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105461 W.- _ .i.(.Y V • �/ !T" • ,a h , • M•.n+Mt Si-:PI�F':,:t Y'�}fc.• sit ..r , , � }_ F � ^-TV ti . s ., e y .'` 7 ;.'I . � ', u{ 4'•'. .:' �}i.'..�z�t.a'-�+�r - ._` aA w• . ' .. y..I�.«...,ti�... «..r.. �.-..y �•..f�-S'-`;'•«.- �..('..- 7...,l..sc s. to - 'NOTE::, With proper validation ' -this form constitutes an l 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 acid other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III 'DATE: •4 ` s Minor Improvement Permit Class IV • 'LOCATION OF, CONSTRUCTION T g- to as'.��AC� DRU SH z. � .. •. .. ''rat - .. (Street address or -Description of Location) h•:' a PURPOSE OF CONSTRUCTION. ' _DR V E1/tlA�' APPROACH Sketch (attach construction plans if appropriate) DMCWAY APPRDACH +DESCRIPTION OF CONSTRUCTION SHALL EE COY STI_v_TED '. PER RNVEPS1DE CDIANTY DIMENSION OF INSTALLATION OR REMOVAL Iq ' VV IDE DIW G�''T p; V\jQ. Zv-7' (ATTAC 4EF D) SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN-WORKWILLBEGIN' APPROXIMATE TIME OF COMPLETION •' ' A u , ESTIMATED CONSTRUCTION -COST $ (Including removal of„all obstruction, materials, and debris, backfilling;•com=, pactton andplacingpermanent resurfacing. and/o� replacing improvements),- "� In consideration of the granting of.this permit, the'applicant'hereby agrees to: d .. ,_. ,. Indemnify, defend and 'save the. City, its authorized agents,, officers, representatives•ancl employees, harmless from and against any and all , �`•`~ it. .. - 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 anyrwork undertaken -under the permit granted,pursuanfto•this application.. ~ - ' Notify .the Administrative Authority athleast,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 rmit and 11 applicable. rules and regulations of the City of La Quinta-and to pay for any additional, replacement necessar as the esulf of this wor � . i .' 7 � � 'L + ' a. .J r '�' '. •Cys, . ✓+'a='r'...+.-..• �+�u•.. + r h • ` I Signature of Applicant or Agent i' rCIZA►C-� C0ORT;EMAI� CHF_- P•O,E)DX,L16UV, PAU.%,DCsT . Sln�l-5828 -Name of Applicant (please print) .. • Business Address , , : i , ` Telephone No. '.Name of Contractor'and'Job Forem"anr, -> Business Address Telephone No: f, •. _ fir. .. ,. �.. .,' Contractor's License No + City Business License No. 'Ap'plicant's Insurance -Company Policy Number w :FEES: Sub'divson,lmprovement Permit — Class III j ' i 91 i0©COSH OAL 1 30.00 +, Public:improvements:"3% of estimated construction costs ;.w _•-, _ ' Private improvements: 3% of estimated'construction costs 0 54, Minor Improvement Permit = Class -IV: See'attached'schedule Inspection Fee $ PERMIT VALIDATION Permit Fee I,D • U0 105y '• PERMIT NO. Penalty Cash Deposit -Surety Bond if,required TOTAL: $ • X30 , 00 •- Receipt No. ' Received by Date Recorded by DATE APPROVED 7 EXPIRATION DATE ` 4 -12 -GI DATE ISSUED 4— " I - 9 . "P Administrative Authority TELEPHONE: (619) 564-2246 .-t.�-.: ♦. j � ^C.t*`v. -.v- - ' ;i�l�..�%_ ..r�wvr+. � � � .- .. r 4 + . " ' � •-+:. r � Y -, ...� ' � t w �r.: _ � i i ' r -• - � � � � . .. .. � , � , h 1 r..a2 .,. .�„'7 ..�..i�kr 3t'�: �Ife �;.� ,. � •un ,.�� 4 ,� r`�'"f. t 7'h �4e a 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 r and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit —Class III DATE: 4 (� , Minor Improvement Permit Class IV LOCATION OF�CONSTRUCTION g- �S SAC- E 13R U 5H (Street address or Description of Location) ' NM EWAV APPROACH plans if appropriate) ppropriate) PURPOSE OF CONSTRUCTION Sketch (attach construction DESCRIPTION OF CONSTRUCTION DRWttAI Al A PPROA(_H SHALL PSE. CUiv�TIZULT DIMENSION OF INSTALLATION OR REMOVAL )(E W IDE D/w P� R \V E�G� (�� C..