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1666NOTE: With proper validation �-:this form constitutes an µ CITY OF (A QUINTA I' enc�oachmJ.Ment.permit 4 APPLICATION FOR PERMIT i ;eM4 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 Subdivision Improvement Permit —Class II I DATE: 2/3/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 51-555, 51-535 OBREGON 51-250 RAMIREZ (Street address or Description of Location) PURPOSE OF CONSTRUCTION-", DRIVEWAY Sketch (attach construction plans if appropriate) ''DESCRIPTION OF CONSTRUCTION 3 8 PALM SPRINGS GOLD SEE ATTACHED CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED N A 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 anyandall 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 drmit and all a pl La Quinta and topay for any additional replacement necessary as the resul of this ork. A nature of Ap6Wnt or STERLING HONES PO BOR Name of Applicant (please print) Name of Contractor and Job Foreman ►�L Business Address Business Address rules q&d regular+ons of the City of 619Y 546-1866 Telephone No. Telephone No. 638535 859 Contractor's License No. City Business License No. SCOTTSDALE GLS442093 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 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required $45.00 s i r t TOTAL: $ 7 445.00 Receipt No. Received by Date Recorded by 7.13 4500 so 1x.%66 PERMIT VALIDATION PERMIT NO. 1666 DATE APPROVED 2/3/93 EXPIRATION DATE2/3/93 �A-� SUED 2-3193 By v / d Administrative Authority TELEPHONE: (619) 564-2246 Rider for City of La Quinta Encroachment Permit No. I Leto (P Though the city code requires that new driveways be constructed with hard -surfaced improvements, the city will grant a one-time exception in the case of this driveway because of the.possibility of a miscommunication on the city's part. 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 w - z4 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — S� A1161-11DA ®BR-9CD/5/ (Street address or Description of Location) PURPOSE OF CONSTRUCTION — r -12M PLE76 bP_),JF_LJA1? o Al DESCRIPTION OF CONSTRUCTION /JSl STA ! / r kl r? U< J I Fly 20rk' 1N 1�21VEWAY FXTtNi7oA/ -rll/26ucg14 C 1TY I?16_44T-0 F /1-y DIMENSION OF INSTALLATION OR REMOVAL - /6 2< 10 SIZE OF EXCAVATION, IF NEEDED -- tj OT r4 EE l> APPROXIMATE TIME WHEN WORK WILL BEGIN (o r`^ h1_E Ze IJ Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION CCC% 1 P1-6 Y`� ►J ESTIMATED CONSTRUCTION COST $ <p (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: N 'ro9® 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 Ouinta and to pay for any additional replacement necessaryas the result of this work. Signature of Applicant or Agent s l 7-f=' pa /4/0/L1 S P,v, BoX 4-o LAPulNTA 564-/8& G Name of Applicant (please print) Business Address Telephone No L.EiVDEL VEN7-y2.ES Name of Contractor and Job Foreman 636,535 IfQc, P.O. 23ox + 0_ , LA Business Address �urNTa I --/e Cs S Contractgr's License No. City Business License No. ST-4TE rt'uNl.� //o1 Z4 -6o yz Applicant's Insurance Company Policy Number Telephone No. 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 1 C, PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TEL (2 U)1vaI+, l ��1\7,(a 10 1.S ) ' NQh-=VSo No 93,'8'O 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 Z ' 4 c7 -� Subdivision Improvement Permit — Class III DATE:— Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION —_El 15n 4116A- I/DA 2.4 M / 2jff j3 -- (Street address or Description of Location) PURPOSE OF CONSTRUCTION -- Cr DtA RLE76 7�,,Q) JF_ .JAY (=.K r--ly-ri 0 Al DESCRIPTION OF CONSTRUCTION 120rK 1N WAY EXTtNr1oA/ TN/Zoucr,N C_1TY 21G,NT--o F- AI? DIMENSION OF INSTALLATION OR REMOVAL - 16')< / D SIZE OF EXCAVATION, IF NEEDED �j 0-1'- /`/ EE /> APPROXIMATE TIME WHEN WORK WILL BEGIN (10 F^ !tel F'TF IJ Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION 6 r�) 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: ,4)�A 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 w k. A 5 7Lrz�./ N Name of Applicant (please print) LEAVDEL VftV'Tc>1Ze:< Name of Contractor and Job Foreman 63853S f5 Signature of .v, 13ok 4S Business Ad e icant or Agent A L_A QUI NTA 0. 4 -SO Business Address S, Contractgr's License No. City Business License No. 'S T-4 TE Z-0IV 0 � 4-(o ?z_ Applicant's Insurance Company Policy Number 564-/8& 4elephone No. Telephone No. 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 1 vL�J Administrative Authori•i:y NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 �, -� Subdivision Improvement Permit — Class III DATE:- Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 5153,5- .4.U6h11,b,4 ® ajescs-oA/ (Street address or Description of Location) PURPOSE OF CONSTRUCTION �nM aLE='-1 E b, )V i✓ WAS' t'X'► r jVr 0 N DESCRIPTION OF CONSTRUCTION /LISTA l / 12or• IK I Al A 21 \/ F_ WA _Y_ EXTr N 7 o A/ 7-W 12c) tyen N Sketch (attach construction plans if appropriate) �,-7 - DIMENSION OF INSTALLATION OR REMOVAL 162< x l D ' I ., SIZE OF EXCAVATION, IF NEEDED /J oT r4 EE l> APPROXIMATE TIME WHEN WORK WILL BEGIN C o F^ Pt -,F TF.IJ APPROXIMATE TIME OF COMPLETION --Q nit .E_`C, r,) 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: .. rZoc6% t a •T�l S 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 1241 hours in advance o the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the p it and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result tfiif work. /'� / Sign t/,fe of Applicant or Agent �Q ►JGN� I ! J"�t✓.l L ST��G/N� oM£ 5 ,v, B 4S o LA vINTA 1564 /8 G Name of Applicant (please print) Bu ess Address Telephone No. LEi1/DEL V�En/Tv 2E /nrC. }? 13�X -q-SO LA �Ui ry T Name of Contractor and Job Foreman Ikusiness Address Telephone No. 638535 S 13/ Contractgr's License No. City Business L' nse No. ST,aTE , _01V0 L //o ! Z 4-6z� 9Z Applicant's Insurance Company Policy Number II 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 II Inspection Fee $ II Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date IRecorded by PERMIT VALIDATION PERMIT NO DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246