2341NOTE:
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: 4-12-95 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION La Quinta Fairways Tract 25389-1
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Construct Driveway approaches Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Construct 20 driveway
approaches on Spyglass Hill
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4-12-95
1
APPROXIMATE TIME OF COMPLETION 4-24-95
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:
Construct driveway approaches per
Riverside Co. Std No. 207
I� APR 12 5
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 propeerty
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 th/e,,time when work will be started.
' Comply with all applicable City Ordinances, the terms and conditions of the permiti(and all appli able rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of thisork.
Sig ature of Applicant or Agent
Ayres Hoses 355, Bristol St. Costa Mesa, CA 92626 (714) 540-6060
Name of Applicant (please print) Business Address Telephone No.
Desert Comrmmities P.O. Box 190 Cathedral City 345-4598
Name of Contractor and Job Foreman Business Address Telephone No.
536422
Contractor's License No.
3324
City Business License No.
Deans & Homer 2132091
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
87
10
r .,� 1. 92
TOTAL:'"` $
Receipt No.
Received by Date
2341
PERMIT VALIDATION
PERMIT NO. 2341
DATE APPROVED 4-12-95 %
EXPIRATION DATE 4-29-95
-'IbAT(=-ISS ED 4 12-95
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
r
NOTE:
With proper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the oonstruction of public or private' curbs, driveways. pavenhents, sidewalks, parking lots, sonars, water mitts
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
.. /� cues" � •
OATEN Subdivision Improvement Permit — Clan 111
~ Minor Improvement Permit Ctan IV
LOCATION OF CONSTRUCTION QAKJTQ TAI% /_ rA %. r
(Sunt address or 04scriptwn of Location►
PURPOSE OF CO STRUCTION —
m
DESCA CONSTR4CTION L L. J
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
pfQrJZ��vIPA P�+ I
APPROXIMATE TIME WHEN WORK WILL BEGIN :31
APPROXIMATE TIME OF COMPLETION - ...
ESTIMATED CONSTRUCTION COSTS A(Vi QQ1 00
(Including removal of all Obstnxtion. 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 agree to:
Inclarnmh, defend aid cava the Cltv, its authorized agama. ofriais, represematha and amplovem harmles from and against arty and all
Penalties. liabilities or Iota resulting from claUns or court action and arising out of env accident. los or carnage to persona, or peopaity
happening occurring a a oroaimaa rerun of any wort undertaken under the permit granted Pursuant to this sopllation.
NOWY the Administrative Authority at least twenty-four 1241 hors in advaner
time wtlM (y.atarLQ.
Comply with an apWicabe City Ctdk rwa, the tams and conditions of n
La Oulnta ud to neoneary u the y alI enol � ruin �� of the City of
pay for any eddhlornl repteeenrm
X R"�� S Signature of Applicant or Agutt
f rim) /� � S �sS' cz raze C S�
Name of'Applicant (please prtrtt) Business Address/
Telephone No.
x £ r a m, -715-5I �, pec /% C4f 7K
Name of Contractor and Jobb Foreman Buchman Adduce „ O
X !' / ''( d,� Telephone No.
b ,� 3 3 a �t
ContraRors. License No. r City Business License No.
><:
tA o fi�on►�� x a l 3 091
Applicant's Insurance Company 1511CV, LIAg1LITY Policy Number
FEES: Subdivision Improvement Permit —Clan III
Public improvements: 3% of estimated construction cotta
Private improvements: 3% of estimated construction cpm
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee S e 7
Permit Fee / D I
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: ReceiptNo.No.
Received by Date._ I
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE , 14--l'
—�J
DATE ISSUED
By
Administrative Authority
6T
TELEPHONE: (619)S8i�s
� ~ iT
�� I
�'.. t1