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NO1-
`LE:,
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
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit— Class III
DATE: Y 3, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54-550 Diaz Ave & 54-570 Diaz Ave
La Quinta, CA '
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Drivewqq approach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Driveway Driveway approach must be
mus be constructed per Riverside
County Standard #207 (attached)
DIMENSION OF INSTALLATION OR REMOVAL 20 ft
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/6/91
APPROXIMATE TIME OF COMPLETION 5/10/91
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
Cristobal C, Arroyo 45-250 Smurr St. Indio, CA 347-3115
Name of Applicant (please print) Business Address Telephone No.
. ,P.B.A. Construction same same
Name of Contractor and Job Foreman Business Address Telephone No.
547897
Contractor's License No.
1469
City Business License No.
AFCO Pacific Employes PVCC 36312540
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II I
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.
Received by
$ 20.00
10.00
Date
i p 0510 I ALS ?3-9130.00 i 0
PERMIT VALIDATION
PERMIT NO. 14, 97
DATE APPROVED
EXPIRATION DATE ��-7�9�
DATE IS UED 191
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
w
PDX
j
j
I
w
PDX
;r
fK \
Wi$h 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
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
May 3, 1991 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54-550 Diaz Ave & 54-570 Diaz Ave
La Quinta, CA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway approach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Driveway Driveway approach must be
Vias be constructed per Riverside
County Standard #207 (attached)
DIMENSION OF INSTALLATION OR REMOVAL 20 ft
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/6/91
APPROXIMATE TIME OF COMPLETION 5/10/91
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
Cristobal C. Arroyo 45-250 Smurr St. Indio, CA 347-3115
Name of Applicant (please print) Business Address Telephone No.
P.B.A. Construction same same
Name of Contractor and Job Foreman Business Address Telephone No.
547897
Contractor's License No.
1469
City Business License No.
AFCO Pacific'Employes PWCC 36312540
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
1
Inspection Fee $ 20.00
10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if. required
S
TOTAL:
Receipt No.
$ 30.00
r
Received by Date
Recorded by
i4051R40qiqOi 03-91 30.00 10
-
PERMIT VALIDATION
PERMIT NO. le 177
DATE APPROVED �; 2
EXPIRATION DATE 7/ 471
DATE IS UED — .3l9
C/ Administrative Authority
TELEPHONE: (619) 564-2246
PROPERTY L /NE ..
6" MIN
at
F Y
W = % Z v
tu
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CAUMERCIAL '040W. AO MAK• MIN
AT COMMERCIAL'`
iSIDEWAL K- `
r PROPERTY L/NE
c Q
,m{y 14 O I. • I I Q Q
Z �
`x
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�S Q 1« '�• p O..
w ' 2
"x RESIDEN r/At a ' MIN. JO' wAX. X 2'
COMMERCIAL ?O'AfIN 40 MAX. MIN. r
WHEN NO SIDEWALK SIDEWALK "
EX/STS OR /S. REOVIRED
1 !. w HERE ABOvE L /MIrIN6 SLOPES CAN NOT
ALL LONSTRUCT[JN SH4LL BE CLASS 'B B£ NET BECAUSE OF MEICHT Of CURB,OER9ESS
[
tCO F SIDEWALK UNTIL SAID SLOPES ARE JB1J[NEO.
LawirUO/NAL SLOPE OF wARPEO AREA
?. 20 OF cuLL NE16HT CURB REOUIREO ADJACENT TO DRIVEWAY SMALL NOT VARY
BETwEEN n*ivt,wAY5 w[)N[N ANY MORE rMAN 6% FRav r#&- LONG/TUOINAL CRADE
SHF cROPERTY FRONrACF. LINE OF TME SIDEWALK.
NOTE: MEET MA'S.' `
F •. SPMFIED GRADE -
TRAuSITION. :. `pt E 0� t 9 RE
E � �tl
717" Ole. "X"DIMENSIONS
sw6HpOF RESQFNT/IL CAMA7EC/AL
cr
6 1 O.. ? O'•
B.. r 0 j. B.
.. \ P.�p46CEpS
�IN, \\\ ,1tER� County of Riverside
RB CONCRETE •. DRI,VEWAY
s : SCNEMAr/c .APPROACH
REV/S/O.NS
3-80 STANDARD •N0. 20?
2-62