1936 (2)i _ y
yVllith. proper ,validation
'thi's 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 corinection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III
DATE: 10/19/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION (1) 52125 AVENUE HERRERA; (2) 52-375 AVIRM NAVARRO;
(3) 52-675 AVV= RUBIO; (1) 52-415 AVE= MENDOZA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DRIVEWAY AI?MACH
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10121/93
Sketch (attach construction plans if appropriate)
PER RIMSIDE a0 STD�NO 207
(ArMCM)
i
•
FnnQO
OCT 19 1993
APPROXIMATE TIME OF COMPLETION 10/21/93 L ,
ESTIMATED CONSTRUCTION COST $ 19200.00
(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:
J
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 ori 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 offthe City of
La Quinta and to pay for any additional replacement necessary as the of this ork.
SihnTtWOof Applicant or Agent
HARLAN LSE CONSTRUCTION 310 WASIECTNGTON P214, MARINA DEL REY 90293 (310) 827-0171
Name of Applicant (please print) Business Address Telephone No.
SAM
Name of Contractor and Job Foreman
457700
Contractor's License No.
Business Address
Telephone No.
2976
City Business License No.
ON FIM ON FILE
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
I' `t Cash Deposit -Surety Bond
if required _
TOTAL
Receipt No
80.00
10.00
$ 90.00
Received by Date
Recorded by
1.936
PERMIT VALIDATION
PERMIT NO. 1936
DATE APPROVED 10/19/93
EXPIRATION DATE
10/29/93
DATE ISSU D 1 /19/93 _
By
Administrative Authority
TELEPHONE: (619) 564-2246
3
I
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: - a�� C1 / �3 Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION^r-I� w'�PrC�4 Sketch (attach constructionlans if a
P PPropriate)
DESCRIPTION OF CONSTRUCTION '�v 6 �Z Iy S%� tiles 2-07
P-1
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 10 Z t rf
ESTIMATED CONSTRUCTION COST $ MSWQP
(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 saw the City, its authorized agento, 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 Ouinte and to pay for any additional replacement necessary as the Watustof
work.
I — Sigpplicant or Agent -�I bjS27-01'1I
Name of Applicant (please pant) Business Address �—
G A _ _ of 0-L -Lct3 Telephone No.
Name of Contractor and Job Foreman
4 57 7ac;,
Contractor's License No.
Business Address Telephone No.
2'i7&
City Business License No.
Applicants Insurance Company Fn•.l Fl UPolicy Number
FEES: Subolvision 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 $ 80 • od
Permit Fee t C). `---
Penalty'
Cash Deposit -Surety Bond
if required
TOTAL: $ CIO,
�o
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED 1 D - kq — 9 3
EXPIRATION DATE it
DATE ISSUED d l — 3
By
Administrative Authority
TELEPHONE: (619) 564-2246
a
t
. c.
I
0
i
i
a
t
. c.
I
0
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 lou, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:- � C1 / 1 3 Subdivision Improvement Permit'— Class 11)
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 2 - �J4-I/v_WD -!:�,
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION'b�l� WADI ��RGr4
Sketch (attach construction plan: if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
------------
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN I X13
AVPKUXIMATE TIME OF COMPLETION— 11 t a1 ?
ESTIMATED CONSTRUCTION COST S
(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, oNicars, representatives and employees, harmless from and against any and all
Penalties. liabilities or loss resulting from Hain» or court action and arising out of any accident, loss or
happening of occurring as a proxL*nm molt of env .woo undertaag
ken under th• darhis t0 persons Or property
permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four 1241 hours in advance of the time when work will be startac
Comply with all applicable City Ordinances, the terms and Conditions of the
LA Quints and to pay for any additknW replacement rt permit and all applicable rola and regulations of the City of
ec�saary as the resin work.
SjgKatuWof Applicant or Agent
Wit—% CvXJ 3
Name of Applicant (please print)
Name of Contractor and Job Foreman
__ 4 67 7oc;;,
Contractor's License No.
Business Address �.a'L4'3 Telephone No.
Business Address Telephone No.
2 9-7 L
City Business License No.
Applicants Insurance Company Policy Number
FEES: Subolvislon Improvement Permit — Class Is
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
'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, sewer, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:� C1 3 Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 22 Lo
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION��t� WQcI mil-�RC_w Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF.INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN �-I
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S—
(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 saw the City, its authorised &gams, offieen, representatives and employees, harmless from and against any and all
Penalcies, liabilities or loss resulting from claimsor court action snd arising out of anY accident, loor
happening or occurring es a proximau result of any work undertass ken under the permit granted Pursuant to dnis amp pplication.
o persons or property
Notify the Administrative Authority at least twenty-four 1241 hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the additionalp
terms and condition of the permit and all
La Quints and to pay for any additional replarreM appliceble rules and regulation of the City of
necessary as the resul wprk
SigKatuWof Applicant or Agent
Name of Applicant (please print)
Name of Contractor and Job Foreman
4 �-7 7o-0
Contractor's License No.
3L o
Business Address
?Q,t
c OL tl Telephone No.
Business Address Telephone No.
2 9-7 &.,
City Business License No.
Applicant's Insurance Company Policy Number
FEES: bubClvislon 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.
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
1 ?86
Received by Date By
Recorded by Administrative Authority
TELEPHONE: (619) 564-2248
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-
DATE:-- a�I 13 Subdivision Improvement Permit — Class 111
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION A M
(Street address or Oescription of Location)
PURPOSE OF CONSTRUCTIONr��t� Wim+ �l.7RGv1 Sketch
(attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S .
(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:
Indemnifv, defend and save the City, its authorized *germ, officers. representatives and employees, harmless from and against any and all
Penalties. liabilities or loss resulting from clairts Or court action and arising out of any accident, loss or
happening or occurring as a proxiraq nlAnit of a dan►aga to persons Or property
ny work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at latest twenty-four 1241 hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the parrot and all applicable rules and regulations of the City of
La Quints and to pay for any additional replacenmert necesery as the newl
work.
Sig to of Applicant or Agent '7,1 bl-A,21 01'11
Name of Applicant (please print)
Name of Contractor and Job Foreman
4 57 70c;;,
Contractor's License No.
3L0
Business Address
'P2L¢
C1a'L''3 Telephone No.
Business Address Telephone No.
2°1-74
City Business License No.
®nL = (LIE FAI l l g
Applicant's Insurance Company Policy Number
FEES: Subolvislon 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.
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
Received by Date By
Recorded by
TELEPHONE: (6191 564.2246 Administrative Authority
,. ' . � ^ ` -`. ��-
.
�
v
^ .
- ^ .^
�
,
GEORGE H. CHANEY CO.0
Inspection Services
TO:
THE FOLLOWING WAS NOTED:
• i i
DATE
/0
JOB N0.
PROJECT DESCRIPT ON
-t-)Vj IS
LOCATION
CONTRACTOR
WEATHER
TO HRS
7FROM
TOTAL
COPIES TO: D TOM
SIGNED
WHITE - CLIENT, YELLOW - FIELD FILE, PINK - OFFI FILE