1714NOTE-, L• . , r• "
With proper.,validation
this forrri;constitutes an CITY OF LA QUINTA
r encroachment permit -
APPLICATION FOR PERMIT
�FPUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For` the construction: of public or private curbs, driveways; pavements,• sidewalks, parking lots, sewers, water mains
find other like, public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
- Subdivision Improvement Permit — Class I I I ,
DATE: 4/12/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53-180 & ^63-200 "Ave"' Mendoza
(Street address or Description of Location)
'PURPOSE OF CONSTRUCTION Drivetay appro&ch • Sketch (attach construction plans if appropriate)
' y DESCRIPTION OF CONSTRUCTION ` ' PER RIVERSIDE COUNTY STD # 207. `
(ATTACHED),
j DIMENSION OF INSTALLATION OR REMOVAL
{ x;SIZE'OF'EXCAVATION, IF NEEDED
`APPROXIMATE TIME WHEN WORK WILL BEGIN- 4/12/93
s'APPROXIMATE TIME OF COMPLETION 4720/93'
ESTIMATED CONSTRUCTION COST,$ 1000.0A
}k (Including removal of all obstruction,materials, and debris; backfilling, com - r
paction and placing permanent resurfacing` and/or• replacing improvements)
n consideration of the granting of this permit, the applicant hereby,agrees to:' - t"
s►"' r..
Indemnify,.defend and save the City .its authorized agents,'officers, representatives and employees, harmless from and against any and all:
-`,`p enalties, 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.
5r a * Comply with all applicable City Ordinances, the terms and conditions,of-therpermit and all applicable rules and regulations of the City of
La3Q6inta and to pay for any additional replacement -necessary as the result of this work.
Signature of Applicant or Agent
ti
oil.;(XiMBILi INC P.O. Box 1555 Lai Quinta. e 564-1338
�, Name ofi'Applicant (please print) :Business Address Telephone No.
. �Y BILL,'HOWARD 3AM$ 4
Name of,Contract&-and Job Foreman '.'Business Address Telephone No.
^X537333 is + ' , ��2526 "
ontractor's License No.'- ,• .A t , '� 'H City Business.License No.
OHIO L ASUALI"�i • t ; ' r i . < r� • . ' BLO 935005'-7116
wApplicant s'Insurarice, Company ,. x) ' y r• '�', - Policy Number
Y t 7
'i7lf4 it w r � .f"t.';tS
1 FEES.. Subdivision'lmprovement Permit =`Class III , ! t
;r fit' . �- '' jjjj5i$ryw 3gg$,�y qqti .93..- 10
y?' .Public improvements: 3%of estimated construction costs y <,,, ,�0 K to �'� TUiA ri 54.00
n{w � f
'Private improvements 3%of estimated construction costs
;Minor improvement Permit = Cla'ss IV.'See attached schedule
'i.l. r,Inspection-Fee' l,$ 40.00 PERMIT VALIDATION
C 4 'Permit red10.00 PERMIT NO. 1714.
t
Penalty.
r, DATE APPROVED41-12/93
.;,Cash Deposit -Surety Bond .
if required EXPIRATION DATE 4/20/93
' TOTAL: $ 50.00 4/12/93
DATE ISSUED
Receipt No.
B t,t Q 0
• v
'Received by Date Administrative Authority
i
Recorded by TELEPHONE: (619) 564-2246
NOTE: v r
With proper validation, r
this form constitutes an
encroachment permit CITY" OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION= (ENCROACHMENT) M. S
For the construction of_ t _
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
e� Subdivision Improvement Permit Class III `
DATE: Minor Improvement Permit Class IV
LOCATION,O++F CONSTRUCTION,—$�" )FO, - aO O is L ' 2A
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION C-2 Sketch (attach constructionlans if appropriate).
ppropriate).
DESCRIPTION OF CONSTRUCTION z,.� '
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST$ /aoy
(Including -removal. 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 herebyagrees to:
Indemnify; defend and save the City, its authorized agents, officers, representatives and employees, haimless,from and against any and all
penalties, liabilities or loss resulting from claims orzcourt action and arising.out of any. accident, toss 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 Ordinaneei, 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 f this k:
S' nature of Applicant or Agent
�.
