'rC1 GOUnNG. 1121n% C&A -11+,10