2045NOT=, -j
1fih 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
1/25/94 Subdivision Improvement Permit — Class I I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54105 Ave Alvarado
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway Approach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION ST`S
Per Riverside County #207
DIMENSION OF INSTALLATION OR REMOVAL 20Y x 5 �{� -� -�-(�� C .�
r i
SIZE OF EXCAVATION, IF NEEDED D
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/26/94
JAN 2 5 7994
APPROXIMATE TIME OF COMPLETION 4 —,
ESTIMATED CONSTRUCTION COST $ w § By
(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 (24) hours in advance of the fine when work wil be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all appli$able ru s n t er gulation of the Cit of
La Quinta and to pay for any additional replacement necessary as the result of th6swork. /
Signgfllrie'of Applicant'or/A4nt—
Sterling Homes P.O.Bon 450, La Quinta, CA 564-1866
Name of Applicant (please print) Business Address Telephone No.
Lendel Ventures
Name of Contractor and Job Foreman Business Address Telephone No.
B- 638535 859
Contractor's License No. City Business License No.
Gold Eagle Ins. Co CCP- 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 $ 20
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
Received by
$ 30
Date
PERMIT NO.
2045
PERMIT VALIDATION
2045
DATE APPROVED 1/25/94
EXPIRATION DATE
DATE ISSUED L— r j !�,
By
Recorded by 11 TELEPHONE: (619) 564-2246
Administrative Authority
fy _
71
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
NOTE:
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
DATE:
LOCATION OF CONST UC /,ON
(Street address or Description of
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL X
SIZE OF EXCAVATION, IF NEEDED.
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class I II
MirSpi��ro'�r Perm it Class IV
APPROXIMATE TIME OF COMPLETION 'LZ_54-f%_
ESTIMATED CONSTRUCTION COST $ 1 If
(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:
Sketch (attach construction plans if appropriate)
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 ti when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit d7all applicabl uI d regula ' ns of City of
La Quinta and to pay for any additional replacement necessary as the result of th' work. / �/ // J
c
Name of Applicant (pleafe print)
Name of Contractor and Job Foreman
Contractor's License No.
Sig 44 of E
Business Address
Business Address
ic�ant or A nt
1 V
Telephone No.
Telephone No.
City Business License No.
X10- 245 V
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 $ Qg
Permit Fee /0
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
` TELEPHONE: (619) 564-2246
Administrative Authority
IN,