1515"NOTE:
With proper validation
,this form constitutes an
-encroachment permit
1K
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
DATE
8-14-92
LOCATION OF CONSTRUCTION 52965 Eisenhower Dr.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION driveway approach
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 8-12-92
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
per Riverside Co. Std No. 207
(attached)
APPROXIMATE TIME OF COMPLETION 10 days
ESTIMATED CONSTRUCTION COST $
(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 per .it and all applicable rules a d regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result ./this W. k.
Si nature of A (cant ori geo'
Sterling Homes P.O. box 450 La Quints, CA 92253 564-1866
Name of Applicant (please print) Business Address Telephone No.
Dan Crawford
Name of Contractor and Job Foreman 'Business Address
638535
Contractor's License No.
Scottsdale Ins. Coo
Telephone No.
859 *=
City Business License No.
GLS442093
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III 1
Public improvements: 3% of estimated construction costs
. ?851"'FAM 1618TRE714-112"3 -601° `
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
$ 20
10
$ * 30
Date
PERMIT NO.
1515
PERMIT VALIDATION
1515
DATE APPROVED
8-14-92
EXPIRATION DATE 8-21-92
8-14-92
DAT ED
By
Administrative Authority
TELEPHONE: (619) 564-2246
. I
NOTE:
Wijh 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
8 / 11 / 9 2 Subdivision Improvement Permit — Class I I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 52965 EI SENHOWER DRIVE
(Street address or Description of Location) .
PURPOSE OF CONSTRUCTION INSTALL DRIVEWAY Sketch (attach construction plans if appropriate)
APPROACH
DESCRIPTION OF CONSTRUCTION RP.MOVP. EXISTING
SIDEWALK AND INSTALL DRIVEWAY APPROACH.
DIMENSION OF INSTALLATION OR REMOVAL
REMOVAL 5j' X 20' — 6' X 20'
DRIVEWAYAPPROACH
SIZE OF EXCAVATION, IF NEEDED N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/12/92
APPROXIMATE TIME OF COMPLETION 10 DAYS
ESTIMATED CONSTRUCTION COST$ 420 REMOVAL/$220 INSTALL APPROACH=$640
(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 wl rk,
STERLING HOMES
Name of Applicant (please print)
LENDEL VENTURES, INC.
Name of Contractor and Job Foreman
638535
Signatur ofAppllcant'`—' or Agent A.
P.O. BOX 45n// LA QUINTA CA
DAN CRAWFORD
Contractor's License No.
SCOTTSDALE INSURANCE COMPANY
Busine Address
SAME
Bufiness Address
LENCH, II
564-1866
Telephone No.
SAME
Telephone No.
City Business License No.
GLS442093.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I 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 Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
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