1007A
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
February 11, 1991 Subdivision Improvement Permit— Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — moVe equipment
(Street address or Description of Location)
E OF CONSTRUCTIONbarber
"
wide. areene wei.ctht,
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED.
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
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:
Maul Route: Chihuahua and
Obregon to Bermudas to Ave.
52 to Washington to out of
City limits
Maul date: 2/12/91
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.
Tina Gracey
Signature of Applicant or Agent
Ta PO BOX 14050 Palm Desert, CA92260
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman , Business Address Telephone No.
on file
Contractor's License No.
on file
City Business License No.
on f ile
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
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee paid permit 1002
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
1007
PERMIT VALIDATION
PERMIT NO: 1007
DATE APPROVED 2/11/91
EXPIRATION DATE 2/12/91
DATE ISSUED' 2/11/91
- /
Byt.,
Administrative Authority
TELEPHONE: (619) 564-2246
'r
y
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITYr 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
February 11, 1991
DATE
Subdivision Improvement Permit — Class'l I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION barber green paver Sketch (attach construction plans if appropriate)
10110" wide, greene weight, all else legai
DESCRIPTION OF CONSTRUCTION
Haul Route: Chihuahua and
Obregon to Bermudas to Ave.
DIMENSION OF INSTALLATION OR REMOVAL 52 t0 Washington t0 Out Of
City limits
SIZE OF EXCAVATION, IF NEEDED Haul date: 2/12/91
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)
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
e
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.
Tina Gracey
Signature of Applicant or Agent
e 'f eaIon%? PO Box 14050 Palm Desert, CA92260
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on file • on f ile
Contractor's License No. City Business License No.
on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs O
Private improvements: 3% of estimated construction costs 07
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee _paid permit 1002 1007
PERMIT NO.
Penalty 2/11/91
Cash Deposit -Surety Bond DATE APPROVED
if required2/12/91
EXPIRATION DATE
TOTAL: $ ,��•,- 2/11/91
DATE ISSUE -D'
Receipt No. /
Received by Date v Administrative Authority
Recorded by TELEPHONE: (619) 964-2246
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NOTE:
With proper validation _ .+� • _ •F " a .' _ /
'' this form constitutes an -s .'. • ' CITY OF . LA QUINTAL ';'" ` r •`
encroachment permit. „ + t
APPLICATION -FOR PERMIT'
W.
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
It 10 4
For the :construction' of public^o,r private curbs, driveways, pavements; +sidewalks, parking lots, sewers, watermains
and other, like public works improvements in connection with MINOR IMPROVEMENTS and"APPROVEDiSUBDIVISIONS
r
Improvement Permit
Subdivision lm
. February'►►, 1991 t �, p
_- DATE:S,4 _ ' • Minor Improvement Perrtlit Glass IV,
LOCATION OF CONSTRUCTION move,equipment -
• . (Street address or Description of Location) •s``- - �= - _ ;.
- PURPOSE OF CONSTRUCTION barber green paver Sketch (attach construction.plans if appropriate)
' ~
10110" -wide, "greene weight, a • e se ega
DESCRIPTION OF CONSTRUCTION
HaultRoute:-Chihuahua and
Obregon. to'6ermudas.,'to Ave. `
DIMENSION OF INSTALLATION OR REMOVAL `52 to Washington.' to out of
city limits; `
SIZE OF EXCAVATION, IF NEEDED Y Haul date:, 2 2/12/91 „F
" • _
APPROXIMATE TIME WHEN WORK WILL BEGIN T
APPROXIMATE -,TIME OF COMPLETION x - = r,
ESTIMATED CONSTRUCTION COST$ -
(Including removal of all obstruction, materials, and debris, backfilling, Com -'z
paction and placing permanent resurfacing and/or replacing improvements)'
,In consideration of the granting of this permit; the applicant hereby agrees to:. it r r' "
y - Indemnify, defendandhed save tCity,'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 workundertaken under the,permitgranted pursuant to this application. ,
E Notify the Administrative Authority at least twenty-four. (241 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 oftheCity. of _ -
La Quinta and to pay for any additional replacement necessary as the result of this work. 't
Tina "Gracey, ;.
c " Signature of Applicant or Agent
�a r►ae/passe•• PO �Box�"14050,: Palm Desert,,,CA92260
Name of Applicant (please print) r t Business Address " Telephone No.
