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1076f FF NOTE:;' •i r /, .. With proper validation r� this form constitutes an O + ' encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT: 8 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 a ' y Subdivision Improvement Permit'— Class III 424-9� ` • DATE: � � . " , • -Minor ImproJement Permit Class IV -`'- •53-660 EISENHOWER LOCATION OF CONSTRUCTION ' (Street address or Description of.Location) PURPOSE OF CONSTRUCTION FHOME DRIVEWAY ;Sketch (attach construction plans ifnappr`opriate)alk f 11 DESCRIPTION'OF CONSTRUCTION 1. DBIVBfiAT' APrRO _ 00= B$ B an cis vinktvWID13. • Cotner SIM #207, #207 DIMENSION OF INSTALLATION OR REMOVAL 2• UI TMG CIURB� A_Gpi/Pyh'!<BR SHM 3.. ALL VORX SAAX.I. B' PER My SIZE OF, EXCAVATION, IF NEEDED ` STNS A TO Shn8YACTioN Ounm CITT-BBGINm k 'APPROXIMATETIME WHEN WORK WILL BEGIN 4�. MIF , ,CITf_ IX$". TOR,'24t>M ,TPBIOR Y " • - ' TMBQUIM. USPF4TM 0$ DIM 'APPROXIMATE TIME OF COMPLETION A ' B• �', r i- ; + ESTIMATED CONSTRUCTION COST $ , (Including removal of all obstruction, materials, and debris, backfilling, com r paction,and placing permanent `� resurfacing and/or replacing improvements) In consideration .of the granting of this permit, the applicant' hereby agreesto: 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 e happening or. occurring as a proximate result of any work undertaken under the permit granted:purs6ant to this application. JI c Notify the Administrative^Authority atleast 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 4he,permit and alJ_applic��ble rules and regulations of, the Cityofw La Quinta and to pay for any additional replacement necessary as the result of this Work., ' Signature of Applicant or Agent VSHIRI.EY STEpHON P.O: BOR 265 'LA QUTN'TA CA 4971;3 j -442-ALS-13 • Name of Applicant (please`pririt)' 'Business Address Telephone No; , SA1E " Name of Contractor and Job Foreman Business Address Telephone No. 536617 1873 :{ ' Contra ctor'sLicense No. City, Business License•No.` V ALLSTATE yINSURANCE Applicant's,lnsurance Company Policy Number •' r YA FEES: Subdivision Improvement Permit —Class I II 1ip51SP1�TAL4 i24w9130.QO t0 Public improvements: 3% of estimated, construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule ; Inspection Fee $ 20:19n PERMIT VALIDATION , 10:00 Permit Fee PERMIT NO. 1076 Penalty DATE APPROVED 4-24-91 Cash Deposit-Surety Bond if required EXPIRATION DATE b—fin—A1 TOTAL: $ 20.00 4-24-91 DATE ISSUED Receipt No. By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 S NOTE: With proper validation thi06rm constitutes an .r.;.,CITY; -,OF LA"QUINTA encroachment permit APPLICATION. FOR PERMIT PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT) ^, s OF 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 4-24-91 DATE: Minor Improvement Permit Class IV ++ L•OCATION OF CONSTRUCTION 53-660' EISENHOWER " (Street addressor Description of Location) a►�• ~ HOME DRIVEWAY'. appropriate) + PURPOSE OF CONSTRUCTION. Sketch (attach construction plans if a DESCRIPTION—OF CONSTRUCTION HlE 1. DRIVEWAY APPR08CH SEAM BE SM B INACCORDANCE WITH RIVERSIDE COUNTY STD, DRW'1 #207 - => DIMENSION OF INSTALLATION OR REMOVAL 2. EXISTING CURB ISE GUTUR SHALL BE SAW CUT FOR REMOVAL r' 3. ALL WORK SHMJ 'BE.PER'CITY -SIZE OF EXCAVATION; IF NEEDED STANDARDS AND TO -THE '�" SATISFACTION OF THE CITY ENGINEER 4. NOTIFY CITY INSPECTOR:24HRS. PRIOR p APPROXIMATE TIME WHEN WORK WILL BEGIN TBi,MUIRED INSPECTTON OF FOPAS APPROXIMATE''TIME OF COMPLETION AND SUBGRADE4 : 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: I' �•: Indemnify, defend and`save the City, its authorized agents, officers, representatives and employees, harmless from`and against any and all j penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss.or damage to persons -or prope..rty 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 Cityof r La Quinta and to pay for any - additional replacement necessary as the result of this work. NZ Signature of Applicant or Agent ';SHIRLEY STEPHON'`P.O. BO% 265.LA QUINTA CA 92253 . ,Name 'of.Applicant (please print) Business Address .Telephone No. SAME ,. '. Name of Contractor and Job Foreman Business Address 'Telephone No. - 1873 53661.7., �. ,.Contractor's License No: City Business License No. " ALLSTATE INSURANCE ri 1 _ ti F.Applicant's.Insuranci Company Policy.Num ber w -''FEES. Y Subdivision Im royement Permit —Class III pp05,1:8� 110 Aq Q4=?4-91 1Q,1 P xQ C.SN 2TAL •i -,30,00; ■n' Public•improvements:.3%o of estimated.construction costs " Private improvements: 3% of estimated construction costs 1076- t `Minor Improvement Permit — Class IV: See attached schedule' "Inspection. Fee $ 20:00 PERMIT VALIDATION h, 10:00 Permit Fee PERMIT NO. 4 1076 ,. .Penalty 4-24-91 Cash Deposit -Surety Bond DATE APPROVED if,required• EXPIRATION DATE" 4-30-91 k TOTAL: $ 30.00 ,} ,:. 