1494--------...__-_------ --- . ---— — — — — — — - —_-- — --^ --
With proper.,valldation. 1 O4
this form constitutes an CITY, OF LA QUINTA
encroachment permit' ,
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
One trip oversize .load permit
i
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 r
July 27, 1992 _ Subdivision. Improvement Permit — ClassdII
-DATE:.Minor Improvement Permit Class IV
r LOCATION OF -CONSTRUCTION 54038 Avenida Bermudas, La Quinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Relocation to 31781 Monte . Sketch (attach construction plans if appropriate) .
Vista Way, Thousand Palma
Modular Home
DESCRIPTION OF CONSTRUCTION ROUTE. Bermudas north to Ave 52
east$ Washington north out
4 VDIMENSION OF INSTALLATION OR REMOVAL ' 2 Geotions pf, City limits.
24X50X16 12X22X16.I
SEE ATTACHED SPECIAL"PROVISIONS,
MOVE SHALL -BE DONE AT NICHT WHEN
SIZE OF EXCAVATION, IF NEEDED TITER$ IS LEAST' INTERFERENCE WITH
ti TRAFFIC,
APPROXIMATE TIME WHEN WORK WILL BEGIN.
APPROXIMATE TIME OF:COMPLETION k
ESTIMATED CONSTRUCTION COST $ • 1 Permittee is aware of the Building
(Including removal of all obstruction, materials, and debris, backfilling, com And Safety Requirements 'for the
paction and placing permanent resurfacing and/or replacing improvements)
removal of the structure
y
In consideration,6f'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 leastAwenty-four (24) hours in advance of the time when work will be started.
• r
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 add itionaI,replacement necessary as the result of this work.
Signature of Applicant or Agent.,
Snow 'House,Moyers, Inc. 11.611.Westminister Ave., Garden Groveo CA 92643
Name of Applicant (please print) �t Business Address Telephone No.
i
AA AA 14
Name of Contractor and Job Foreman Business Address �Telephone No.
236661 A C21 A ��
Contractor's License No. City Business License No,
Travellers Insurance Company. 660 711J962 =A
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 ` -1 4%
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee • $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
10,00
$ 10..00
Received by Date
PERMIT VALIDATION
PERMIT NO. 1494
DATE APPROVED 7/27/92
EXPIRATION DATE 8/7/92
DATE ISSUED 7/27/92
By
Administrative Authority
Recorded by 1 11 TELEPHONE: (619) 564-2246
.—.—..•,a�'�1��. � r-��—if�a`.r.r �•w �S�M"..�f r.+ice —. �. —. —. — � —_ — � �. _r �. —. _ .._. � — _ — ..._. � ..r — — — — _ — _ _ _ _. _ _ _ _ .— � — _ _ _ _ _
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
DA_TE:
July 24, 1992
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54038 Avd. Bermudas, La Qui nta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Relocation to
31781 Monte Vista Way, Thousand Palms
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
2 sections 24X50X16, 12X22X16
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
Route: BermudaSNorth
Ave. 52 East W6t5lti0tr,To11l Notes/74-
Out of Ci ty L) m IT5
SEI: f}T! Ac I4S Djf66 0 L p ad '9nZS
M (a/ F S �� Imo Utz A_T N LG t+`r
APPROXIMATE TIME WHEN WORK WILL BEGIN 7~/trP;11ri1�
APPROXIMATE TIME OF COMPLETION Gil 7_/y T« 4 G '—'-/ L
ESTIMATED CONSTRUCTION COST $
(Includin-. 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
SNOW HOUSE MOVERS, INC. 11611 Westminster Ave., Garden Grove, CA 92643 714-534-1696
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
236161 B. C21
Contractor's License No.
City Business License No. .
Travellers Insurance Company 660 711J962 -A
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.
$ l0
Received by Date
PERMIT VALIDATION
.PERMIT NO._.. � y
DATE APPROVED
-_ EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Recorded by 11 TELEPHONE: -.(619) 564.2246