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1200i.• 1 NOTE: 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 DATE: August 29, 1991 LOCATION OF CONSTRUCTION_54-510 Avenida Diaz (Streei address or Description of Location) PURPOSE OF CONSTRUCTION Driveway Approach Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION House Per Riverside County Standard 420.7. DIMENSION OF INSTAL ATION,OR REMOVAL xXg2Q K (attached) 32 X 16 SIZE OF:EXCAVATION, IF NEEDED N/A } APPROXIMATE TIME WHEN WORK WILL BEGIN 8/29/91 8/29/91 1 APPROXIMATE ATE TIME FCOMPLETION 9 9 OXIM O ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing. permanent resurfacing and/or replacing improvements) • c 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 s en Iti Pa esliabilities 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. Inddo, CA (619) 347-3115 Name of. Applicant (please print) Business Address Telephone No. PBA Construction Same Same Name of Contractor and Job Foreman Business Address Telephone No. 547897 1469 �.. Contractor's License No. -City Business License No., r AFCO. GLS 320052 Applicant's Insurance Company Policy Number - FEES: Subdivision Improvement Permit — Class'lll �45� W01A 81k9`� P 0 Public improvements: 3% of estimated construction costs _- •_ _• . s ' Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 20.00 PERMIT VALIDATION -Permit Fee 10.00 1200 PERMIT NO.. Penalty 8/29/91. Cash Deposit -Surety Bond' -DATE APPROVED . if. required8/29/91 EXPIRATION DATE TOTAL: $ 30.00 DATE ISSUED 8/29/91 Receipt No. By Received by Date Leann Dexter -Administrative Authority Recorded by TELEPHONE: (619) 564-2246 Subdivision Improvement Permit — Class III Minor Improvement Permit Class.IV r .. ...._:.. PR OP£RTY _ ,... 6 MIN s r : " ! � V C01rYERC/1L IO'YM! 10 MII.• .r YIN t�` / y AT COMMERC/II L -f SIOEWAAt Jr 1 PRORE'RTY �Yl 0 i N L /" RFS/OfNr/1l I?'Jv/N. r JO' lr. ��},z• v COYYfAC/IL 20'Lr/m. 40• YI.f.'• 'MIN. 0' y �. WHEN NO SIDEWALK SIDEWALK EXISTS OR /S REOU/RED J. wNral AeovE L/m/T/NO SLOPES Cam vor •LL fONSTRUCriON SNALL BE CLASS a" BE mfr BfC/USE or NE/6NT or CURD �OEgp�S CONCRer( Sl"'FALK LAVT/L SAID SLOPES IR( JeA/MEO. I. 10' 01 <ULL Nf/GNT CURB RfOU/REO LaWIPMO/NIL SLOPE 0l w,RPEO IRE, eETMflN /IF/vLMIrS MITm/N INA 101/1CfmT TO ORM-1— SNILL NOT vIRA 9NE OROPfRT/ r#omr10E, MOR( Tmlm 69 iROMr TMf LONO/T1/OWyL GdOE LINE 01 r,,,,;= 7ABLE AF 'a'"Q'MENS/ONS MOT[: MEET [N011'S. IlTAVpO� IESVEWr `U CpY1r1RLTIL AZE Tlltums ou IDE `RES TE SLB.. I \ v°`°�E''�" �,dt a B` Sit COunfY Of Riverside Re. °`0 CONCRETE DRI VEWAY l} Eits' SCNEMAr/c APPROACH REV/S%OHS • :/ s-eo STANDARD NO. 207 •-le-vT z-ez -- - -- -- — — — — - — —•— ---_ — -- --� — — — — —•_.—. —r=r�;�'�_„-.E—.—.—.te=a=? x— — — — — —� — — — —k` =.:.— —'— — — NOTE: i With proper validation this form constitutes an CITY OF LA QUINTA U encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 0 t48� 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 29, 1991 LOCATION OF CONSTRUCTION 54-510 Avenida Diaz Subdivision Improvement Permit — Class II I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION Driveway Approach Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Rouse Per Riverside County Standard X1207 DIMENSION OF INSTALLATION OR REMOVAL (attached) ::k --.NJ u 77 SIZE OF EXCAVATION, IF NEEDED N/A APPROXIMATE TIME WHEN WORK WILL BEGIN 8/29/91 APPROXIMATE TIME OF COMPLETION 8/29/91 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: t 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 occurringas 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. Inddo; CA (619) 347-3115 . Name of Applicant•(please print) Business Address Telephone No. PBA Construction Same Same., Name of Contractor and Job Foreman Business Address Telephone.No.'' 547897 1469 rF Contractor's License No. City Business License No. AFCO GLS 320052 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 $ 20.00 II Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by $ 30.00 Date 12:0'0 PERMIT VALIDATION PERMIT NO. 1200 DATE APPROVED 8/29/91 EXPIRATION DATE 8/29/91 DATE ISSUED R/79/91 By Leann Dexter Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 (f NOTE: 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: �_.. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION --s��— �� /%�v��o� r, ), ,o -, (Street address or Oescription of Location) PURPOSE OF CONSTRUCTION __ yl&6 .ZII Sketch (attach constructionsans if appropriate) ppropriate) DESCRIPTION OF CONSTRUCTION c UImtNblUN OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN R'' 9 - Cl APPROXIMATE TIME OF COMPLETION X. 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. 4 7 less, Z/rj Name of Applicant (please print► WAN Signature of Applicant or Agent Business Address Telephone Name of Contractor and Job Foreman Business Address Telephone No. 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 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 Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246