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1173
I - NOTE: G 'i With proper validation �.this,forni 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 DATE: August 7, 1991 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Subdivision Improvement Permit— Class III Minor Improvement Permit Class IV 53745 Mendoza La Quinta, CA 92253 DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 20' SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN August 7, 1991 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and platin ermanent resurfacin and/or re lacin im rovements) Sketch (attach construction plans if appropriate) v g p g p g p In consideration of the granting of this permit, the applicant hereby agrees to: Driveway approach shall be constructed per Riverside County STD No. 207 (attached) 10005 CASH i 3TeT408S 07-�9i�0.00 14 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 pe"r/� it and all appltcable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result otftnis work. .` k /i n re of ApplSan't or Stuart Podell Majestic Home P.O./toa 76 La Quinta (619) 568-6014 Name of Applicant (please print) Business Address Telephone No. William Rogers 67720 Peineta Cathedral City, CA (619) 322-8083 Name of Contractor and Job Foreman Business Address Telephone No. 291728 Contractor's License No. 1954 City Business License No. 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 $ ��•O© Permit Fee l t? e 0 4 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No $ 30. 00 Received by Date Recorded by PERMIT NO 11,33 PERMIT VALIDATION , 1173 DATE APPROVED 8/7/91 EXPIRATION DATE 8/16/91 DATE ED 41 8/j/ By -`� Administrative Authority TELEPHONE: (619) 564-2246 PROPERTY LINE 6" MIN W a . .i •' .l e I • :v e • a • • •Li 41 c � 4 v L--X-�} I— CawMERC/AL ?O'MM! 40 MAX.- •X MIN Ar COMMERCIAL S/OEIYA L K I PROPERTY LINE �+ ,Q I '� 0 4 I J w 0 0 ` VI V I t \ I Q Y Q _ s \ _ Z AD :�i� �' = i•• b t~q �•• �rh � V 0•, 2 O .X RES/DENT/AL I?' MIN. JO' MAX. .COMMERCIAL ?O'MIN 40 MAX. '• MIN. 4 •\ h \ V WHEN NO SIDEWALK SIDEWALK EX/STS OR /S REOU/RED J. WHERE ABOVE L/M/7ING SLOPES CAN NOT I ALL CONSTRUCTION SMgLL Of CLASS "B" B£ MET BECAUSE OF N&GMT OF CuRs,D£R9fSS CONCRETE SIDEWALK UNTIL SAID SLOPES ARE 0871/NED ?. 10• OF -uLL MEIGMT CURB .mfou/RED LaWGITUD/NAL SLOPE OF WARPED AREA BETWEEN /fF/V[ wA/S w/IM/N ANY - ADJACENT 70 OR/YEWAY SMALL NOT VARY ONE PROPERT r FRONTAGE. MORE THAN 6X FROM TMf LONGITUDIAML GRADE LINE Of TME SIDEWALK. TA& E OF '�1'"GYMENS/ONS MOTE: MEET ENOR'S. r rRlSGIfHT/4L CQMrJkYAt iAGO;EO GRAOE TRANSITION.` (E Nt 9OVA 6' ? 0" ? O" \ ..:P�o�G�+E�E� Get B.. O .. ? B - fit i \ s:•:: w, County of Riverside CONCRETE DRIVEWAY SCNEMAr/c APPROACH REVISIONS l0 X80 -I.-„ z-ez STANDARD N0. 207 .