10
I,N . ^,3�.
Name of Applicant (p ase print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's 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 VALIDATION
Permit Fee
PERMIT NO. ,
Penalty
Cash Deposit -Surety Bond DATE APPROVED '
'
if required
EXPIRATION DATE
TOTAL': - $ - v `
'. DATE ISSUED
Receipt No. ti "
By
Received byDate _ Administrative Authority,,
Recorded by TELEPHONE: (619) 564-2246
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idkbNG.REQUESTE BY AND
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THIS AGREEMENT is biddi this - day., m c 4- _,; .
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by and between YY) o (.'ldndbtoifior!) 'and
COACHELLA, VALLEY.WATER DISTRICT; A public
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RECITALS t {r
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A. Litniido�ffiOr is time&wfibi' of 66ithih Nidiok'64"bfty�'lbchtdd itit:66,
Comity of Ri4drsiddei State of Cdliforinidii idbii
Exhibit. 'W� attached heke'to amid by' thii refetence 'incur orated herein: =7 The
dibreifmifitibfibd property shall be f6fe'r"t6d.;to-' As e'R i6 A i*E'P k 6pei_ i k y-
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BY t. �h,
HE PARTIES HEREBY
AGREE
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Bill Howard
(619) 564-1338 • Fax: (619) 564-0344
51-001 Eisenhower Drive, P.O.'Box 1555
La 9uinta, California 92253
Contractors Ucense #537333
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day wind year fifst . a�ioveiritteiit' `r,
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+. ktAIUAL UktIFICATE§
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OFFICIAL:' MAL P a SJJ f �
1 ,.MWNg,N�it.NE�50N
Lcomol�','
NOTARY PUBLIC=0FORf�I�I3MINCIPALOFFICEIN. ;, athIVERSIOE COUNTY ' y a i. A-�x -=f
AUlt,4flf '
. . • � • -' �; ��;f - .(Red: • 6/92), : � ` a.
ALL-PURP®SE ACKINIOWsSLE®GMEP1`I1
NO 209
" Mate o;• California
CAPACITY CLAIMED BY SIGNER
County of RiirPrsirie
❑ INDIVIDUALS) ,
jCORPORATE General Manag
yi
6 ,.'fYiarcti 22; 1993 before me, Gare B:'`Hiierta a y
' O FiGER> :.Chief,=En iriee'r•
'rs
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.DATE _NAME. TITLE OF OFFICER • E.G..'JANE DOE. NOTARY PUBLIC'
�
-
� TITLES)
,.
Q PARTNER(S)
personally appeared Tom Levy ----------- =---------------------------
❑ ATTORNEY-IN-FACT
NAME(S) OF SIGNER(S)
❑ TRUSTEE(S)
® personally known to me - OR,- ❑ proved to me on.the basis of satisfactory evidence
to be the person(Q whose name(d) is/drk
SUBSCRIBING WITNESS
• subscribed to the within instrument and ac-
❑ GUARDIAN/CONSERVATOR
knowledged to me that he/shed/40executed
❑ OTHER:' '
the. same in this/W/; Vdit authorised
capacity(oth, and that by his/WAhkir
signature($) on the instrument the person(Af,
or the entity upon behalf of which the person(s)
SIGNER IS REPRESENTING:
acted, executed the Instrument. -
NAME OF PERSON(S) OR ENTITY(IES)
Witness my hand and official seal.
rnachella Valley Water
SIGNATURE OF NOTARY
ATTENTION NOTARY: Although the Information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized document.
THIS CERTIFICATE Title or Type of Document,— Agre6ment
,
MUST BE ATTACHED Number•of Pages
TO THE. DOCUMENT 4 Date of Document March 3, '1993
DESCRIBED AT RIGHT: Signer( Other Than Named Above Howard William R.
®1991 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave. • P.O. Box 7184 • Canoga Park, CA 91304-7184
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EXHIBIT "A"
Lot 15 inclusive,
of TRACT: Santa Carmelita, Unit No. 20
• as shown on map in Book 19, pages 38
of Maps, Records of Riverside County,
said lot 15 lying in the
South East quarter of Section 12, Township 6 south,
Range 6 East, San Bernardino Meridian.
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