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—----.------- .—w--------------rr,.----r---------.---------m-------------..--------
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
DATE:_ June 18, 1992
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53-520 Avenida Madero La Ouinta, CA 92253
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION -Access for Boat/RV Parking Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Cut Curb
DIMENSION OF INSTALLATION OR REMOVAL 171 Feet Total
Cut/Removal this figure includes wings. apron
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/19/92
APPROXIMATE TIME OF COMPLETION 6/30/92
ESTIMATED CONSTRUCTION COST $ 150.00
(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:
Per Riverside County Std. No. 207
(attached) See attached sketch
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.
i
Sig at e o A plicant or Age6t
Jeff Rodriquez 53-520 Avenida Madero La Ouinta CA 564-3148
Name of Applicant (please print) Business Address Telephone No.
Curb Sawin$, Inc. '31-255 Avenida MaravAlla Chthedral City. CA 321-9700
Name of Contractor and Job Foreman Business Address Telephone No.
589084
Contractor's License No.
2095'
City Business License No.
Farmers Insurance Co.. F904495147
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III0g5i8tASH 15 f -TAL i 8-92 30.0010
Public improvements: 3% of estimated construction costs�� I
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee --.$ 20
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
Received by _
$ 30
Date
PERMIT VALIDATION
PERMIT NO. 1468
DATE APPROVED 6/18/92
EXPIRATION DATE 6/30/92
DATE I SUE A 6/18/92
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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
June 18, 1992 Subdivision Improvement Permit — Class III
DATE:
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53-520 Avenida Madero La Quinta, Calif 92253
(Street address or Description of Location) ,
PURPOSE OF CONSTRUCTION Access for Boat/RV Parking
DESCRIPTION OF CONSTRUCTION Cut curb Approx. 17''
DIMENSION OF INSTALLATION OR REMOVAL 17' feet total
Cut/Removal This figure includes wings, apron
SIZE OF EXCAVATION, IF NEEDED NA
Sketch (attach construction plans if appropriate)
dc/zS I D._ C-ok A/ 7�l
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/19/92
Morning sometime
APPROXIMATE TIME OF COMPLETION one day
ESTIMATED CONSTRUCTION COST $ 150.00 Dollars no/100
(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 of Applicant or Agent
Name of Applicant (please print) Business Address Telephone No.
Jeff Rodriguez 53-520 Avenida Madero La Quinta Calif. Residence 564-3148
Name of Contractor and Job Foreman Business Address _ Telephone No.
Curb Sawing Inc. ZD
Contractor's License No. City Business License No.
Farmers Insurance Co. F904495147
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 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 3a
Date
133E
PERMIT VALIDATION
PERMIT N0. i(4
DATE APPROVED
EXPIRATION DATE - 30 —go,
DATE ISSUED —�P2
By
Administrative Authority
TELEPHONE: (619) 564-2246
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