4-24-91 DATE ISSUED h Receipt No. By Received by Date Administrative Authority 1 Recorded by x TELEPHONE: (619) 564 2246 1 . x i' •� w'r�'+ir.a -fitW44111 "*1 , ` {+.hof 7. ,. w ... '1 fi.i..t .• - ?.,w s. .,.. kif�+�i: h',. C �. , -nwr NOTE: With proper validation thi06rm constitutes an .r.;.,CITY; -,OF LA"QUINTA encroachment permit APPLICATION. FOR PERMIT PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT) ^, s OF 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 4-24-91 DATE: Minor Improvement Permit Class IV ++ L•OCATION OF CONSTRUCTION 53-660' EISENHOWER " (Street addressor Description of Location) a►�• ~ HOME DRIVEWAY'. appropriate) + PURPOSE OF CONSTRUCTION. Sketch (attach construction plans if a DESCRIPTION—OF CONSTRUCTION HlE 1. DRIVEWAY APPR08CH SEAM BE SM B INACCORDANCE WITH RIVERSIDE COUNTY STD, DRW'1 #207 - => DIMENSION OF INSTALLATION OR REMOVAL 2. EXISTING CURB ISE GUTUR SHALL BE SAW CUT FOR REMOVAL r' 3. ALL WORK SHMJ 'BE.PER'CITY -SIZE OF EXCAVATION; IF NEEDED STANDARDS AND TO -THE '�" SATISFACTION OF THE CITY ENGINEER 4. NOTIFY CITY INSPECTOR:24HRS. PRIOR p APPROXIMATE TIME WHEN WORK WILL BEGIN TBi,MUIRED INSPECTTON OF FOPAS APPROXIMATE''TIME OF COMPLETION AND SUBGRADE4 : 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: I' �•: Indemnify, defend and`save the City, its authorized agents, officers, representatives and employees, harmless from`and against any and all j penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss.or damage to persons -or prope..rty 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 Cityof r La Quinta and to pay for any - additional replacement necessary as the result of this work. NZ Signature of Applicant or Agent ';SHIRLEY STEPHON'`P.O. BO% 265.LA QUINTA CA 92253 . ,Name 'of.Applicant (please print) Business Address .Telephone No. SAME ,. '. Name of Contractor and Job Foreman Business Address 'Telephone No. - 1873 53661.7., �. ,.Contractor's License No: City Business License No. " ALLSTATE INSURANCE ri 1 _ ti F.Applicant's.Insuranci Company Policy.Num ber w -''FEES. Y Subdivision Im royement Permit —Class III pp05,1:8� 110 Aq Q4=?4-91 1Q,1 P xQ C.SN 2TAL •i -,30,00; ■n' Public•improvements:.3%o of estimated.construction costs " Private improvements: 3% of estimated construction costs 1076- t `Minor Improvement Permit — Class IV: See attached schedule' "Inspection. Fee $ 20:00 PERMIT VALIDATION h, 10:00 Permit Fee PERMIT NO. 4 1076 ,. .Penalty 4-24-91 Cash Deposit -Surety Bond DATE APPROVED if,required• EXPIRATION DATE" 4-30-91 k TOTAL: $ 30.00 ,} ,:. 4-24-91 DATE ISSUED h Receipt No. By Received by Date Administrative Authority 1 Recorded by x TELEPHONE: (619) 564 2246 1 . x NOTE: With proper v afidation this form constitutes an CITY OF ,,LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENTY For the construction of public' or private curbs, driveways,'.Oavements, sidewalks, parking lots, sewers, water mains and other like public works -improvements in connection with MINOR IMPRbVEMENTS'and APPROVED SUBDIVISIONS - Subdivision Improvement Permit'— Class III DATE:. Minor Improvement Permit Class IV . . ------ LOCATION OF CO .STRUCTION (Street address or Description of Location) A if appropri PURPOSE OF CONST �-Z QN Q ch construction plans s ate DESCRIPTION OF CONSTRUCTION - 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 ail obstruction, materials, and debris, bar—kf illingi com- paction and placing permanent resurfacing and/or replacing improvernerits) In consideration of the granting of this peimit, the -applicant hereby agrees to: Indemnify, -defend and save the City, its authorized igents, 