2836.NOTE:
With proper,validation .
c.
this form .constitutes an CITY. OF LA OUI-NTA
encroachment permit . 1,
APPLICATION FORPERMIT
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: 10/21/98 Minor Improvement Per.mit.Class.IV "
LOCATION OF CONSTRUCTION, 78-742, Hwy. 111, Lh .Quintu.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Construct 5.500 Sq. Ft. Euildittg.Sketch (attach construction plans if appropriate)
For Starbucks Coffee.
DESCRIPTION'O.F CONSTRUCTION Paiking Lot Improvements.
SEE ATTACHED CORDITIONS..
DIMENSION OF INSTALLATION OR REMOVAL t,
SIZE OF'EXCAVATION, IF NEEDED a
.� .
APPROXIMATE TIME WHEN WORK WILL BEG.,IN .iq/2698 P�
APPROXIMATE TIME OF COMPLETION 90 Days OCT'
ESTIMATED .CONSTRUCTION COST $ 325,000.00
2 2 1998
(Including removal of all obstruction, materials, and debris, backfilling, com- f
paction and placing•permanent resurfacing and/or replacing improvements) t - .r ®FLA 1'41:r
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 app.icable rules and regulations of the City of
La. _Quinta and to pay for any additional replacement necessary as 'he result of this wo'r .
S�ignatufte of Applicant or Agent
RH% P.P.D. Box. 1949.,`cho Mirage,. CA 7601776-4330
Name of Applicant (please print) Business Address Telephone No.
John F. 1n4teeu, ProjectManager ' 1.
Name of -Contractor and Job Foreman Business Address Telephone No.
752648 '5389
Contractor's. License No. City Business License No. i
United,Capltol c/o Trinity GLAA 1300843
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 schedu►e,
Inspection Fee-. $ 741.00 PERMIT VALIDATION
Permit .Fee 100.06 2836
PERMIT NO.
Penalty : plan Check (750.00) Credit - 10/21/58 .
..Cash Deposit -Surety -Bond DATE.APPROVED.
if required• 1000000 (At Built) EXPIRATION DATE 10/21/99
TOTAL: $1091,00 10./,1/98
DATE ISSUED
ReceiptrNo-. r yp,
B
Received by Date R "�
Recorded by
Telephone: (619) 777-7075
V Administrative Authority
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REAL PROPERTY ASSOCIATES, INC.
PACIFIC NATIONAL BANK
2 81
1706-B NEWPORT-BLVD. - '
NEWPORT BEACH, CA 92660
COSTA MESA, CA 02627 '• :'
90-3848/1222
(949) 646-9000 _,
10/21/98'
'
PAY TO THE } City of La Quinta
$ 1,091'.00
:• ' ,
ORDER OF
v
One Ninety -One and 00/ 100
.Thousand
DOW
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Detaailsils
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Dear
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Public Works'Const: Permit/ Site Developm
`MEMO
11100 28 1 2111, 1: 1 2 2 2 38 4881:
100 L? 3 3 SII' L '
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