1465------- ---- ------ ------ -
)OTE•
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:' June 17, 1992
LOCATION OF CONSTRUCTION 52-865 Avenida Navatro
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway Aoproach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Concrete installation of
approach Per Riverside County Std. #207
(attached) r
DIMENSION OF INSTALLATION OR REMOVAL 161 x 5'611
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
6/18/92 t
APPROXIMATE TIME OF COMPLETION 6/25/92
ESTIMATED CONSTRUCTION COST $ 300.00
(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 the result of this work.
Signature iff Applicant or Agen�
R.B. Marchi Concrete P.O. Box 2229 Palm Desert, CA 568-6982
Name of Applicant (please print) Business Address Telephone No.
Same
Name of Contractor and Job Foreman Business Address Telephone No.
L126938 2505
Contractor's License No. City Business License No.
State Fund 046-000-3323 Ext). 1/1/93
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 .1465
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ Previnual-y PaAd 0 PERMIT VALIDATION
Permit Fee
Building Dept. w/ 1465
PERMIT NO.
Penalty Building hermit - '
Cash Deposit -Surety Bond 10497 DATE APPROVED 6/17/92
if required EXPIRATION DATE 6/25/92
TOTAL: $' DATE ISSUED 7/17/92
Receipt No. ,
BY
Received by Date Administrative Authority
Recorded by 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
/: — /7 _ / 2 Subdivision Improvement Permit — Class I I I
D&TE: (!� �, Minor Improvement Permit Class IV
'1
LOCATION OF CONSTRUCTION a ° y °4✓;1%✓Lr?- 0
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 2[1/FvJy � UPZPJ' 4-W Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION /° - Ca -r�
DIMENSION OF NSTALLATION OR REMOVAL
)b GeV&,
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7i a e)
�s►J �-r� �9Z
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 30b'�o
(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 Quints and to pay for any additional replacement necessary as the result of this work.
Signature Applicant or gent
jZI 3- n/1u1•zcdt� ewc�� j��r, r3� a.P.29 2, i • �G �9b�2
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Z-1.1 le 13 8' -2- So !�;—
Contractor's License No. City Business License No.
�'►4�('F_ l 0 `/% ¢10`Q G 3 3 a 3
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III �F
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
PERMIT NO.
1236
PERMIT VALIDATION
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE:,. (619) 564-2246..... C.