2054NOTE:
With,proper validation,
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT S]
- - 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: 2/4/94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Lot 42 Tract # 23269 Sonesta Way
(Street address or Description of Location)
PURPOSE OF CONSTRUCTIpN Remove and Replace Sketch (attach construction plans if appropriate)
curb and install new driveway approac
DESCRIPTION OF CONSTRUCTION Driveway Approach per
Riverside County STD 0207
DIMENSION OF INSTALLATION OR REMOVAL 35 Curb & Gutter Curb Installating per
Riverside County STD #200
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 2/7/94
APPROXIMATE TIME OF COMPLETION
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:
Permanent pavement replacement
section shall be 4" of A.C. over
5" of A.B.
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 t
Century Homes 1535 S. D St. 909-381-6007
Name of Applicant (please print) Business Address Telephone No.
Mike Boggs
Name of Contractor and Job Foreman Business Address Telephone No.
r 314473
Contractor's License No.
Sandlin & Assoc.
2120
City Business License No.
SMP 42985
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 40 00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$
10.00
$ 50.00
Date
u
Ff B O1 199
4 al
PERMIT VALIDATION
PERMIT NO. 2054
DATE APPROVED _
EXPIRATION DATE _
2/4/94
2/18/94
DATE ISS ED 2/4/9
•
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
-------------------------- ------------------------------
17
NOTE a `
With proper validation
this form constitutes an CITY OF LA OUINTA
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 CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF
�SfG// yew
DESCRIPTION OF CONSTRUCTION
M
Subdivision Improvement Permit - Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
DIMENSION OF INSTALLATION OR REMOVAL -7, �Ca
SIZE OF EXCAVATION, IF NEEDED
ur S� r> .dam �iJ D
APPROXIMATE TIME WHEN WORK WILL BEGIN a-7 72---
4.C,
APPROXIMATE TIME OF COMPLETION Z J�� - s y ZI s bi-W `
ESTIMATED CONSTRUCTION COST $ pJr.iz- �(�
(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:
Indemnity, -defend and save the City, its authorized agents, officers, representatives:end employees, harmless from and against any and all
peiia4iki5, iieiuiifi�4a :r IGaS caCil:Iry 1"0:m i!sim?.00 Curt =gid er;cino,ngd of env,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.
1 % J Signature of Applicant or A t
Name of A plicant ss lease print) Business Address Telephone No.
Name of Contractor and
Contractor's License No.
G
Foreman
Business Address I/A0 Telephone No.
x
City Business License No. .
�C/ �`(% l/ �S S �'c� , `Twy/ Nam I,y
Applicant's Insurance Company Policy Num r
FEES: Subdivision Improvement Permit -Class III
Public imorovpments:.1% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule
PERMIT NO. _ OIL/9 5 -I
DATE APPROVED 2 1 ��
EXPIRATION DATE
DATE ISSUED 2
By
TELEPHONE: (619) 564-2246
Administrative Authority
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety. Bond:
if required
TOTAL: $
�01 d
Receipt No.
Received by
Date
Recorded by
PERMIT NO. _ OIL/9 5 -I
DATE APPROVED 2 1 ��
EXPIRATION DATE
DATE ISSUED 2
By
TELEPHONE: (619) 564-2246
Administrative Authority
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