1989'f4gTE:
With proper validation
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
f
DATE
11/23/93
LOCATION OF CONSTRUCTION 54-090 AV.f MA VILLA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DRIVMAY APPROACH
DIMENSION OF INSTALLATION OR REMOVAL 341 x 51
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 11/23/93
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 12/14/93
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:
PER RIVERSIDE COUNTY STH #207
..-- T- s
pQ°D
--
/S3 ,1993 D
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sY
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 thh Mime when work will be started.
Comply with all applicable City Ordinances; the terms and conditions of the perm. and all appli'cab rules and regulStions of the City of
La Quinta and to pay for any additional replacement necessary as the result of�tfiis'work. `,7jI /
Sigr4afure of ApplicaFi'f or Agent/
STERLING HOMES P.O. BOX 450, LA QMNU, CA .564-1866
Name of Applicant (please print) Business Address Telephone No.
LENDEL VENTURES SAME
Name of Contractor and Job Foreman Business Address Telephone No.
B-638535
Contractor's License No.
859
City Business License No.
---KIN 1119COUXIM GOLD EAGLE INSURANCE CO. CGP -203971-00
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.
$ 20.00
10.00
$ 30.00
Received by Date
PERMIT VALIDATION
PERMIT NO. 1989 k,'
DATE APPROVED 11/23/93
EXPIRATION DATE 12/14/93
DATE ISSUED. ^11/23/93
By f _ __ "'
Jor Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
,*— th proper validation
this form constitutes an CITY OF LA QUINTA
''Incroachment 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:�_Z35 -5
LOCATION OF CONSTRUCTION J Y090
A?11ZTr2
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION ZKV& &:;? � Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION ' 1 V . k—IF C)
DIMENSION O STALLATIO OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN It '22 "93
APPROXIMATE TIME OF COMPLETION — ► /tet—`iii .
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materia sand=debfis,_backfiIIing, 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 (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 and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of his work
-SiffnSture of Appli nt or Befit%'opr�
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contr tor'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 Fee b
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
1936
PERMIT VALIDATION
PERMIT NO
DATE APPROVED
EXPIRATION DATE I —,�'"IA_C��
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246