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2626a 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 June 25, 1997 Subdivision Improvement Permit — Class I II DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 80-185 Westward Ho Drive (Street address or Description of Location) u PURPOSE OF CONSTRUCTION Inoreaea size of ;hard Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Remove existing asphalt and replace it with grass - sea attached DIMENSION OF INSTALLATION OR REMOVAL 8.5 X 21 and 48.5 X 21 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN A.S.A.P. APPROXIMATE TIME OF COMPLETION 4 dave ESTIMATED CONSTRUCTION COST $ 2,750. 1 (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: SBE ATTACHED 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. + Signaturl of Applicant or Agent Scott Construction 40-275 Galindo Ct. Bermuda Dunes. (:A (760) 360-6701 Name of Applicant (please print) Business Address s Telephone No. aaane Name of Contractor and Job Foreman Business Address Telephone No. 574354 I Contractor's License No. City Business License No. North Brook Insurance Conmanv CA 0801691 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 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date PERMIT NO 2626 PERMIT VALIDATION r 26126 DATE APPROVED 6/25/97 EXPIRATION DATE 7/25/97 DATE I SSUED 6/25/97 By Administrative Authority Recorded by - 11 Telephone: (619) 777-7075 NOTE: " lith 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 ZS DATE: %. 7 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 961P We 5 r 4 17(0 _D11 I Ue (Street address or Description of Location) PURPOSE OF CONSTRUCTION LAJ�fQei9Se 5/ Ze .tom' Y'Mb Sketch (attach construction plans if appropriate) Di95�I9� <NN le T P�f�41[!r*P2� 140--lib�x re7'Z. c 2 DIMENSION OF INSTALLATION OR REMOVAL X a SIZE OF EXCAVATION, IF NEEDED CITY OF LA QU NTA .APPROXIMATE TIME WHEN WORK WILL BEGIN s Sem JUN 2 41997 45 eA r !.0 (Ss -e APPROXIMATE TIME OF COMPLETION jD PUBLIC WORKS ESTIMATED CONSTRUCTION COST $ % SO (Including removal of all obstruction, materials, and debris, backfilling, com- 11 �/Q• q J paction and placing permanent resurfacing' and/or replacing improvements) �� v In consideration of the granting of this permit, the applicant hereby agrees to: Indemnity, -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 • and all T�,l�,ble rules and regulations of the City of Le Ouinta and to pay for any additional replacement necessary as the of th s work./ f Signature of A'ppli nyor Akfent 5 c2 i i Name of Applicant (please print) i Business Address Telephone No. `� rYti1+0,1.x- Name of Contrandr and Job Foreman usiness dr /a 9a� Telephone No. 3 _ Qgtznlulx�(,n,09,6 Contractor's License N6. City Business License No. AloAT# BOOK TA)!;L) Q6A1Ce Co07JeWA / C,4 Applicant's Insurance Company GEN. L-tAt5ILITy IFPolicy 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 Date Recorded by VALIDAT PERMIT N0. DATE APPROVED ``]] EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 777 -?075 r 0 A - 80185 WESTWARD HO `DRIVE, LA QLINTA ` }' IR PLAN TO REMOVE ASPHALT AND. REPLACE IT WITH GRASS Grass--111,- Lights QE-Spotlight June 10, 1997 HOUSE COPAGE . T Existing - 0 Yard Existing , Yardj. rte. Q 0 1 `CEMENT Q DRIVEWAY... ` - - ,f ' 'Block' Existing- Divider (7" high)' :PVC-Pip"e,& Wires ♦.♦��\\\ _ \\\„\\\\\\♦\,♦\♦\\♦♦♦♦\\\\\\\\, 4 21.0' \%%%% \\\\\\\,♦\\\\\\♦♦,♦,\\\\♦♦\\\\\\\\\\\_\\\• Install` �.. . ,%.,,. ,Install sprinklers sprinklers Neighbor \J\J\./♦f.!♦�\/\ ASPHALT.' \-\\♦♦♦♦♦,♦-♦,.\\,\\\\\\\\\.\♦♦♦\,\♦♦\♦\\, /!!/f!/.!ll,llJ/Jllll//,f,////,l-//!./.l J! `.!`/`/`!`.`!`/`!`,`/`!`,`l`,`l`l`!`f`f`f`,`/`/`!`!`!`.`!`l`:`f`,`!`!`:`.`:`l`. , 'SiX.'. DRIVEWAY !*!�/�;�l�l�,�,�f�;�l�l`f�f�,�; ,prd ,'\ 21'.0' 48.5' .. r ..WESTWARD HO DRIVE it, y w