1662.,With proper validation
this form constitutesi
� a.
encroachment permlt;,,` i
I
0
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: 1/29/93
LOCATION OF CONSTRUCTION 52-385 NAVARRO
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION DRIVEWAY APPROACH
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
52-185 HERRERA
Sketch (attach construction plans if appropriate)
PER RIVERSIDE CO STD #'207
ATTACHED
1,
APPROXIMATE TIME WHEN WORK WILL BEGIN 2/1/93
APPROXIMATE TIME OF COMPLETION
'2/5/93
ESTIMATED CONSTRUCTION COST $ 500.00
(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. �a
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 p andiall applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of thi wo k."�•
Signatu Applic nt or Agent
STOCKMAN HOMES 77885 MONTEZUMA LA QUINTA 92253 (619) 564-5154
Name of Applicant (please print) Business Address Telephone No.
FRED STURNER
Name of Contractor and Job Foreman Business Address Telephone No.
482233 �� 2534 ^
Contractor's License No. City Business License No.
SCOTTSDALE INS CO GIS486817
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III 1W61��-9-$3 Sc;Q4iQ.
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 40.00
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 50.00
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 166?
DATE APPROVED 1/29/93
EXPIRATION DATE 2/5/93
1/29/93
DATEISUED
By
Administrative Authority
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
DATE:— �
� , 2 Subdivision Improvement Permit — Class III
� �Gq Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 52 � (�S �--11�,`i��Z�
(Street address or Description of Location)
PURPOV..QF CONSTRUCTION — —S KG Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION L� \J
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
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 th permit nd allapplicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the resultof thi rk.
ngrfaturvQzt�wicant &%gent
S64 (-54
Name of Applicant (please prl t) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
4 X233
Contractor's License No. City Business License No.
�C *
Applicants 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 Date
Recorded by
PERMIT VALIDATION
PERMIT NO..
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564-2246
1?�Fj
Administrative Authority
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
DATE: v - Z01 k C -27 Subdivision Improvement Permit - Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION '52 —� �� �' AV^ 2n,_P)
wueei aaaress or uescnption of Location)
PURPOSE OF CONSTRUCTION - j�
`�- QC-:
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL I
Sketch (attach construction plans if appropriate)
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 2-1 ICtq j
APPROXIMATE TIME OF COMPLETION f5 . �% I ct ol"7
ESTIMATED CONSTRUCTION COST $ 2-13l')•
(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:
Indemnity, 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 prope'ty
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 124) 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 thi w rk.
Signatu a of Applicant or Agent
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
AcaZ2�
Contractor's License No.
Business Address Telephone No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class III
Public improvements: 3`Yo 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%r
DATE ISSUED
By.
Administrative Authority
TELEPHONE: (619) 564-2246