1055NOTE:
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
Subdivision Improvement Permit— Class I II
DATE: 4-11-91 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION CALLE NOGALES AND N131?2EZUM
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION TRANSOIRTA'1M Iwo VS 400
EXC.AVMCN
DIMENSION OF INSTALLATION OR REMOVAL 151H 12'6'W
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:
Wo r•111r r al•ti a •.
r. �•rr r • rr • • t•
•�a✓ • av r ►•
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 Agent
CAT= CONST INC 15030 SLOM FORDWA CA, 92325 714-- 355-1146
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
fAST FTTF CK V31t+
Contractor's License No. City Business License No.
('N PTLIF
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III jP519SA0i MAL4i11w9110.00 10
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 1055
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 2055
DATE APPROVED 4-11-91
EXPIJ.:�A`TIZr%N DATE 4-11-91
DA IS t� r` 4-11-91
By - -
Administrative Authority
TELEPHONE: (619) 564-2246
•!! A-
J .F•�
k '
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 -dots, sewers, water mains
and other like public works improvements in*connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
�. Subdivision Improvement Permit —Class III
DATE: 4-11-91 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION C'AIM Nom' • AND NIMMUM
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION TRA 4$0
EXCAVATION
,. DIMENSION OF INSTALLATION OR REMOVAL 151H 12161W
SIZE OF EXCAVATION;,IF.NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
'� r' ^i MI •' � e•
• at r 1/' Y'. J • a,.
• • • r • v •� •iar r• air
�- y •
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 Agent
CAZTRA CONST 0C 15030 SLOVER F NA CA, 92325 714— 355-1146
'i
Name of Applicant (please print) Business Address Telephone No.
♦ 4.
Name of Contractor and Job Foreman Business Address Telephone No.
CN FTr,F nN FTi F
Contractor's License No. City Business License No.
f
ON FTT F
Applicant's Insurance Company Policy Number g
FEES: Subdivision Improvement Permit Class III" 1U051GA,HOii?FAL4ii1-91io:00 iQ
<; Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 1055
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee`
Permit Fee
Penalty
Cash Deposit -Surety Bond
if.required
TOTAL:
Receipt No.
10.00
$ 10.00
Received by Date V•i .:.
Recorded by ''`' ,♦
PERMIT VALIDATION
PERMIT'NO. 1055
DATE APPROVED 4-11-91
4-11-91
EXPIRATI'O'N DATE
4-11-91
DATE• ISSEl
Administrative Authority
TELEPHONE: (619) 564-2246 i
NOTE: l
With propervsiikktkmm -
this form constitutes ens- -
CITY - OF LA QUINTA '
encroachment permit • '
r APPLICATION. FOR PERMIT
PUBLIC-. WORKS'CONSTRUCTION,. (ENCROACHMENT) '
3 .
For, the construction' of, public or private.- curbs, driveways, pavements, sidewalks, parking lots, sewerC, watwtneins ,,
and, other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class ill
DATE: ' _ 1 _ '�_. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or oesatption of Loationl
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if approprwbl, -
OEWJUPTION OF CONSTRUCTION
QA e�.t` (DA iLTgT'A,�n7 n � m .l . � � it ,vLA_ �vc� '] .�_� �}RfI��C�•�A�J +^�...�Pa'Pt;_
.. i � Ln. S ,. •
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED ,
APPROXIMATE TIME WHEN WORK WILL BEGIN
`APPROXIMATE TIME OF.COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction end placing permanent resurfacing and/or • replacing. improvements)
In consideration of the granting of this permit; the appiicant•hereby agrees to:.
Indemnify, defend and sm the Citv, its authorized agents, officers, represenatives and employees, harmless from and against anll end all
oenalt,es, liabilities or loss .resulting from claims or court action and arising out of any, accident, loss or damage to- persona or mcwty~
happen,ng or occurring as a proximate resuluof any work undertaken under the permit granted pursuant to this application.
Notity the Administrative Authority at leastftwenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Crdinanai,, the terns and conditions of the permit and all applicwe rules and regulations of the City of
U Quinn and.to pay for carry additional reolaearrrant necensiv as the result of this work.
• Signature of A licant or Agent -
\�` f3 tLA C_ W>( JH ti n.�Zw..]�O� C-�. �i13�!\ ii1`17�,s"c
Name of Applicant (p(ease. print) Business Address • Telephone No.
