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NOTE:
With proper validation
this form constitutes an
encroachment permit CITY OF _ LA. QUINTA . ; -
APPLICATION FOR PERMIT .'
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)'
For the construction ofpublic 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: 7/15/91 'Minor, Improvement Permit Class IV
PoTi�E20
LOCATION OF CONSTRUCTION 78-550 .Eatme'Y'S "
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway approach Sketch (attach construction plans if appropriate)•
DESCRIPTION OF CONSTRUCTION �AwGuT C�trz3
'aosT,-'App aoAcl+ Driveway approach shall be constructed.'
per Riverside County Std.'#207.
` 16� x.'4.. (attached) 1`
DIMENSION OF *INSTALLATION OR REMOVAL
SIZE O.F. EXCAVATION, IF NEEDED
3 ... •' ' 'i • • "*
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP i;•'
APPROXIMATE:TIME OF COMPLETION 1 day
ESTI MATED`CONSTRUCTION COST $ 275.00 3' '
(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, liabilitier�s�or loss resulting from claims.or court action and arising out of any accident, loss or damage to persons or property,, '
A:happening or'occLWring as a proximate resultof 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.
L Comply with all applicable City Ordinances, the terms and conditions of the permit n aad�U�pplicable r les and regulations•of,the City of
1 La Quinta and to pay for any additional replacement necessary as the result of is epk
ignature of Applicant or Agent
'; • .i. ' .Dodco -'Const Services , P.O. "'1012 to Quinta, CA 564-6478 • r
I` Nayy}me of Applicant (please print) Business Address Telephone No.. .
Name of Contractor and Job Foreman 1 ;: 'Business Address, Telephone No.
A0 8_77618%0' t'r ' '`:. ' t. = Y• , ' ' 0,75 �?
'Contractor+s L'lcense No '`';, �j:« r r.. ; ;' * . r�r�, • ; :k City Business, License No.
sr i�' �, j �'.p., ` � 'i' �,cti, �j � 'i •'�r 3 �,_� .a't ,a, � r '''� 1• '' . i''' �. �•r ti y,,
`eState..farm x.'= rt t, f y �, �u.�- ,, h,,�
AT . Y
Ap�a'u:ant s I'n'surance Companyr ;;^ ry i p{? a �h+1 14.aL,i a'. Polic'y,Numlier Ir A. 'i, "t 't
rj�♦ _';'/' n..,a' i ! R. S ♦ -.ij. -. i. F �ih 4 % yy,4S�}r
y ti i { Ye r7• '` Y Yr i .♦ Y l.�' `k • Y' 1 r=.�"� / �� . ' ' , (\' "1 07.-1��9 j+ 4.4 110
`Subdivisionlmprovement Permit —Class III , , �,,, ,z ,, �^ x;a ''00�g i I 23 -X,ij0^
a _ •�' �r, r • rCA`SH i TO�'AL-;i_ k;r
Public improvements:, 36 of.estimated,construction costs ,, Y ' '- r } ;
r ryt,,.;.r,�,..,; �y f . 9.
.l',s•i ' j-}: t f �- A «.r r' I !
Private improvements: 3% of•estimated. construction costs v!: �,� ,ti, • ; �'
Minor Improvement;Permit — Class'IV See attached schedule ; �• ,
-2O rOO- , - ' 'fir •�.' ',-
..Inspection Fee $ ..PERMIT VALIDATION `
-00
Permit Fee'PERMIT NO
Penalty
t.
Cash Deposit=Surety Bond• �+ • } DATE'APPROVED 7/15/91
! if.:required �, ,.•, ,�• K _ 7/19/91
r ;' 1 EXPIRATION DATE
TOTAL: $ •30:00 ' ,: 7/15/91
DATE ISSUED
} Receipt No. 'J
By
r.
Received by Date . ',�'" `%�" wt Administrative Authority
y f i • X, Y.
Recorded by TELEPHONE:;(619►.564-2246
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t. -. *,. .I •. � ,.�.. � • . � .-....., t� _ 2 �.i:' X iv wry
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NOTE:s
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
7/15/91 Subdivision Improvement Permit — Class III
DATE:Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
78-55 .
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION Driveway aimroaeh Sketch (attach construction plans if appropriate) '
DESCRIPTION OF CONSTRUCTION SAWe,,,T CIARIS It Drivewaypp a roach shall be. constructed.
per Riverside County Std: 4207
DIMENSION OF INSTALLATION OR REMOVAL
16' x 4" (attached)
SIZE OF'EX'CAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
. =a
APPROXIMATE TIME OF COMPLETION 1 day
"ESTIMATED CONSTRUCTION COST $ 275.00
.(Including removal of allsobstruction, 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 againsi'any and all
4„
penalties, liabilitiestor loss resulting from claims or court action and arising out of any accident, loss or damage to, persons or property
happening or occatrring 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. e,
Comply with all applicable City Ordinances, the terms and conditions of the permit an ad Irl1pplicable rules and regulations -of the .City of
La Quinta and to pay for any additional replacement necessary as the result of tt s
ignature of Applicant or Agent r
' a
`Dodco Coiist ,Services P.O. 1012 'La Quirita, CA •564-6478
Name of Applicant (please print) Business Address " : r •;Telephone No. '
Name of Contractor and Job Foreman% Business Address Telephone, No.