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. Twenty-four clvzvice Notify the'Administrative Authority. at least rity-four 124) hours in'a of the time when work will be started. Comply 'with all applicable City Ordinancestheterms 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 th JS of this work Signature of Applicailit or Agent cl) Nimeof Applicant.,(pl4ase print) Name of Contractor And Job, Fore'rfian I i. 5._5�=��. Contracto!A License No. - Business'Address Telephone Nd. Business'Addiess- Telephoine NO. City Business License No. A. 1-,.v Applicant's Insurance Company r Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements: 3% of estimated construction costs Private improvements: 3%'of estimated construction costs NO A Minor Improvement Permit — Class IV: See attached schedule _Inspection Fee PER'MIT'VALIDATION Perriiit'Fee PERMIT NO. Penalty DATE APPROVED Cash Deposit -Surety Bond if required EXPIRATION DATE,., TOTAL: DATE ISSUED Receipt No. 1. By Received by Date Administrative Authority Aecorde'd by MI TELEPHONE: !61915642246. NOTE: With proper validation this form constitutes an•CITY OF LA QUINTA A encroachment permit. - ,�a t APPLICATION FOR PERMIT.]% ' + k PUBLIC (WORKS CONSTRUCTION (ENCROACHMENT) l f - } 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 ancI APPROVED SUBDIVISIONS Subdivision Improvement Permit -Class III 4= 24-91 • „-DATE: ` �- ' .r , •`'" r •', `Minor Improvement Permit Class IV 53-660 EISENHOWER,' + yF. • LOCATION OF CONSTRUCTION •, { ' w �• t .. l(Street address or Description of Location) < • + A . OME . , ' EWAY • PURPOSE OF CONSTRUCTION H.DRIVSketch .construction plans if appropriate) • DESCRIPTION OF CONSTRUCTION HOME . 1. DRIVEWAY APPROACH +SHALL, BE INACCOBDANCE,WITH, RIVERSIDE - COUNTY STD; DRWY h07 ` DIMENSION_ OF INSTALLATION OR REMOVAL l 2.' EXISTING CURB 9 GOTTER SHALL 4 BE SAW COT, FOB REKOVAL " :-• °. 3'. ALL WORK, SHALL .BEPER'CITY " SIZE OF EXCAVATION, IF NEEDED' STANDARDS AND -TO THE .. SATISFACTION' OF, THE"•CITY ENGINEER. a ra {" APPROXIMATE TIME WHEN WORK WILL BEGIN • -4. NOTIFY CITY INSPECTOR 24HBS.• PRIOR . . TO'+'REQUIRED INSPECTION OF -FORMS ` 'APPROXIMATE.TIME OF COMPLETION - VAND SUBGRADE: 11 � ESTIMATED CONSTRUCTION COST $ (Including removal'of.all obstruction,' materials, and debris, backfilling, tom- , _, it ,• • paction and placing permanent resurfacing and/or replacing improvements) Irf consideration, of.the rantiri of this permit, the applicant It reb agrees to:. r � ) granting P PP • Y 9 , Indemnify, -defend save the City, its authorized agents,' officer's, representatives and employees, harmless and -and from and against any 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 1, - happening or occurring as a proximate,1result of'any work undertaken under the 'Permit, ranted pp r ' g g g pursuant. to this application. 6 ' • •.Notifyhhe 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 all a pplieable.rules and regulations of the City of • - p,/ 1 and ' La Quinta and,to pay for any additional.replacement necessary as the result 6f this work. 'ter - -•� ' Signature of Applicant or Agent 9' r OTiTNTA SHIRLEY STEPHON P.O. BOR 265 T.A CA• g9951 -/,Name of Applicant (please print) Business Address • M Telephone No. (( SAME All i l ; • r +f Name of Contractor'and'Job Foreman , Business Address .'Telephone No. } 536617' 1873 Contractor's License No. f City Business License No. ALLSTATE INSURANCE ' a , .'-• - Applicant's Insurance Company, - - ! `. 'Policy Number " f } Q051g2 i0 i�� 04-24=91• S0 Jl r FEES: r Subdivision, Improvement Permit —class III r .T k,/"10 ' CASH" i AL 1 30: 00- " 1 , Public improvements: 3% of estimated construct r , Private improvements:, 3% of estimatibd construction costs ,,, " 10767 ' - Minor Improvement Permit —Class IV: See attached.schedule i r tInspection Fee $ 90 -nn PERMIT+VALIDATION v ' ' Fee 10:00' `' .'Pit .'Permit 1076 4 . _ PERMIT NO. + — r .-Penalty '� s • 4=24-91 {. - " DATE APPROVED �. Cash Deposit -Surety Bond / �'if required', ` EXPIRATION DATE • TOTAL: $' 30.00 4-24-91 • r DATE ISSUED r Z Receipt No. i y. j By , { r Received by Date Administrative Authority ( ' V r r _ Recorded b,'y TELEPHONE: (619) 564-2246 ' �` . - iw`t. �t.�, a i \ ��f'i~ a��- : _� �� _ � c ^L�_'�,"�_"Illiii..��/�z• - .. ``' - , . 8