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 Improvemerrt Permit — Class I I I -
Public improvements: 3% of estimated construction costs °
_ . Private iinprovements:.3% of estimated construction, costs 0
Minor Imorovement Permit — Class IV: See attached schedule
Insoectlon Fee S I PERMIT,VALIDATION
Permit Fee
PERMIT h0. i
Penalty r
- Cash Deposit -Surety Bond. •. � � DATE APPROVED"
if required EXPIRATION DATE
TOTAL: $' DATE ISSUED
Receipt No.
6y _
Received by Date , Administrative Authority
Recorded by TELEPHONE:'i6191664.2246
yJ6 `
•{
..
NOTE:-
+ _y
With proper validation''
- .
this form constitutes an
CITY,OF `LA QUINTA'
d
encroachment permit 3 Y . -, _ r,
APPLICATION„ FOR
' •�"
."PERMIT
� WORKS CONSTRUCTION -`,(ENCROACHMENT)
.PUBLIC
For the construction of public .or private curbs,'driveways, pavements, sidewalks, parking lots; sewers,'water�mains %S• "_'. ;
and other -like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit —Class I I I:,.,
DATE: 4-11-91 Minor Improvement Permit Class IV.
LOCATION_ OF CONSTRUCTION CALLS NOGALES `AND. MWS EZUNfA
..
� - � . _ ... s.,., x F - .. �. �. ;• r T 3 -et'-L I' 2. a 2.rZE."H y:.ti t� .
(Street address or Description of Location)
„
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)" "
.,�SPORTATOIN OF IRIS 480
,DESCRIPTION OF CONST RUCTION�
EXCAVATION RT'HWY 111 WASHING ABE 8'2 DURANGO
AVE'JUAREZ CALLE NOGALES-
t
DIMENSION OF INSTALLATION OR REMOVAL 151H 12t6'W-
°
TM PILOT' CARS REQUIRED
•FLAG TURNING INTERSECTIONS
t
SIZE OF EXCAVATION, IF NEEDED HWY- 111 WAMINGTCIN .TO 52 DURANGO - t
t
JUAREZ N CNTEZUNIA -7
APPROXIMATE TIME WHEN WORK. WILL BEGIN 3 ` t4 `" e
t
APPROXIMATE TIME OF, COMPLETION
ESTIMATED CONSTRUCION COST $
h4
of all obstruction, materials, and debris, backfilling, com• I '
i
•
+(lncluding'removel
paction and placing permanent resurfacing. and/or. replacing improvements) `
In consideration of the'granting of this permit, the 'applicant. hereby agrees, to: ` a• , , t, , .
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' _ - .• -
' !
1
happening or occurring as a proximate result of any work undertaken under the permit granted pursuantto this application.. ° -• - 4 . ''
r`
,Notify the Admliiistretive Authority at least twenty-four 1241 hours in advance of the time when work will'be started. ,,.� •`t
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City'of
La Oulnte and to pay for any additional replacement necessary as the result of this work, c '
„
- Signature of Applicant or Agent._ ;
`
CAZTRA CONST INC 1-5030 SLOVER.EIXVTANA CA,_92325 714—,.355-1146
Name of'Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No. i;' , s
rN FTT.F.
'
—b�." a
Contractor's License No, r, City !Ol Business License No. ti
Applicant's Insurance Company 4' Policy Number
FEES: Subdivision Improvement Permit -Class III _. iQ051$S�O11aOTAL i i0.00 10
v G I
;�
'
Public improvements: 3% of estimated construction costs •. F
.110 5 5.. '
. Private improvements: 3% of estimated construction costs. - -
,r r _ st •
Minor Improvement Permit — Class IV: See attached schedule
'
Inspection Fee t $'
PERMIT VALIDATION—,
'
Permit Fee -.. 10.00
R 1055 `
PERMIT N0.
..
Penalty.
DATE APPROVED e 4-11-91 '
"
_
Cash"Deposit•Surety Bond.
``
,.
4-11-91'
if required '
EXP DA E
.TOTAL- $ 10.00 -
r'YF 4-11-91.
A IS
Receipt No ; "
r•
'
::
Received by � t
YDate
'w
' Administrative Authority
_ Y
'
Recorded by
TELEPHONE: (619) 564.2246