1938NOTE'
With proper validation
thi'f orm 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
Subdivision Improvement Permit — Class I I I
DATE: October 20, 1993 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 77-400 Calle Sonora.. '"-
(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
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/20/93
APPROXIMATE TIME OF COMPLETION 10/23/93
ESTIMATED CONSTRUCTION COST $ 135.00
(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
Per Riverside County Std. 207 (attached)
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 work.
Signature of Applicant or Agent
t Sterling Homes P.O. Bax 450, La Quinta, CA 92253 564-1866
Name of Applicant (please print) Business Address Telephone No.
L>endel Ventures/Daaiel Cravfdrd P.O. Boz 450 La Quinta, CA 564-1866
Name of Contractor and Job Foreman Business Address Telephone No.
B 638535 �1 859
Contractor's License No. City Business License No.
Golden Eagle Insurance Co. CCP=203971-00
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
TOTAL:
Receipt No.
Received by
Recorded ,by
20.00
10.00
$ 30.00
Date
0 2 3
lJ {
LBY,
PERMIT VALIDATION
PERMIT NO. ' 1938 -..,
DATE APPROVED 10/20/93
EXPIRATION DATE 10/23/93
DATE ISSUED 10/20/93
By AQ4:!n4 -&&- biz�� —
lrigjnistrative Authority
TELEPHONE: (619) 564-2246
s
iii
4
NOTE:
With proper validation
this form constitutes an
encroachment permit CIN 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:—
LOCATION
ATE: LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION ,40—IL964• L/(i�1v6�) Sketch (attach constructionlaps if appropriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION _ /D Q /93
ESTIMATED CONSTRUCTION COST $ 13S`
(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:
I ndemnifv,. defend and saw 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 anV work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four IN) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the perm and all applicable rules and regulations of the City of
Le Quina and to pay for any additional replacement necessary as the result of is wo
Si ature of Applicant or/Agerd
�Gl s - v" s-0-- 6� U/,Vw
Name of Applicant (please print) BuZ
ess A dress
Telephone No.
Ot7L �7rrTr/ /v/� a x 4�J/AI
Name of Contractor and Job Foreman
A
p Business Address Telephone No.
A
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 J
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
N
�,.Lnspeccion Fee $ PERMIT VALIDATION
Permit Fee
Penalty PERMIT NO.
Cash Deposit -Surety Bond DATE APPROVED
if required
TOTAL: $ EXPIRATION DATE
Receipt No.
DATE ISSUED
Received by Date BY
Recorded by Administrative Authority
TELEPHONE: (619) 564-2246
yt