1431'(VOTE: `
With proper validation
this form constitutes an
encroachment permit
N
.mow"•, , rN.-.err.- - .. ..
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
Ma 14, 1992 Subdivision Improvement Permit Class I I I
--,DATE:- y - — Minor Improvement Permit Class IV
N T
LOCATION OF CONSTRUCTION 5�3 «LL� •�
_ ORUCTION - 80 ` Av nt a'° f 'd ro end Sa3 L 9 Q recon
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION (2) Driveway approach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION arm and nn,ir on"Ovata
__ dri.rP�aa� a= rnarh Per Riverside County Std. No. 207, .
attached.
DIMENSION OF INSTALLATION OR REMOVAL b X-2131
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN May 15
APPROXIMATE TIME OF COMPLETION May 159 1992
ESTIMATED, CONSTRUCTION COST $ 800- 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:
I
"W3 90AAH ii TNALQ i9' .50. 00 +,
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.
d,
Signature of Applicant or Agent.. '
Sunrose Properties. Inc. 72-850 Somers. Rd Palm Desert CA 346-2840
Name of Applicant (please print) Business Address Telephone No.
Mike Tuvell game
Name of Contractor and Job Foreman Business Address Telephone No.
533670 1137
Contractor's License No. City Business License No.
Sf ingi & Hannon WN91457410-05
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I
. o
Public improvements: 3% of estimated construction costs
Private improvements:'3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
y
Inspection Fee $ 40.00 PERMIT VALIDATION
Permit Fee 10.00 1431
PERMIT NO.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 50.00
Receipt No..
Received by Date
Recorded by
DATE APPROVED ` 5/14/92 '
EXPIRATION DATE 5/18/92
DATE ISSUED 5/14/92---------------
By,�lt/.I/�'1
Administrative Authority
TELEPHONE: (619) 564-2246
-s' '
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 I I I
DATE: ���y %Gi X9%2_ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 63 —�05 I'L&- �i/44 1'12
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION jQ%'JUIf WAV
IPTION OF CONSTRUCTION
DIMENSION OF_LUZIALLATION OR REMOVAL k
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE,TIME WHEN WORK WILL BEGIN .4,44/ IL
/y.'Oo ""
APPROXIMATE TIME OF COMPLETION .OG
ESTIMATED CONSTRUCTION COST $ `3 D - o d
(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:
Sketch (attach construction plans if appropriate)
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.
Ignature of Applicant or Agent
/'O/7, - >Zle-s i�,z Z2 --0 S_V Sorr7 ei'i /L/ A 3,&
Naym��e of Applicant (please print) Business Address / Telephone No.
111(I,��iL /u�
41// Z -S 50 G✓o�,P/� 4ov jk//��-� 3V/� -/,3,�-y�
Name of Contractor and Job Foreman Business Address Telephone No.
,;-33 6 7d ' . 11.37
Contractor's License No. City Business License No.
,7Tl 1-7e
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 $ L/0
Permit Fee l D II
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ Sb
Date
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564-2246
0
139
Administrative Authority
2