�Lt ��TY �'T D. l&.10. Zv_7 (ATTACH F—D) . SIZE OF EXCAVATION, IF NEEDED ' APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME'OF COMPLETION ESTIMATED CONSTRUCTION COST $ H' (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 rmiandt II applicable rules and regulations of the City of La Quinta and to. pay for any additional replacement necessar as the esu of this wor, Signature of Applicant or Agent CtZA►G-7 LOURTEM AMERE. P.O. WX Ll to UP PAu�.De5cr-7 , S0.1-5SZ8. Name of Applicant (please print) Business Address Telephone No. Dully fZ 3 U 1 L DE 2 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.11l 04-11-91 10 ipp5I.i0igAL 1 30.00 , •:Public improvements: 3% of estimated construction costs _ O Private improvements: 3% of.estimated construction costs 4 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Z0' DO PERMIT VALIDATION Permit Fee I L ' 0010!5q • .,PERMIT NO. Penalty Cash Deposit -Surety Bond if•.required TOTAL: $ 30 00 Receipt No. Received by Date Recorded by DATE APPROVED EXPIRATION DATE DATE ISSUED - g 4- ) Z - 91 By )6_t B 1 l l c,4/1�LGri✓lr Administrative Authority TELEPHONE: (619) 564-2246 NOTE: With propervaikk ionz - : this form constitutes an CITY OF LA QUINTA encroachritent permit APPLICATION FOR; PERMIT", , PUBLIC--.WORKS:-CONSTRUCTION- (ENCROACHMENT)' ,For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, wam -mains, and other like public works- improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class 111 DATE: ° I — I Minor Im vemerrt Permit Class IV LOCATION OF CONSTRUCTION � , IStreat awre» or Oesetrpuan of 1 _ PURPOSE OF CONSTRUCTiOU 1� 1A 'L Sketch (attach construction plans if appro� pbl S1• DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL W SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN' APPROXIMATE TIME OF COMPLETION �S ESTIMATED CONSTRUCTION COSTS (Including removal of ail obstrn, materials, and debris, badkfilling, 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 saw the City, its authorized agents. officers,, representatives and employees: harmless from and against any end ail penalties, liabilities or Iota resuiting. from claims or court action and arising out of any accident, loss or damage to persona or property happening or occurring as a proximate rasuit of any work undertaken under. the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four 124) hours in advance on work will be started. Comply with all applicable City Ordininen, the terms and coed' no o } permit and all appy a rules and regulations of the Clty of La Quina and to pay for any addrtksnai repiaamattt n as the of this work: - a s • Signature of A plicant or Agent Cp �R Q 9 ag Name of Applicant Iplease p t) B - ss Address Telephone No: Ste`` 1 Name of Contra or and Job Foreman Business9l drin Telephone No: Contractor's License No. City Business License No. Applicant's Insur ce Company Policy Number FEES: Subdivision Improvement Permit Class ill , Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs. 'NO Minor Improvement Permit = Class IV: See.attached schedule Instnection Fee. - Permit Fee S Penalty Cash Deposit -Surety Bond " if required I. TOTAL. $ Receipt No.,t Received by Date ' Recorded by• 'PERMIT VALIDATION y. PERMIT NO. II DATE APPROVED ' EXPIRATION DATE DATE ISSUED Administrative Authority TELEPHONE:, (619) 664-2246 PROPERTY LINE 6" MIN - t r CaMI/ERC/IL IO,A/A — .O I/AX.• MIN AT . • COMMERCIAL , SIDEWA L K PROPERTY LINE m Q W • W V I I .• J * 2 • r � y 4l c� b q•. 2 � o' Xx RESIDENTIAL /,?'MIN. JO' MAX. COMMERCIAL ?O'M/N. 4O MAX. MIN. .d WNEN NO. SIDEWALK SIDEWAL K EXISTS OR IS REQUIRED J. WHERE ABOVE LIMIrIN6 SLOPES CAN NOT I ALL"CONSTRUCT/JN SHALL BE CLASS "B BE MET BECAUSE OF NE/6Mr OF CURB,DEPRESS CONCRETE S/OEWALK 0Vr& . •SAID SLOPES ARE OBA/MEO. LawIrVOINAL SLOPE OF wIRPEO AREA l 10. OF FULL NE16Nr CaR8 REOUIREO ADJACENT TO 0RIVEWAr.SNALL NOT VARr�- BErw[EN n*1vtwAr3 wirm1m ANr MORE rNAN 6% FROM-rME w*edrummi • mAOE omr FROPe#rr FRONTAGE. LINE OF THE SIDEWALX. r NOTE:MEET'ENOR'S. SVEOFIED GRADE V� TRANSITION.. ;�ca''�1� �t • �: RE E G� REVISIONS 2-62 TJ &E. OF YDIMENSIONS . mmyr or RES EWr/AL COAVEfI•IC'IAL ctmaff 6•' ?' O" ?' O" County of Riverside <<•d CONCRETE"' DRI VEWAY — SCHEMATIC APPROACH - STANDARD' N0. 20T