1282Wlthrproper 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
Subdivision Improvement Permit — Class II I
DATE: November 6. 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54-830 Herrera, La Quints.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway annroaeh Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Saw exit curb for
Apprespinn of apnrnach
DIMENSION OF INSTALLATION OR REMOVAL 211 anDrox.
_ y
SIZE OF EXCAVATION, IF NEEDED -- n/a
r
APPROXIMATE TIME WHEN WORK WILL BEGIN 1117191 8:00 AM
Per Riverside County Std. No. 207
605
APPROXIMATE TIME OF COMPLETION 1 l f x/91
ESTIMATED CONSTRUCTION COST $ 300.00 _
(Including removal of all obstruction, materials, and debris, backfilling, com- 10p i�'$A01���j�gLfl0t�-9�0`:40 14
paction and placing permanent resurfacing and/or replacing improvements)
k
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 o5 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 a regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of th w rk.
Signatur o i pplicant or Agent (_� /
"Al Durrett 79/596,,Ave"42 �I ' n- 8765
Name of Applicant (please print) Business Address Telephone No.
Al Durrett — Curb Sawing 31-255 Ave. Maravilla 321-9700
Name of Contractor and Job Foreman Business Address Telephone No.
589084 2095
Contractor's License No. City Business License No.
Winegarden & Huff 325-2526
Applicant's Insurance Company Policy Number ti
FEES: Subdivision Improvement Permit — Class I II
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 1282
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
wilmm'ON1
1.11
$ 30.00
Date
PERMIT VALIDATION
PERMIT NO. 1782
`DATE APPROVED 11/6/91
EXPIRATION DATE 11/15/91 4
DATE ISSUED 11/6/91
By v e _
Administrative Authority
Recorded by 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)
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:
LOCATION OF CONSTRUCTION �
(Street address or Description of Location)
PURPOSE OF CONSTRUCTIONjLIL�FiAV
DESCRIP=ION
N
DIMENSION OF INSTALLATI9N OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK 1Njj_L BEC3IN
yf' ° o A.
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
at2 /Ztv�,2Sil7E Cov��� s-f!�
Ale,, Z-? 7
n�
o�
21 Papie-e&
. fin.. 2.lot/
APPROXIMATE TIME OF COMPLETION 4P " e
ESTIMATED CONSTRUCTION COST $ 300p
(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 tarted.
Comply with all applicable City Ordinances, the terms and conditions of the permit all appli le rules uletions of the City of
La Quinte and to pay for any additional replacement necessary as the result of is k. %
/ Si na e f Applicant or Agent
.40=�00
Name of
,hppliqKt (please print) �_2 siness Address Telephone No.
i/ 71 - l•1��,6�id 6 /-lSs�. /i'/,�t•�yr� c �9 Z/- 9 70 0
Name of Contractor and Job Foreman Business Address' 4.7 4�- Telephone No.
C'184 . ZD9S
Contractor's License No.I City Business License No.
l A& Sys
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III `
Public improvements: 3% of estimated construction costs C
Private improvements: 3% of estimated construction costs U
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Zo
Permit Fee to
Penalty
Cash Deposit -Surety Bond
if required
TOTA L: $- 30
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. �Z 8L
DATE APPROVED 9 /
EXPIRATION. DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246