1048Applicant's Insurance Company ` . Policy Number
FEES: Subdivision Improvement Permit - Class III ` p f o p i062 -9f• i0
0Atf f 4':00
Public improvements: 3% of estimated construction costs
' Private improvements: 3% of estimated construction costs U8
8
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ II
0.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if.required
TOTAL: $ D.
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 1D 46
DATE APPROVED -4-2 -91-
EXPIRATION DATE
DATE ISSUED 4 Z' q
By
Administrative Authority
TELEPHONE: (619) 564-2246
.114-1
4 -
NOTE: NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit #
APPLICATION FOR PERMIT,
r.m.d
' PUBLIC WORKS, CONSTRUCTION (ENCROACHMENT) ,r•���
OIV `iR1P OUE GIZ. _ LOAD PI�..EKIT . oFT��
For the construction of public 'or private cubs, driveways; pavements, sidewalks, par',king lots, sewers,, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
, '
Subdivision Improvement Permit '=.Class .IIl-
4-.Z + q
DATE: : _I.
- Minor -Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION AAbU'F— ED UIP _" ' w = Sketch (attach construction plans if appropriate) '
DESCRIPTION OF CONSTRUCTION- 16 63-^* 4AUt 'ZOU*FF_ .'
1 LU 91 1-4 I N G70Q '5T
11 iG 1" �. � �`D w AR I IV GU TO ` 4 IV V
1 1 I
DIMENSION OF INSTALLATION OR REMOVAL
IDI 1A_) M)500 - LP35 }
'SIZE OF EXCAVATION, IF•NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN.
APPROXIMATE -TIME -OF COMPLETION..DAT:
ESTIMATED CONSTRUCTION COST $
om
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
paction
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,iout any accident, loss or damage to persons or property.
,
'of
happening or occurring as, a proximate result 'of any work undertaken under the, permit granted pursuant to this applications
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 ofthe 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 thistwork
,• Signature of Applicant o Agent
UUEVO EIVC1IkJEERtI NLS 7q- 911 CDIANTV CLIAW B.D.
Name of Applicant (please print) Business Address Telephone No.''
Name of Contractor and Job Foreman Business Address ' f Telephone No.-
o.DN
0"FILE. `' Q F I'LE.
.40 ,
Contractor's License No. City Business, License No.
G9N F1LV_ yN 1L
Applicant's Insurance Company ` . Policy Number
FEES: Subdivision Improvement Permit - Class III ` p f o p i062 -9f• i0
0Atf f 4':00
Public improvements: 3% of estimated construction costs
' Private improvements: 3% of estimated construction costs U8
8
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ II
0.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if.required
TOTAL: $ D.
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 1D 46
DATE APPROVED -4-2 -91-
EXPIRATION DATE
DATE ISSUED 4 Z' q
By
Administrative Authority
TELEPHONE: (619) 564-2246
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NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
QME. `TlZ1P OUER-SIM LOAD PEEMIT
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
DATE
4 -Z -q i
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
' (Street address or Description of Location)
PURPOSE OF CONSTRUCTION KANE. E®UIP Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 160 G 14AUL IZOUTE.
Uj A4514 1 ti cYT O" 5�
DIMENSION OF INSTALLATION OR REMOVAL »�� f�Z D %i21 TO 011 111
IWife Lt.) WS. S 00 LP -55
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION A&V L DATE. 1-7--011
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
Signature of Applicant o Agent
(UUEVD-EMGIIUEEIZI IU L7 7q- 811 CDUNTU CL141Y b.1D. 34s-- Ma
Name of Applicant (please print) Business Address Telephone No.
i.
Name of Contractor and Job Foreman Business Address �` ; Telephone No. „
,O Q FILE
Contractor's License No. City Business License No.
C9N F i U. \, t� 0 F I LE.
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 10.00
Penalty
Cash Deposit -Surety Bond
if.required
TOTAL: $ it) ' 0
Receipt No.
Received by Date _^
Recorded by
'F� $FAAHT V L Oil=9i
1048
PERMIT VALIDATION
PERMIT NO. IO
DATE APPROVED 4-Z - 91
EXPIRATION DATE
DATE ISSUED 4- Z-91
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this tbt m'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
Subdivision Improvement Permit —class III
DATE: / - Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Sheet address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if a
rT -- PPropriate)
DESCRIPTION OF CONSTRUCTION ' / �Ol'i
DIMENSION OF�INISTAL �ATION81'RE OVAL
i c
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
n, AR -1
0G
�.V) 1� I Ill.
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and—deb—is, 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 end -employees, harmless from and against any and all
penalties, liabilities or toss 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 1241 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 Quints and to pay for any additional replacement necessary as the result.of this work.
Signature of Ap I can r Agent
Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778
Name of Applicant (please print) Business Address Telephone No.
NameofCon77
nd Job Foreman Business Address Telephone No.'
Contractor's Licen^No. City Business License -,NO.
icant's Insurance Company
ES: Subdivision Improvement Permit — Class 111
Public improvements- 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Onspection Fee $
Fee
,natty
Ish'Deposit-Surety Bond
required
TOTAL: $
No.
by
ecorded by
Date
Policy Number
N° 96
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246