13107)OE:
With'proper validation
,r -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: December 13, 1991- Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53-815 Avenida Rubio
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 61 X 201
Sketch (attach construction plans if appropriate)
Driveway approach shall be constructed
per Riverside County Std. No. 207
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK,WILL BEGIN 12/13/91
APPROXIMATE TIME OF COMPLETION 12/20/91
ESTIMATED CONSTRUCTION COST $ 400.00
(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 t res lCthis ork. a
Signature f Applicant or Agent
David Milker P.O. Box 722 La Quinta, CA 92253 564-5823
Name of Applicant (please print) Business Address Telephone No.
r
Pacific Trades Same
Name of,Contractor and Job Foreman Business Address I Telephone No.
B425381
Contractor's License No.
City Business License No.
Farmers Insurance 90956-93-42
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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 II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
10
$ 30
Received by Date
1p005TASHOi6TE AL2i, i3 %.00 i4
131
PERMIT VALIDATION
PERMIT NO. 1310
DATE APPROVED 12/13/91
EXPIRATION -DATE 12/20/91
DATE ISS ED 12 13/91
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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
Subdivision Improvement Permit — Class III
DATE: December 13, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53-815 Avenida Rubio
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION,OR REMOVAL 6' x 20'
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 12/13/91
Sketch (attach construction plans if appropriate)
Driveway approach shall be constructed
per Riverside County Std. No. 207
APPROXIMATE TIME OF COMPLETION 12/20/91
ESTIMATED CONSTRUCTION COST $ 400.00
(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. Y
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 t res oEthiswork.
J
Signature f Applicant or Agent
David Miller P.O. Box 722 La Quinta, CA 92253 564-5823.
Name of Applicant (please print) Business Address Telephone No.
Pacific Trades Same
Name of Contractor and Job Foreman Business Address Telephone No.
B425381
Contractor's License No. City Business License No.
Farmers Insurance 90956-93-42
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III i0 05iC�SH OS 6f. fT 2 3
1 0-9 0.04
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 II PERMIT VALIDATION
Permit Fee 1V
Penalty
Cash Deposit -Surety Bond--„ •``°`� �"
if required
m t, TOTAL:
Recti ed by,--'
i0
,u
PROPER T
k,
6" MIN
QL
O
I-- CakwAtERCIAL ?0' ArAw. 40 AFAX.-
A r commeRciA L
S140EWALAP
PROPERTY LIN
T
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Y.
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X --t-Rfslorm 30,
COMMERCIAL ?O'M/M 40
IA147
WHEN NO SIDEWALK SIDEWALK
EX/STS OR /S REQUIRED
J. ffMtFvl A80vt Llmirlvd SLOPES CAN NOT
I ALL COINSMUCr/01V SMALL BE CLASS "8" or Afer BVCA&sr or melamr or cugg, orpRrss
CONCRETE SIOEWALK WrIL SA/0 SLOPES ARE MAINE -0
j. 70 of, BULL NfloHr CURS 04FOUIRCD LOWIrVOINAL SLOPE OF WA -WO 'AREA
8,crWFCM 17AIVIwAYS wirNIN AN
r ADmcemr TO DRIVEWAY SMALL NOT vANr
MORE rMAN 6
e*Rry, xRomrAcr. "0& TME LONCIrUVAIWIL CoVA"
omf cpop
LINE OF TME 111DEWALK.
1.01
f
11 County of Riverside
CONCRETE DRIVEWAY
6
cps ScJvEmAr1c APPROACH
ma
Rrv/s/oms
F's -80 . . STANDARD NO -.207-
.8 -is -F? - 1 2-02
Ti aLE AF 5
NOTE'KEET ENGN'S.mcr
TIAL cammirwImAt
ctm
;!' Eo MADE
TRANSITION. I E SEIA
6" 0 z . 0
ft
0 J
1.01
f
11 County of Riverside
CONCRETE DRIVEWAY
6
cps ScJvEmAr1c APPROACH
ma
Rrv/s/oms
F's -80 . . STANDARD NO -.207-
.8 -is -F? - 1 2-02
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
-z,1k3`� Subdivision Improvement Permit — Class III
DgTE:_ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 3 ` gl Ilk %J
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 02 � d 4L AQP 2 oA c._w
DESCRIPTION OF CONSTRUCTION ► ` I
DIMENSION OF INSTALLATION OR REMOVAL Z
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN I L a 9
Sketch (attach construction plans if appropriate)
9rCtVCWAy Appe-A&W 5t4-p`L 3;E
(pnds'raL&c rCf> r��2 ,P,v�es,v� Cou,vTy
,Jo ?-c,-7
APPROXIMATE TIME OF COMPLETION R
ESTIMATED CONSTRUCTION COST $Liao
(Including removal of all obstruction, materials, and debris, backfilling, cam-
paction and placing permanent resurfacing and/or replacing improvements) _
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least tw four 124► hours " dvance of the time when work will be started.
Comply with ell applicable City Ordinances, the terms and conditi s of the permit and all applicable rules and
La Quints and to pay for any additional regulations of the City of
Y replacement necessary as th result this work.
Signature\f Applicant or Agent
x -An L.4
Name of Applicant (please print) Business Address Telephone No.
Q a ' c, -Mt,D E S s kV_A_
Name of Contractor and Job Foreman Business Address Telephone No.
Dq2s3$ k
Contractor's License No.
� AcZ.t�l4.cr_� >� w
Applicant's Insurance Company
City Business License No.
96RS6 - a3 - `iz
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 $ Z�
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ - 30
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED I Z - 13 — 9 1
EXPIRATION DATE 12 - 20 — 91
DATE ISSUED I Z J 3 ' Cl
Administrative Authority
TELEPHONE—
(619) 664-2246