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1681,� NOTE,: " With ,,proper_val iclation 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: 3/4/93 LOCATION OF CONSTRUCTION 52270 and 52260 AVE VILLA Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION DRIVEWAY APPROACH Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 5'x20' SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ATTACHEC RIVERSIDE CO # 207 APPROXIMATE TIME OF COMPLETION 415/93 ESTIMATED CONSTRUCTION COST $ $216.00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing .permanent resurfacing and/or replacing improvements) f 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 and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result o :this work. Signature of App icant or Agent " STERLING FOMES PO BOX 450 LA QUINTA. CA 92255 (619) 564-1866 Name of Applicant (please print) Business Address Telephone No. SALT 6 PEPPER CONCRETE (BOB.) PALM SPRINGS (619) 567-2017 Name of Contractor and Job Foreman Business Address Telephone No. B 638535 859 Contractor's License No. City Business License No. STATE BQHA 1101246-92 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs Private improvements: 3%v of estimated construction costs Minor Improvement Permit = Class IV: See attached schedule Inspection Fee $ 40.00 1I Permit Fee Penalty Cash Deposit-Su4ty Bond if required TOTAL: Receipt No. Received by Recorded by _1.0.00 $ 50.00 Date r,, i45f8CAiSUTA[ i4-93 50.0010 1681 PERMIT VALIDATION PERMIT NO. 1681 DATE APPROVED 3/4/93 EXPIRATION DATE 4/5/93 DATE ISSUED 3/4/93 By Administrative Authority TELEPHONE: (619) 564-2246 .;iz� 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 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION "0 �70_Al/5r y ,//�� (Street address or Description of Location) PURPOSE OF CONSTRUCTION �,O��l%� Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL- SIZE EMOVAL-SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN —i��C S APPROXIMATE TIME OF COMPLETIONic>/GS ESTIMATED CONSTRUCTION COST $ �i�• `�' _ (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 124) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of thepermit nd all applicable rules and regulations of the City of La Ouinta and to pay for any additional replacement necessary as the result of th. work_ A oi of Applicant or 1 Co�ntracto I elephone No. is License No. City Business License No. 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 Date Recorded by 13086 PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 A 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 y' 9� Subdivision Improvement Permit — Class 111 DATE: �A Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION"22 (Street address or Description of Location) PURPOSE OF CONSTRUCTION - ��-�� Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL;Eio S -x SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN r 5 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 124) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the pe it and all applicable rules and regulations of the City of La Ouinta and to pay for any additional replacement necessary as the result this k. i ature of App cant or gent Name of Applicant please print) Busin s Address Tele i _ � A h / D \ phone No. Name of Contractor and Job Foreman Business Address Telephone No. S i� qR S3S Contractor's License No. City Business License No. Aill— �//7/ F_ V4_ lle7/l TCO Applicants Insurance Company Policy Number rtt : 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 0F� PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246