3139•
NOTE:
With proper 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
DATE: 2-15-00
LOCATION OF CONSTRUCTION 52-015_ Alvarado
52-745 Vallejo
(Street address or Description of Location)'
PURPOSE OF CONSTRUCTION Propane Tank Enclosure
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
DESCRIPTION OF CONSTRUCTION Garden Wall around propane
. TA"k PneroAchin4 2' into Right of Way
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
In consideration of the granting of this permit, the applicant hereby agrees to:
See attached conditions
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 ofjthis/work.
of Applicant or
Four Seasons Homes Inc. 670 N. Arrowhead San Bernardino, CA
Name of Applicant (please print) Business Address Telephone No.
Gilbert Rodriguez (909) 322-6294
Name of Contractor and Job Foreman Business Address Telephone No.
764551 5818
Contractor's License No. City Business License No
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 T. ��•/
Minor. Improvement Permit —Class IV: See attached schedule O
Inspection Fee $ I00.00 PERMIT VALIDATION 100.00 ~[[
Permit Fee PERMIT NO. , 3139
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 200.00
Receipt. No.
Received by
Recorded by
Date
DATE APPROVED 2-15-00
EXPIRATION DATE none
DATEI�SUE A 2-15-00
gy
Administrative Authority
Telephone: (760) 777-7075 ,
-------------------—
------------------------------ --------------------
_ "
FEB 14 2000
PUBLIC W® S
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA U
encroachment permit 5
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
Gct'y0F
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
5
i
Subdivision Improvement Permit —Class III
DATE: Q Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION fTl s'
(Street address or Description of Lowtio %e -
PURPOSE OF CONSTRUCTION �ro p� N Sketch (attach construction plans if appropriate)
DESC IPTION OF CONSTRUCTION
uw� .A,�c 47j�eOP
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
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:'
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 perm and at pplieelke rules and regulations of the City of
La Ouinta and to pay for any additional replacement necessary as the result of is
I
i SigradfuA o lican e
QUA S
Name of Applica t (pl print) Busi !21101a_�
elephone No.
Z O o - �a� -�aSY
ame of ontra or and Job Foreman Business Address Tale phone No.
��y �T r S
Contractor's License No. City Business License No.
i
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 2774
Inspection Fee $ U20 PERMIT VALIDATION
Permit Fee OD
PERMIT NO. ' 1
1 Penalty �� v
Cash Deposit -Surety Bond DATE APPROVED Q
if required EXPIRATION DATE Al0 Ate,
TOTAL: DATE ISSUED Z �15 0 a
Receipt No. "
By
Received by Date Administrafive Authority
j Recorded by Telephone: (619) 777-7075
. Cy
SPECIALCONDITIONS—PERMIT NO. 3139
--- FOUR SEASONS HOMES'
In addition to the standard permit conditions, the following shall apply:
l . Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
-Permittee shall assume responsibility for repair of any pavement damage to any public or private
street and for any damage to other City streets or facilities as a result of work performed under this
permit.
2. Should additional work, materials, or modifications of the work be required in order to meet City
standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall
be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost
to the City of La Quinta.
3. This permit allows for the block wall propane enclosure to encroach 2' into the City Right of Way
at the addresses shown on the permit: Permittee understands that if the wall needs to removed for
any reason deemed necessary by the City, the City will not be responsible to replace the .wall nor will
it be placed in the Right of Way once removed. It is the permittee's responsibility to make the
appropriate disclosures to.
4. The City of La Quinta reserves the right to revoke, suspend'or void this permit at any time.
Special Conditions - Permit No. 3139 Page I of I