Name of Contractor and Job Foreman 'Business Address Telephone No:
on file a on file_. -
Contractor's License No. City Business License No.
`"
on filer_ .
Applicant's Insurance Company 1 Policy Number. 1,
'FEES: ~Subdivision ImproveinentPermit — Class III
• Public improvements: 3% of estimated construction costs
,Private improvements: 3% of estimated construction costs p v
J. . , r' r Vii, r
' 3 Minor Improvement Permit — Class IV: See attached schedule r•,
Inspection Fee ' $ ' PERMIT VALIDATION
Permit Fee maid t- Permi1'002 1007'
—'r n s PERMIT N0.
Penalty A DATE APPROVED 2/-11/91' r ",
Cash Deposit -Surety Bond ;
if required '' 2/12/91 -
f " ,' EXPIRATION DATE
TOTAL: $ _ r DATE ISSU
_ Receipt No. r . . „
By
Received by Date Administrative Authority
"t7 Recorded by TELEPHONE: (619),564-2246' r
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NOTE:
WHh proper validaittn•
this fort candittsass to CITY OF LA QUINTA
ertts'olanntertt RermK .
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the carinmct,on of purine or rfivatt caro:, drivemys, pavements, tidmelka, parking ton, sewers, arssts tttsshbtr.
and other like public works improvenari s in connection wixh MINOR IMPROVEMENTS and APPROVED SU%D1VtWOft
�,� / ��� Subdivision Improven+tnt Permit — C.us li)
DATE, l Minor ImmovwWri: Permit Cls t IV B;
LOCATION OF CONSTRUCT10M
Istteet - m ' ' er oe Ovftn of L.eraemd
PURPOSE OF CONSTRUCrtON
DESCRIPTION OF CON RU ON
DIMENSION OF INSTA LATION OR REMOVAL
SIZE OF EXCAVATION. IF NEEDED
APPROXIMATE TIME WHEN WORK WILL $EGIN
Sketch (atlaeh 60"ttuetion plans if > gMVfljft),
Xl 6c. «� �u a 1
APPROXIMATE TIME OF COMPLETION % _?
MIMATED CONSTRUCTION COST S -- %l f �d! (tom
(lAduding removal of all obs<trucnon, materials, and debris, bats lfing, Wnr a
pacnon and placing pemuntm resurfacing andlor replacing improv mma)
In consideration of the oraming of this permit, the applicant IWOW agrees tot
tndemmfv, defv4 aid neve " City, m autnaued or". atliear,t. rwresonatives end em iuveeer henmew Irma ane pw ct am end all
0erw)11e2, Ii4bNnle, ar 1e0 ratWllrq Ir m churn or Cburt nucin and ewuso OUt of env alpidem, tote m oarnap to poop or plow V
happemnq Of oeeurrina is a proxhTiew molt of ow worit undertaken unoor the wmrt 1lrantod oum am to this sopnneon.
Nottty tM AdmtmRnteM Auewem It least tf iinOhfWN 42{l hiesin sn edrenu of the time when wort poli o, rusted.
comeiv twat dl ownm to Vtv ofok"Ios. the Anna end pendittoru or the blennn aril Ili ar+WIcMe nNae Ino reettUnwie of tfte Ckv of
`SLA CLUlnte erica tO pay for any oddkiorW e,W,@ w t i-wto ra at the molt or shit VQ t.
n Sicnaryue of Aoeltunt or Amnr A 'i
Name of AQ0io0Mt (please amti euslnest Aclatest Telephone No,
Name of Contractor &no/Job Foramen Suslness Address Teiep ate No.
_ ,1� `t • /F' J2 14
Contractors L,centa No, City Business Licante Nd.
Aopucant's Insurance Consparty
Polity Numotr
FEES. Subdivision lmptovernent Permit —Clan III
",
:•�;l, 'it''
Public improvemaim: 3% of ommattd conlrovaion costs
Private imorovst unci: 3% of estimated construction coats
Minor Improvement Pertntt Class IV: See attrsried schedult
Insoectton Fee S
PERMIT VALIDATION
Permit Fee
'ERMlT ;0,
r
Penalty
Cash Depotlt•Surety $and
DATE APPROVED
,
EXPIRATION DATE
1.
TOTAL: s�
DATE ISSUED
r�:
Receipt No.
,•
By
Recolved by Oatt., ®,.�..
Adminiraonve Authority
. .
Reoaraw by — _..