2190,Wr validation
constitutes an
ment 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
May 27, 1994 Subdivision Improvement Permit — Class II I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
53-600 Avenida Madero
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway Approach Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/28/94
Per Riverside Co. Std. 207 (attached)
APPROXIMATE TIME OF COMPLETION -- 5/31/94
ESTIMATED CONSTRUCTION COST $ 300.00
(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
i MA
994 IJ
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 (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.
r
SiVature of Applicant or Agent
Curb Sawing, Inc. 31-255 Avenida Maravilla Cathedral City, CA 92234 321-9700
Name of Applicant (please print) Business Address Telephone No.
Coronel Construction P.O. Box 1238 La Quints, CA 92253 564-4604
Name of Contractor and Job Foreman Business Address Telephone No.
634981
Contractor's License No.
2261
City Business License No.
Safeco Insurance Co. SL8144092B
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.
Received by
$ 20.00
10.00
$ 30.00
Date
2140
PERMIT VALIDATION
PERMIT NO. 2190
DATE APPROVED 5/27/94
EXPIRATION DATE
5/31/94
DATE ISSMED 5/27/94
10
MA
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
With; prc.val idation
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: 5-27=94
LOCATION OF CONSTRUCTION 53-600 Avenida Madero
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
i
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Driveway Approach Sketch (attach constructionIons if appropriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5-28-94
APPROXIMATE TIME OF COMPLETION 5-31-94
ESTIMATED CONSTRUCTION COST $ 300.00
(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 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 Agent
Curb Sawing, Inc. 31-255 Avenida Maravilla, Cathedral City, Ca. 92234
Name of Applicant (please print) Business Address Telephone No( 619 ) 3219 700
Coronel Construction P.O. Box 1238, La Quinta, Ca. 92253 (619) 564-4604
Name of Contractor and Job Foreman Business Address Telephone No.
634981
Contractor's License No.
2261
City Business License No.
On file On file
Applicant's Insurance Company Policy Number
.'' FEcS: Subdivision Improvement. Permit — Class.11l
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.
Received by Date
Recorded by
2®06
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
i