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2075' NATE: z� 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 Subdivision Improvement Permit — Class I I I DATE: 2/23/94 ..` Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52-300 Avenida Navarro (Street address or Description of Location) PURPOSE OF CONSTRUCTION Driveway AARnroaclz Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Per Riverside County Standard #207 (Attached) DIMENSION OF INSTALLATION OR REMOVAL 516" g 20' SIZE OF EXCAVATION, IF NEEDED""' APPROXIMATE TIME WHEN WORK WILL BEQIta3/94 s 1 APPROXIMATE TIME OF COMPLETION 2y/25194 FE 3 1994 ESTIMATED CONSTRUCTION COST $ 200.00 B (Including removal of all obstruction, materials, and debris, backfilling, com- y.� 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 orkprope rty 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. Signatureof Applicant or Agent Sunrose Properties. Inc 72-850 Sonero Rd. Palm Desert 364-2840 Name of Applicant (please print) Business Address Telephone No. Same As Above Name of Contractor and Job Foreman Business Address Telephone No. 533670 1137 Contractor's License No. City Business License No. Stingi & Hanon WN91457410-05 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costsN� Private improvements: 3% of estimated construction costs y Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 20.00 Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $ 30.00 Received by Date PERMIT VALIDATION PERMIT NO. 2075 DATE APPROVED 2/23/94 EXPIRATION DATE 3/4.1- A DATE ISJUE 2/Z3/94 By Administrative Authority Recorded by 11 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, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit - Class III DATE: 23', 9 y Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52 300 z::�Z /IE dl`t' (Street address or Description of Location) PURPOSE OF CONSTRUCTION �-1 �/Ey�/'f y .9"129Gh'` Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION'OF INSTALLATION OR REMOVAL XT X �� SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN FE/?3 ;7-311, 11 F, `ow CA . --u\ Zo'^1 APPROXIMATE TIME OF COMPLETION f� /3 2- 7 / ESTIMATED CONSTRUCTION COST $ Z 2 00 , oD (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:end 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. gnature of Applicant or Agent S crrv127 Name of Applicant (please print) Business Address Telephone No. e/D4 6�29 Name of Contractor and Job Foreman n Business Address. Telephone No. F 1137 Contractor's License No. City Business License No. / ! . S� ( O O S 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 r2_© Penalty Cash Deposit -Surety Bond. if required TOTAL: $ 36 Receipt No. Received by Date Recorded by. PERMIT NO. DATE APPROVED EXPIRATION DATE 3 �14 DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246