1024�"v�, r ��•'� �' y.,.,""'"t�t�T��'�.""�.�I�j�•M't"G7'�+v""""..I'at"'vti�r.�.�rr
t-• NOTE:
"With proper validation
this form constitutes an
encroachment permit
ti
t •
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 111 `
DATE:, T q Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54- 54D C.APMAUZA . r
(Street address or Description of Location) '
MW E AFf PWAC i� p pprop)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if a riate
DESCRIPTION OF CONSTRUCTION K%VEUJA 4 'APP2046H �1-iAL,L -
BE C 0Q'bT RUaED PEZ
M 207.
` DIMENSION OF,INSTALLATION OR REMOVAL 2'D1 MIV EVVAy (AT"*T"A1LN- )
SIZE OF EXCAVATION; IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN `L` iy 19
APPROXIMATE TIME OF COMPLETION 3—zo- 9
ESTIMATED CONSTRUCTION COST $ N
• 0ncludingremoval of'all obstruction, materials, and debris, backfilling, com , s
_ . c
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. 7�`r
•," 4—eotify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started��i�.",%'ORMEU
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 ,
f
Signature of Applicant or Agent,
S"TA ' DF-IbjGUS 4)344 Il ER)OOKT AVE' SAKI D1650 - Z7-7--1405/
Name of Applicant (please print) Business Address Telephone No.
DAN FEgTlFP-1NG1LL P,A. PAX 10/Z_,LA Qu1AIT4 ',6&9 61478
r Name of,Contractor and Job Foreman Business Address Telephone No.
Contractor's License No., City Business_License No.
' �T.A7C ASM 9D -09-+7N"q5' Y
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class III �%R h Q
n • Public improvements: 3% of estimated construction costs _ _ ,"_ _ +"S � A~g� 0.0
Private improvements: 3/0 of estimated construction costs •. .
,024
Minor Improvement Permit — Class IV: See attached schedule,
Inspection Fee $ Z ID • 0 0 PERMIT VALIDATION
Permit Fee /0' 019 10241
PERMIT NO.
Penalty ; 3-7— 9
Cash Deposit -Surety Bond DATE APPROVED
if. required EXPIRATION DATE 3— 9
TOTAL: $ 3f7. [7D 3_ %' 9
DATE ISSUED
r Receipt No. By' A
/ Received by Date ov Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
it
r
,*,NOTE:
With
*,NOTE:
With proper validation
this form constitutes an
encroachment permit
,Y•7+.�Stii!i'f'a°''�i`+ K'"!^fjhi!Mk
.tv ..t..
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: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION SLI- 15 W0 CAIZRAUZA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MW E APPROAC R Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION DP,IVEuJAy A PP)20ACM 5 AL.L '
BE COUbTRUCTED PES.
RIVEDSDE, CO. 95M Z07
DIMENSION OF INSTALLATION OR REMOVAL 20' MIV EW AY (ATTAL' WEp)
SIZE OF EXCAVATION, IF NEEDED
. 1
APPROXIMATE TIME WHEN WORK WILL BEGIN -91
'�W �q '
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
pact'ion 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
. I
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>��=r�jLORMED
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.
i
• j
Signature of Applicant or Agent j
SAAUTA FE DESIGMS 44344. IUEWPOKT AVE. SAU DIFC•,D Z7Z-WIS! j
Name of Applicant (please print) Business Address Telephone No.
DAM FEArhF41/►lC�ILL PD; 801 1012 LA QUTA174 1609--Zo1478
Name of Contractor and Job Foreman Business Address. Telephone No'.
