1136NOTE:
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
6125/91 Subdivision Improvement Permit — Class III
DATE. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION __ 53-810 CARRANZA LA QUINTA, CA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION DRIVEWAY APPROACH Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
NO
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/26/91
PER RIVERSIDE COUNTY STD.
NO. 207 (ATTACHED)
10 Q51ORSH4i 2TQTA16-25-9!34.40 14
APPROXIMATE TIME OF COMPLETION 7/5/91
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 re It this
Signa tur of Applicant or Agent
G. J. MURPHY CONSTRUCTION P.O. BOX 1124 PALM DESERT 340-9423
Name of Applicant (please print) Business Address Telephone No.
G. J. MURPHY CONST. (JIM PURCELL) P.O. BOX 1124 PALM MESERT SAME
Name of Contractor and Job Foreman Business Address Telephone No.
327235 1760
Contractor's License No. City Business License No.
STATE COMPENSATION INSURANCE FUND 768947
Applicant's Insurance Company • Policy Number
FEES: Subdivision Improvement Permit —Class Ill
Public improvements: 3% of estimated construction costs 1136
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee 30.00 113 (
PERMIT NO. Y�
Penalty/
6
Cash Deposit -Surety Bond DATE APPROVED 25/91
if required EXPIRATION DATE 715191
TOTAL: $ 30.00 DATE ISS E 6/25/91
Receipt No. -
By ]%aA1 ZZ�J��
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
•Y -
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF
APPLICATION
LA QUINTA
FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
1'
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 Improvem&nt Permit — Class I I I
DATE: 6/25/91 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION _ 53-810 CARRANZA LA QUINTA, CA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION DRIVEWAY APPROACH Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION ,
NO
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/26/91
APPROXIMATE TIME OF COMPLETION 7/5/91
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:
PER RIVERSIDE COUNTY STD.
NO. 207 (ATTACHED)
1405igg ii ggpp f`
CASH0i2WA10.6125�9130.00 i4
Indemnify, defend and save the City, its, authorized agents, officers, representatives and employees, harmless from and against any and all
e
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 re It this wof .
Signatur of Applicant or Agent N
G. J. MURPHY CONSTRUCTION P.O. BOX 1124 PALM DESERT 340-9423
Name of Applicant (please print) Business Address Telephone No.
G. J. MURPHY CONST., (JIM PURCELL) P.O. BOX 1124 PALMMDESERT SAME
Name of Contractor and Job Foreman Business Address Telephone No.
327,235 1760
Contractor's License No. City Business License No.
STATE COMPENSATION INSURANCE FUND 768947
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
/ 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 30.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 30.00
Receipt No.
Received by Date
Recorded by
y 1136'
PERMIT VALIDATION
PERMIT NO. Ll3(iq
DATE APPROVED 6/25/91
EXPIRATION DATE 7/5/91
6/25/91
DATE ISSUED r
By
Administrative Authority
TELEPHONE: (619) 564-2246
a
NOTE:'
With -proper validation
this form constitutes an - CITY OF LA QUINTA
encroachment permit _
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)cg
For the 'construction of public or .. private curbs, driveways, pavements, sidewalks; parking lots, sewers, water mains
and other like public works•improyements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
JUNE 25, 19 91 Subdivision Improvement Permit — Class 111
DATE:Minor Improvement Permit Class IV'
LOCATION OF CONSTRUCTION 53-810 Carranza
La 2uinta, CA
(Street addreis or Description of Locat' n)
PURPOSE,OF CONSTRUCTION y Sketch (attach construction plans if appropriate)
r
' 1 DESCRIPTION OF CONSTRUCTION
r
DIMENSION OF,INSTALLATION OR.REMOVAL Kj
SIZE, 0F 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 and placi6g;permanent_resurfacing anaier:.reFiacir,3:mpccvemerts►,
3
In consideration -of the lgraniing,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 ermit and all app ca le rules and regulations,of the City of
La Quinta and to pay for any additional replacement necessary 'as �the e I f his work.
—Signature of Applican or Agent . `
G. J. Murphy Construction-. P.O. Box 1124, Palm rt, 340-9423.
` Name of Applicant (please print) Business Address '. Telephone No.
G. J. Murphy Const. (Jim Purcell), P:O. Box 112.4, Palm Desert -340-9423
Name of Contractor and Job Foreman Business Address , Telephone No. -
327235 1760
Contractor's License No. City Business License No.
State Compensation Insurance Fund 768947...
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 VALIDATION
Permit Fee
PERMIT NO.
Penalty DATE APPROVED
Cash Deposit-Suiety Bond /
if required' EXPIRATIONYDATE
TOTAL: $ 0 ` op o -
DATE ISSUED lQ
Receipt No.
By
4
Received by Date +• Administrative Authority
Recorded by TELEPHONE:�(61911•564-22461