0996MY.w!..+M,R•�!`A"f.Wl•,i4.MMlFJ'^.a!.,..14•M4'K•?a-�.Y'ti••!'..1".k SW ^.l♦'♦ �` - , !••. ir./�r.-l?e.4Y/4..e!w. Y^�.Mw.M.A'J• l+w.-r► w.•..•r r4-•,l+-.C+._-Mw-C'•:a ,� e•. .ni.-.�..—'c.T,pt.•.r.y.n
'NOTE:
•
With proper validation
this form constitutes an {
CITY OF LA QUINTA
-encroachment permit
r ` = APPLICATION FOR PERMIT
PUBLIC WORKS ' CONSTRUC•TION (ENCROACHMENT):-
• �' �r j.. r OF
For, the 'co,nstruction' of public or' private curbs, driveway's, pavements, sidewalks, parking lots; sewers;:"water. mains
and 'other like public works improvements in'connection'w;ith MINOR IMPROVEMENTS'and APPROVED SUBDIVISIONS
71
r l
' ` •- ,. ,S s " ' Subdivision Improvement Permit ;' Class I I I
' DATE: - 1/30/91 .. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54035 AirPni6a .`Mar.i-.i_nP7 '
(street address or Description of Location) , :•� ♦ y
driveway approach
-PURPOSE OF CONSTRUCTION— y t Sketch (attach construction plans if appropriate)
'
5,1/1 x 22 x 6"
-DESCRIPTION OF CONSTRUCTION.,
_ -
_.•Per attached River side ,Co� Std:'
No. 207
,DIMENSION,OF INSTALLATION OWREMOVAL r �` ,r
SIZE OF EXCAVA_TION,'IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN,
pouf' = 2 1 91
r APPROXIMATE TIME OF COMPLETION }
—ESTIMATED CON STRUCTION.;COST $
(Including removal of all obstruction, materials, and debris;'backfilling, comb
,paction and placing permanent,resurfacingand/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 oroccurr'ing as a proximate result_ of any"work undertaken`unde� the permit'grarited pursuant ;to this application.
''Notify the Administrative `Authorityjataleast twenty-four (24)hoursin advance of the'ttime 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 orlAgent
'
Jeff Hines 17.'B1ue River, Palm Desert, CA /j� 7�3-336.9
Name of Applicant (please print) Busiriess Address 't, •Telephone No`
Hines Development s ame
Name of Contractor and Job Foreman + r' Business Address . Telephone No.
436276 ..
t ..
Contractor's License No.
�. City,Business License'No.
Desert 'Ins .
' Applicant's Insurance Company i j, "
{ Policy Number :r '
'TEES: .Subdivision Improvement Permit — Class I II
,. �iei�a�L 'a—�� �0y 0}00
Public imp'r.ovements: 3% of estirnated`construction costs
1�i'
a 3 r t!
Private improvements: 3% of estimated construction costs
• .
".,
' NO+
Minor Improvement Permit — Class IV: See attached schedule
"
Inspection Fee" $ ?n nny
` �` PERMIT VALIDATION. -
J 10 •00 a ,
.
.... ,
Permit Fee >
PERMITNO'.
Penaliy
DATE APPROVED 30/91
Cash Deposit Surety Bond
if required
;> EXPIRATION DATE 2/1/9-1
_
TOTAL: $ n no., •
,�% .i / -A n / a i
DATE ISSUE— e
Receipt No.
s,
By ,
Received by Date
r; Administrative Authority,
Recordedby,
,TELEPHONE: (619) 564-2246 C.V j 1 t'
�.+i••^«^ •��.,.: }�*: �. .'�..,-�-r'Fa-�• ,?T�-. ,la 5�....-a -i _ atm ,i�'y.l•"�_ ,,.+'�� y'�'.1� .f ,�.<t �ti,,i'� �tja' .SYS f.'�.%d.
.:p.....w..aR.:�i..�,�.-�..:..r......a.�.w.-.��t.r: •..4 .�a a .+o .: ,,. oz .,._ » .: �..t. �-4^..a...�..e:.�► «...x+. a. a�..,'...a....a....a, .n.. t. ww..�.�..- .,: e. R-�.'-.s.. ei. n..i-.,....,� � .., ,..e.oe...�..,n
A s �
'NOTE: 4'
With proper validation
this form constitutes an
encroachment permit
r
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
Subdivision Improvement Permit — Class III
DATE: 1/3091 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54035 Avenida Martinez
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
driveway approach
DESCRIPTION OF CONSTRUCTION 5 1 /Y X 22 X 6
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
per attached Riverside Co. Std.
No. 207
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN PODS 2/1791
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'Avrrt
Jeff Hines 17 Blue River, Palm Desert, CA �/ 7-3-3369
.Name of Applicant (please print) Business Address U Telephone No.
Hines Development s ame
Name of Contractor and Job Foreman Business Address Telephone No.
436276
Contractor's License No. City Business License No.
Desert Ins.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II pQ5iell A, y�(�WA Y-9 j, fin` o(y
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.
$ 20.00
10.00
$ in, nn
Received by Date
1
Recorded by
PERMIT VALIDATION
PERMIT NO. 0996
DATE APPROVED 1/30/91
EXPIRATION DATE 2/1/91
DATE ISSUE D^ ,1! 1/30/91
By
Administrative Authority
TELEPHONE: (619) 564-2246 C -L
NOTE:
• With proper validation
this-form constitutes an 4 CITY OF LA QUINTA
encroachment permit t
APPLICATION FOR `.PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENTI
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
l
/1 �Q Subdivision Improvement Permit — Class Ill s
DATE: `J11!9' 6941, 4 !/ _ " inor improvement Permit Class IV
LOCATION OF CONSTRUCTION V1013 rl-
(Street address or Description of Location) -
PURPOSE OF. CONSTRUCTION- �-��� rirGt� ' Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION d/f
DIMENSION OF,INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED m0�
APPROXIMATE TIME WHEN WORK WILL BEGIN
' APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $/6"r' . C;20;0
(Inciuding"removai of all obstruction, materials, and debris, ba--kfiiling, Com-
paction and placing permanent .resurfacing and/or replacing improvements)
Y
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 tAa permit granted pursuant to this. application.
Notify the Administrative Authority at least twenty-four 1241 hound in advance of the time when woik will be started. '
Comply with all applicabto .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 Appli ent
Jet �m�f j71�/U� �r- -� l�/l
Name of A pjicant (please Tint) Business Address Telephone No.
Name of Contractor an Job Foreman Business Address Telephone No.
Contractor's License No. - City Business License No.
Applicant's Insurance Company Policy Number
F
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor improvement Permit — Class IV: See attached schedule
Inspection Fee S - it PERMIT VALIDATION
Permit.-Fee PERMIT N0,
Penalty DATE APPROVED,
Cash Deposit-Surety Bond
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED +
Receipt No. By
Received by `Date Administrative Authority
Recorded by _ TELEPHONE: (61816642246 ;