8 Cl 7.B.30
Contractor's License No. City Business License No. J
STATC FAE'4 '10 - 09 7L-1 15 Y
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
Penalty __ "✓
Cash Deposit -Surety Bond
if, required
TOTAL
Receipt No.
r .,.
i Received by
Recorded by
$ Z0.00
/0100
PERMIT NO
Date
105 8G�A f �OT�t.-i7-9 30.Q�o
,024
PERMIT VALIDATION
1024
DATE APPROVED
EXPIRATION DATE ZZ^ 9
,.-DATE ISSUED % ~ 9 /
Administrative Authority
TELEPHONE: (619) 564-2246
'ROW
PROPER T r LINE
6 MIN
3
* ! •44'j
C - 1 r •y �:
44
ki
A ib W
Ik h
cawwroCIAL IO M' W. 40 AIIX.• MIN
` AT COMMERCIAL 7
S/DEWA L 9
I PROPERTY L/NE T— +'
8 Q
W
RESIDENTIAL /?'MIN. JO,' TAX. X` . ?' IL
• COA/MERC/AL ?O'AI/N. -10• A/AX.— MIN. +�
-
WHEN #V0, SIDEWALK SIDEWALK.
EX/STS OR JS REOUIRED
• 13. WHERE ABOvE ummovG SLOPEs cAN Nor
LS CONSTRUCTION SMALL BE CUSS "B BE NET BECAUSE OF Nf16Nr OF CURB, DEPAESS
I Al-J.
COff SIDEWALK LWr/L SAID SLOPES ARE OBIAiNED.
L0110GIND/NAL SLOPE OF WARPED AREA
Z 10 OF FULL HE16Mr CURB RfOUIRED AO?AGENT TO OR/vrooAr SMALL NOT vARr
BErwrew. nF/v[wA►S wilmim 'ANr A/ORE rNAN 6X FRAY rMf LOvGirU&NAL GRADE
ONE PAOPEArr FRONTAGE. LINE OF rNf SIDEWALK.
NOTE: MEET ENOR S .
i4E AED GRADE
TRANSITION.
1 f ' �• P�
Ti &E Ak YLVMENSIONS
iA< &V r 01 A-WMr/AL ccmMmC/AL
6 ?. 0" '?• 0
• AAS r � B ! 0 ? B"
PEpg f
Ex
County of . Riverside
,d CONCRETE DRIYEWAY
Efs SCHEMAric APPROACH
i AMM. y
• REV/BIONS
,1
STANDARD NO. 207
111-10—l" 2-e2
r
NOTE:
With proper--maiiidttilonit-
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, waUr.- renins
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:
LOCATION OF CONSTRUCTION
(Street address or 0amlption of Location),
PURPOSE OF CONSTRUCTION Dl-,
qN
OF INSTALLATION QR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Subdivision improvement Permit — Class III
Minor improvement Permit Class IV'
�Oi�'d�lyr �l
(� _C4 '
Sketch (attach construction pians if appropriatr): .
APPROXIMATE TIME WHEN WORK WILL BEGINl�`T 1 '
APPROXIMATE TIME OF COMPLETI
ESTIMATED CONSTRUCTION COSTS '� � - ` WSJ
(including removal of all obstruction, materials; and debris, baitf•Illing, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of thispermit, the applicant hereby agrees to: I
Indemnify, defend and saw the City, its authorized agents. officers, represenutives and employees, harmless from and against any end all
penalties. liabilities or loss iewiting 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 (241 hours in advance of the time when work will be started.
Comply with all a0aticable City Ordinances, the .terms and conditions of the permit and all spoticamii roles and regulations of the City of
La Quinta and to pay for any additionai replacamant neasory as the result of this work.
(� � \ l '•+� Sign{e�t o Appli�cat or Agent• j •
Name of A
.,.i...i
Business
Telephone No.
Name of Contractor and Job Forer)sadi Business Address Telephone No.
Contractor'. License 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 lr
inspection Fee S
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date -
Recorded by
PERMIT VALIDATION
PERMIT IVO.
DATE APPROVED
EXPIRATION DATE'
DATE ISSUED
By
1 Administrative Authority
TELEPHONE: (619) 664-2246,