2157NOTE:
With prolier 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
Subdivision Improvement Permit — Class I I I
DATE: 5-2-94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 77-405 CALLE SONORA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Removal, Construct IInstall Sketch (attach construction plans if appropriate)
approach due to graffiti
DESCRIPTION OF CONSTRUCTION
PER RIVERSIDE COUNTY STD 207 ATTACHED
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Z 0 (i 5-2-94
APPROXIMATE TIME OF COMPLETION 5-10-94
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:
I�
J
ML01
By
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 124) hours in advance of he timewhenwork will bbe� started.
Comply with all applicable City Ordinances, the terms and conditions of the p mit and a1Ya �icable rules fid regul ions of the City of
La Quinta and to pay for any additional replacement necessary as the result this work,////
SiQdAre of Appr&ant or A4ent
STERLING HOMES, P.O. BOX 4560 la Quint:a, CA 02253 564-1866
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
B- 638335
Business Address
859
Telephone No.
Contractor's License No. City Business License No.
Golden Eagle Ina. 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 $ 20. II
10.
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 30.
Received by Date
2151
PERMIT VALIDATION
PERMIT NO. 2157
DATE APPROVED 5-2-94
EXPIRATION DATE
5-13-94
DATE z 4-2-94
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment oermn CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
nor the construction of public or private curbs, driveways, pavements, sidewalks, parking lou, sewers, water mama
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: --5/--2—
LOCATION OF CONSTRUCTION
(Street address or Oesenptron of Location)
Subdivision Improvement Permit - Class III
Minor�,mprovement Permit Class IV
PURPOSE OF CONSTRUCTION ��/ �i%ZGfi�Iv� hwAV?K#- DlJcy' i0 6�47�
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION � � viT- Sl *b
-t�'q 7�>
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION S O
ESTIMATED CONSTRUCTION COST S
(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:
1nda. n1ty, defend and save the City. its authorized agents, officers. represerttatiws and employees. harmless from and
penalties, liabilities or loss resulting from claims or court action and arising out of any *cadent, loss or against any and all
happening or occurring as a pmximete result of arty worts undertaken under the permit granted w}nt to this Soplicat� or prpperty
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time
Comply with all applicable City Ordinances, the terms and Conditions of the permit and sly
La Quinta and to pay for any additional replacement necessary as the result of this we.�
Name of Applicant (please
Signature of
ak
Business Address
will be started.
rules and regulations of the Chy of
Telephone No.
Name oContractor and Job Foreman
Business Address
Telephone No.
Contractor's License No.
� Cit/y�Business License No.
Applicant's Insurance Company `� G 3�'�
Policy Number
FEES: Subolvislon Improvement Permit - Class ll I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule
Inspection Fee $ 0
Permit Fee f o
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
j Receipt No.
$ �a
Received by Date
Recorded by
i
N
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED Z� C/
EXPIRATION DATE �- 3- 9 K
DATE ISSUED
By
r
Administrative Authority
TELEPHONE: (619) 564-2246
4
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