1423IAO' Ttz=
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
ySubdivision Improvement Per,•miu—.,.Class
DATE: April 2V, 1992 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54-840 Velasco
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION DrivewU ARproach Sketch (attach construction plans if appropriate)
DESCRIPTION.OF CONSTRUCTION �M Per RivPrRida Riverside County Std. 204
County Std. 204 (AtBached)
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/24/92
APPROXIMATE TIME OF COMPLETION 4/27/92
ESTIMATED CONSTRUCTION COST $ 300
(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 pplicable rules and regulations of .the City of
La Quinta and to pay for any additional replacement necessary as the result of h s wo .
4,
Signature of Apo Icant or. Agent
DoDco Construction P.O. Box 1012 La Quints, CA 92253 564-6478
Name of Applicant (please print) Business Address Telephone No..
Dan Featheringill
Name of Contractor and Job Foreman Business Address Telephone No.'
397830 Expiration 1/31/93 i�y5
Contractor's License No. City Business License No.
Rieco Insurance SPrvicaa
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
005g11T32 iiQ0 93 0 —11-92 c 1
Public improvements: 3% of estimated construction costs 14 RAT TOTAL 30
Private improvements: 3% of estimated construction costs:; .
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 20.00 PERMIT VALIDATION
II
Permit Fee 10.00 1423
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 30.00
Received by Date
Recorded by AI
PERMIT NO.
DATE APPROVED 4/2'4/92
EXPIRATION DATE 4/30/92
DATE ISSUED 4/2J/92
By
Administrative Authority `
TELEPHONE: (619) 564-2246
r
eln
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
_2,7
`- q 2 Subdivision Improvement Permit- Class III
DATE:_ ` l Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
5LI- 4Vgo 111zl,4S 6
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION—2t/ vk A4, 19.n/Icco Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL X_
SIZE OF EXCAVATION, IF NEEDED "
APPROXIMATE -TIME WHEN WORK WILL BEGIN 'Z - 9Z
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $OD =°
(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 pica a rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of work. �, 1
/ Signature of Applicant or Agent
120 9-c
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
3%7 ��� 3q��3 131193 13 5
Contractor's icense No.
City Business License No.
7-7
/ n j f co
Applicant's Insurance Company 91% 2 C Policy Number
FEES: Subdivision Improvement Permit - Class I I I \l
Public improvements: 3% of estimated construction costs 1�
Private improvements: 3% of estimated construction costs 1 '3 U 6
Minor Improvement Permit - Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564-2246
Administrative Authority
I
NOTE:
With proper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ASF'
For the construction of C�M0 THBR
and other like public worksimprovements
mpro ements in connect onvPrivate curbs, dri, Pavements, ewaysparking lots, sewers, water mains
with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: April 24 1992 Subdivision Improvement Permit — Class I I I
LOCATION OF CONSTRUCTION54-840 Velasco Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION "v • a " Arnarh
DESCRIPTIOSketch (attach construction plans if appropriate)
N OF CONSTRUCTION
County St per rttRiverside Count
(Attached) Y Std. 204
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/24/92
APPROXIMATE TIME OF
COMPLETION—.4 /27/92
ESTIMATED CONSTRUCTION COST $ 30
(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
indemnify, -defend and save the to:
City, its authorized agents, officers, representatives and employees, haimless 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
Notify the Administrative Authority at least twent four Permit granted pursuant to this application,
Com I Y- 124) hours in advance of the time when work will be started.
P Y with all applicable City Ordinances, the terms and conditions of the permit an pplicabla rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of
wo .
DoDco Construction i9nature of Ap Icant or Agent
Name of Applicant (please print) P -O.: Box 1012 La Uinta CA 92253
Name of Contractor and Job Foreman
397830 Ex D11111111 iration
Contractor's License No.
Applicant's Insurance— �ompa"nY
Business Address
Telephone No.
Business Address
Telephone No.
City Business License No.
Iuoalvlslon Improvement Permit —Class II 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
TOTAL
Receipt No.
Received by
Recorded by
Date----.
Policy Number
005182 HSH3iOTOTAL71-92 0
30. 0
10 1 r!r 2'
PERMIT VALIDATION
PERMIT NO.
1423
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
4/24/92
By
Administrative Authority
TELEPHONE: (619) 564.2246