419With proper validation
this form constitutes an
encroachment permit
41
40
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
DATE
6/23/89
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Washington a The Grove
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Transport D7 Dozer
from the Grove to outside City limits
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
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:
SEE ATTACHED RIVERSIDE COUNTY
REGULATION, See Permit #410
HAUL ROUTE - WASHINGTON, AVENUE
50
ONE TRIP PERMIT
Indemnify, defendand 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 ,pf thiVwork.
tSidpatll(e 6f Applicant or Agent
F. J. Stowells, Jr. PO Box 1.059 Indio, CA 92201 774--1359
Name of Applicant (please print) Business Address Telephone No.
same same same
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
California Farm
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3�o 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
in
10.00
$ 10.00
Date
5i�HiO2�-�v io
aASTTAL 10.00
N? 419
PERMIT VALIDATION
PERMIT NO. 419
DATE APPROVED 6/23/89
EXPIRATION DATE 6/23/89
DATE ISSMED/' 6/23/89
By/"-✓� '
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
With -proper validation 4 Q
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION' FOR PERMIT
PUBLIC WORKS, CONSTRUCTION.. (ENCROACHMENT) '-
+` L� OF
For the construction of publicorprivate curbs, driveways, *pave ments, sidewalks, parking lots, sewers, water mains
and other like public works improvements' in connection with MINOR IMPROVEMENTS and APPROVED,SUBDIVISIONS
6 / 23 / 89 Subdivision Improvement Permit — Class l l 1.
' DATE: ' Minor Improvement Permit Class IV t
LOCATION OF CONSTRUCTION Washington.' The Grove
(Street address or Description of Location)
PURPOSETransport D7 Dozer
OF CONSTRUCTION Sketch (attach construction plans if appropriate)
from the Grove to 'outside City limits '
DESCRIPTION OF CONSTRUCTION SEE, ATTACHED RIVERSIDE' COUNTY
REGULATION, See -Permit #410
DIMENSION OF INSTALLATION OR REMOVAL HAUL ROUTE'"— WASHINGTON,, AVENUE
R 50
' ONE TRIP PERMIT '
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 a'ny 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 Quintaand to pay for any additional replacement necessary as the result of i work. + ,
i at e'of,,App is t or Agent
F. J. Stowells, Jr. PO Box 1059.'-, Indio,. CA 92201 774-1359
Name of Applicant (please print) Business Address Telephone No.
same same same
Name of Contractor and Job Foreman Business Address Telephone No.
-Contractor's License No. City Business License No.
Cal:i'fornia. Farm
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I 0051$'', 10 74i9 06-23-89 10
Public improvements: 3% of estimated construction costs
10 L¢ASH i TOTAL i i0.00
Pri1.vate improvements: 3% of estimated construction costs • ND 419�
Minor Improvement Permit.— Class IV: See attached schedule ,
Inspection -Fee $ 0 { PERMIT VALIDATION +
Permit Fee _10 .00 419
PERMIT NO. ,
Penalty
DATE APPROVED' 6/2-3/8-9
Cash Deposit -Surety Bond •
if required EXPIRATION DATE 6/23/89
TOTAL: $ 10.00 DATE IS 6/23/R9
Receipt No. '
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
,