A0877618 •1375
Contracto'r's, License No. City Business'License No.
-'State Farm
.Applicant's Insurance Company Policy Number
t
FEES: Subdivision linprovement Permit — Class I I I 0051 ? 0 3 07-15-9.1 10
� gg ff 2233
10 Ct$SH i TO'�AL i 30.40.
s , . Public'improvements: 3% of estimated construction costs a
Private improvements: 3% of estimated construction costs 1 `/, � 1
Minor Improvement Permit — Class.IV: See attached schedule
' 20.00
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10.00
Penalty.
Cash Deposit -Surety Bond
itrequired
TOTAL: $ 30.00
Receipt No.
Received by Date
Recorded by
PERMIT NO.,
7/15/91
DATE APPROVED
7/19/91
EXPIRATION DATE
7/15/91
DATE ISSUED '
By.l� ,
' Administrative Authority .
TELEPHONE: (61'9) 564-2246
rV __PROPER T Y+ =T L /NE
X.
70'1/AV'.- 40 MIX.• `x MIN. le` / h
- S/DEWA L K
';• I PROPERTY " t. L/NE q '
as `
Qr
tk
a"X RES/DEN
"X��LY/NE7V.5'�O/VST/AL JO
/I M/N •A ? 4)
s ••
COMMERCIAL, MA �O -MAX. —
?O`'A//N IN.
- _ '�' .. .WHEN "NO' `•� - '
S/DEWACK,r, r SIDEWALK +
SEX/SrS OR /S,;REOO/RED -
a
J. 'wu
NERE- ABOvE 'M/T/N6 SLOPES CAN NOT
AL4 CONSTRUCT/JN SHgLL 'B£,CLASS� 'B , + Bf MET BECAUSE OF HE/6HT OF CURB, D£APESS
CONCRETE
`
` ,S/DEwALK LavnL SAID :SLOPES ARE 'OBTi/NED.
`•
I. • 20' OF •CULL --HE/6HT =C(/RB 'groU/RCO ` LL�G/TUDiNAL SLOPE OF WARPED AREA
BETWEEN pq/VE fr'AYS »'/TM/N . I NY Y t. AD.IACENT TO OR/YEIYAY SHALL NOT VARY
' 9Nf iRO/ERTY FgpNTAGf.•; cz 'MORE THAN 6% FRpY'TNE LOWG/TUDINAL GRADE
-LINE 'OF T/IE S/DEwAL K:
• ` ' M` MOTE: MEET ENOR 5. �' 4+ Al767N7 01�.
' + SVfUFIED GRADE / ' ¢ ti • cuw AICE giS171ENT%IL CO NWAV4L
TRANSITION. tE 1 . 0 " ? , 0CU.
Ocoo
pE E01 9
COS
Count N
Y of rRivertide
f RB. 3 CONCRETE' DRIVEWAY
SCHEMAric ,' APPROACH'
-
'
-REV/S/ONS
� . -Ie Z-az , �' ",STANDARD _N0. 207'- L
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION' FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
• A4Z
• MAO -
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, watermains
and other like public works improvements -in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
�- C� , Subdivision Improvement Permit — Class III
DATE: ?- / / • Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION SSO 1 0 TwiC tc,a
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION n I✓ -!t 614--j � Sketch.(attach construction plans if appropriate)
����v✓Rv• xt.P�rt�a ~s;�vrG.L
DESCRIPTION OF CONSTRUCTION �+�9l�uc.Z�D �r„2 v/.irinhe.D�
DIMENSION OF INSTALLATION OR REMOVAL
Q
SIZE OF EXCAVATION, IF NEEDED I ;
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION- A
` I
ESTIMATED CONSTRUCTION COST $
Zr �0 7>ZiZ r� v
(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 appli rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this
Y.
n /` Sign re of Applicant or Agent
0l0Gy Ce As s4^ 1„t,Kf Po vo /L 1 s�ti- Yl
Name of Applicant (please print) Business Address Teliphone No.
Name of C ntractor and Job Foreman - Business Address Telephone No.
-'Of 77(;4ff P5,75 -
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number '
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs r
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 3 o
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION'
PERMIT NO. r
DATE APPROVED
EXPIRATION DATE—
DATE ISSUED ~�
By
Administrative Authority
TELEPHONE: 1619) 6642246