1398•• NOTE: f i
With proper validation
this form constitutes an CITY OF LA QUINTA`
encroachment permit
.APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)��
`SOF THg�
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
March 24, 1992
1117_,190
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51-125 & 51-555 Eisenhower, La Quinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway approach
DESCRIPTION OF CONSTRUCTION
Sketch (attach construction plans if appropriate)
Her Riverside County Std. No. 207,
DIMENSION OF INSTALLATION OR REMOVAL attached.
r
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1.494-f97
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ ' UU
(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, `ss or damage to persons or property
happening onoccurring 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. t
Signature of Applicant or Agent '•
r
George Mooney P.O. Box 2371 La Ouinta 568-4460
Name of Applicant (please print) Business Address Telephone.No.
Name of Contractor and Job Foreman Business Address Telephone No.
Owner/Builder
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III 00 02C�iS� i 0 S$9 -24-92 0
Public improvements: 3% of estimated construction costs S0 TU I AL '1. 390.60
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
$ _GO.lt1(l
10.00
$ 50.00
Date.
PERMIT VALIDATION
PERMIT NO. 1998
DATE APPROVED 3/24/92
EXPIRATION DATE 3/27/92
DATE ISSUED. 3/24/92
By w t
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
ey ''
��. + �
�
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 I I I
DATE- 6 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION �' b�►— �.�J L /SAN �0 U-) ZFs2
(Street address or Description of Location)
PURPOSE OFC NOC NO STRUCTION-0�/�Ir�IFi N�C�.�''o�lVE Sketch (attach construction plans if a ropriate)
DESCRIPTION
ON
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED Sr tl G y
APPROXIMATE TIME WHEN WORK WILL BEGIN 3'
�Q7
A$
APPROXIMATE TIME OF COMPLETION :3
ESTIMATED CONSTRUCTION COST $ I TGT I
(Including removal of all obstruction, materials, and debris, backfilling, com- �. 5� la L
paction and placing permanent resurfacing and/or replacing improvements) ej
14 r-1400,
In consideration of the granting of this permit, the applicant hereby agrees to: wbi&i $ �� WAt4
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 ork.
V ,
Signature of Applicant or Aent
p0- '0)o z3'It
Name of Applicant (pleas print) Business Address Telephone No.
Name of Contractor and JQb Foreman
4DJ j 0 - A I L R
Contractor's Licen a No.
Business Address
Telephone No.
' City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class I I I
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
f TOTAL:
Receipt No.
Received by
ln.
$- Sb
Date
1389
PERMIT VALIDATION
PERMIT NO. I t/
DATE APPROVED
EXPIRATION DATE 3 '02 7 ^GJ9
DATE ISSUED r
By
Recorded by 11 TELEPHONE: (619) 564-2246
Administrative Authority
Contact Phone
ANTHONY MORENO
George H. Chaney Co.
Construction Inspectors
i
•
RIVERSIDE COUNTY
UNTYFIRE DEPARTMENT
RIVERS t1 . MAY .100
_ . 210 WEST SAN JACINTO AVENUE • PERRIS, CALIFORNIA 92370
(714) 657-3183
GLEN J. NEWMAN March 31Y 1992
FIRE CHIEF
Tot Joe Coffee - City of La Quinta
Jim Zimmerman, Coachella Valley Water District
Ret 51-155/51-125 Eisenhower
La Quinta
The location of the existing fire hydrant is acceptable to the
Riverside County Sire Department if the following conditions are mete
1. Place Bollards around the fire hydrant to protect from
vehicular traffic.
2. Maintain a minimum clearance of 36 inches around hydrant.
3. Paint curb in front of hydrant red.
All questions regarding the meaning of these corrections .should be
referred to the Fire Department Planning'Engineering Staff at (619)
863-8886.
RAY REGIS
Chief Fire,Department Planner
By
Tom Hutchison
Fire Safety Specialist
imp
O INDIO OFFICE
79.733 Ccutwy Club Drive, Suite F. indb, CA 92201
(619) 3428886 • FAX (619) 7752072
PLANNING DIVISION
O TeAECUTA OFFICE
41002 County Center Drive, Suite 125, Temecula, CA 92390
O RIVERSIDE OFFICE (714) 6945070 • FAX (114) 694.5076
3760 11th Street, Riverside, CA 92501
(714) 275.4777 9 FAX (714) 369.7451 printed on recycled peper
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