413With 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
June 121989 Subdivision Improvement Permit — Class III
,
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tr. 21555, Parc La Quihta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PLACE CURB & GUTTER. Sketch (attach construction plans if 'p appropriate)
DESCRIPTION OF. CONSTRUCTION
IMPROV. SHALL BE
PER THE APPROVED
DIMENSION OF INSTALLATION OR REMOVAL TR. 21555.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION q
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:
CONSTRUCTED ADS.
PLANS FOR
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
A..P.&C. CONCZETE, INC. F.O. BOX 1651 Palm Spr6ngs, ca 325-7070
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
491480
Contractor's License No. City Business License No.
Royal Ins. Co. PSP 142243
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
InspectionTee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ NA
10.00
$ 10.00
Receipt No.
Received by` Date_
Recorded by
t��i��ii.�3(`�aSII itgfiC�Th1io
L�i . fl9 10.00
Nc 413
PERMIT VALIDATION
PERMIT NO. 413
DATE APPROVED 6 /12 /89
EXPIRATION DATE 0/1/89
DATE ISSUED 6/12/89
By
Administrative Authority
TELEPHONE:. (619) 564-2246
� NQT6: .
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
June 12 1989 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tr • 21555, Pa.rc La Qui kta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PLACE CURB & GUTTER. Sketch (attach construction plans if ap
propriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION
IMPROV. SHALL BE
PER THE APPROVED
DIMENSION OF INSTALLATION OR REMOVAL TR. 21555.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WI LL BEGIN F 189
APPROXIMATE TIME OF COMPLETION ti /R9
ESTIMATED CONSTRUCTION COST $
(Including removal of all ,obstruction, materials, and debris, backfilling, com- .
action and placin permanent resurfacing and/or replacing improvements)
CONSTRUCTED AS
PI.,ANS FOR
P 9
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
A.P.&C. CONC2ETE, INC. P.O. BOX 1651 Palm Sprdlings, ca .325--'7070
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
491480
Contractor's License No. City Business License No.
R6yal Ins. Co. PSP 142243
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 36/o 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
NA
10.00
$ 10.00
IT 'C t cog .�8y iv.00
413
PERMIT VALIDATION
PERMIT NO. 413
DATE APPROVED 6/12/89
EXPIRATION DATE f3/1/89
DATE ISSUED 6/12/89
By
Received by
Date
Recorded by 11 TELEPHONE (619) 564-2246
Administrative Authority
.,:,-.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
Subdivision Improvement Permit — Class Ill
-DATE:' June 12,1989 `' = Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tr. .2155'5, Par c La` Quinta ,
(Street address or Description of Location) • `
-'PLACE'CURB & GUTTER.
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION a ;
IMPROV: SHALL' -'BE CONSTRUCTED AS
' PER THE APPROVED `PLANS' FOR.
DIMENSION -OF INSTALLATION OR REMOVAL TR. 21555 . ' f
-'SIZE OF EXCAVATION, IF NEEDED. j
APPROXIMATE TIME WHEN WORK WILUBEGIN6�489
APPROXIMATE TIME OF'COMPLETION 26/89 ,
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction,materials, and debris, backfilling, corn
.paction and placing permanent resurfacing and/or• replacing improvements)
In consideration of.the`granting of this permit, the applicant 'hereby r 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 toypersons or property
happening.or occurring as a proximate result of any work uridertaken 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 s work.
_.Signature of Applicant or. Agent ,
A.P.&C. CONCRETE,•-INC: P..O.: BOX' 1651 Palm Springs:;- ca 325-7070°
Name of Applicant (please'print) `. Business Address Telephone No.
Name of Contractor and. Job Foreman ° Business Address Telephone No.
491480 '
Contractor's License No.. ' . City Business License No.
Royal Ins. i Co. ,• PSP, 14'2243
Applicant's Insurance Company Policy Number
,.
FEES: Subdivision Improvement Permit — Class III opop iipp 5533 pp 6—i 'i
Public improvements: 3% of estimated construction costs.
50518') i �TOTA2-89 10.6 i0 ",
Private improvements: 3% of estimated construction costs N? 413"
' Minor Improvement. Permit - Class W See, attached schedule
Inspection Fee $ NA - PERMIT VALIDATION
Permit Fee 10.001 413
PERMIT NO.
• Penalty A-'
�.
Cash Deposit Surety Bond ' +, ! • DATE APPROVED 6 / 12 / 8 9
if 'required EXPIRATION,DATE 9/1/89
TOTAL: $ 10 00 , 6/12/89
DATE,ISSUED
Receipt No. '
BY
Received by Date Administrative Authority'
Recorded by - .TELEPHONE: (619) 564-2246 `
,, .:
n ,•-
�;� ._
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
Subdivision Improvement Permit Class I I I
DATE: • Minor Improvement Permit Class IV
LOCATION OF CO dTRUCTION
(Street.address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRLPTIOXOF CONST,RUCTION.n
w O" \/ •ate► J i� uJu� ✓� n�-x--- --'� v v w..�_� --7 f
DIMENSION OF INSTALLATION OR. REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN !.
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ '
f 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
A • t60 . 0os)oze-PrP /Ae 10y ,&nr /GAS/ 10,12.1an �9/-$A4r 1015 3o?S 767d .
Name of Applicant (please print) Business Address Z Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
I/ 9/ yw
Contractor's License No. City Business License No.
Applicant's In urance Company Policy Number
FFFC: Subdivisinr! Irrp,cv„emont Permit — Class II I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
O. i.
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
N 1%
. ,
PERMIT VALIDATION
PERMIT N0.
DATEAPPROVED
EXPIRATION DATE / 9:
DATE ISSUED
By
Administrative Authority
Recorded by.
TELEPHONE: (619) 564-2246