431.1107E^� • •
With proper validation
this form constitutes an CITY OF LA OUINTA'
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: Auct 22. 1989
Subdivision Improvement Permit — Class I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenida Bermudas & Calle Colima
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION transport 245 Cat Backhoe
to •DPyal]. & Ramnn Rnar9 _ ri 4-v T.imi *Q
DESCRIPTION OF CONSTRUCTION o
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN Mier 77 _ 1 QRQ
Sketch (attach construction plans if appropriate)
SEE ATTACHED SPECIAL CONDITIONS
Haul Route Shall be Limited to the
Following:
Avenida Bermudas, Avenue 52 and
Washington Street
APPROXIMATE TIME OF COMPLETION Aug 22, 1989
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 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
,Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.,
Contractor's License No.
City Business License No.
UniQard Ins. Group MC 201133.
Applicant's Insurance Company , Policy Number
005 i J2 � Q 847" T —22-8 10
FEES: Subdivision Improvement Permit —Class III iQ t;A H i f AL i 10.00
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ n/a
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required a
10.00
TOTAL: $ 10.00
Receipt No.
Received by Date
PERMIT NO
NID 431
'PERMIT VALIDATION
431
DATE APPROVED R A
EXPIRATION DATE 8/22/89
DATE ISSUED 8/22/89 o,
By
Administrative Authority
Recorded by . 11
TELEPHONE: (619) 564-2246 n
' -NOTE: • • ` r ,.
` With proper validation • i * Q�q,
this form constitutes an •`� o
encroachment permit CJTY OF LA QUINTA
APPLICATION FOR PERMIT -
PUBLIC WORKS CONSTRUCTION �(ENCROACHMENT)
OF
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:.- Aug 22, 1,989 • Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenida Bermudas. & 'Calle Colima.-'
(Street address or Description of Location) r • z
PURPOSE OF.CONSTRUCTION, transport. 245' Cat BaCkhoe Sketch (attach construction plans if appropriate)
f-ri DPV61Ramnn ~Rnarl. C`if T.imitG 'SEE ATTACHED SPECIAL CONDITIONS• '
DE SCRIPTION'OF CONSTRUCTION r Haul Route Shall; be Limited to, -.the
t . e •E011owing '.
Avenida 'Bermudas, Avenue, 52 and
•} DIMENSION OF INSTALLATION OR REMOVAL Washin4ton Street.
` SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL'BEGI4,''A'14 29- 1 qRq 4' r
APPROXIMATE TIME OFi60MPLETION-' Aug • 22,, 1989
ESTIMATED'CONST,RUCTION COST $
1
(Including removal of all obstruction, materials, and debris, backfihing, com'
paction .and placing permanent'resurfacing and/or- 'replacing improvements)
`In consideration' of the• gra6ting'of this- permit, •the applicant hereby agrees to: M
Indemnify', defend and -save the City, its authorized, agents, off icers,•representatives and employees, harmless from and against any and all r
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 ',a's�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.
., ... - nature of Applicant or Agent '
Cattrac� Cnn�f rcut'ic�n Tnc: PO Rnx 2fltiq Jjj 1= an (I CA, g17R5. 714'1 S I 1 1 4 6
Name.of Applicant (please print). Business. Address 'Telephone No.
Name of Contractor. and'Job Foreman r '','. Business Address Telephone No.
Contractor's License'No':; r- ' .` .. City Business License No.
Unidard Ins Group MC 201133
Applicant's Insurance Company �' , Policy Number '
{ 0051EF j,Q i0 '
FEES:. Subdivision Improvement Permit _= Class l I I ' ' i0 CAJH i AL i i0.00
Public improvements: 3% of estimated construction costs
Private improvements:'3 ' of estimated construction costs
Minor. Improvement Permit = Class'IV:�.See attached schedule .;
No . a 431.::''
Inspection Fee r, ,$ - n/a ?`` ;r ' PERMIT VALIDATION y
Permit Fee" * 10 00 F� j PERMIT N0. 431- ;
Penalty ' ` J ,: r. . Z
Cash Deposit Surety Bond DATE APPROVED R f 22 ,Rq
if.required •ti EXPIRATION DATE 8122/89 '
.r TOTAL: 1, $ 10.00. t t 8/22/8 g
r DATE ISSUED:
Receipt No.
e By *'.
Received by Date Administrative Authority
Id
Recorded by �` TELEPHONE: (619) 564-2246 }
C-
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 II
DATE: & Minor. Improvement Permit Class IV"
LOCATION OF CONSTRUCTION, & co t'LA 14 y 6.4 Q- r1W)L e "'Il• —
(Street address or Description of Location)
P PpSE F CONSTRUr�ION `�/,��/� T /d - t, �1 '✓ /hIf5ketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION S� /T '00 �� ���GlG(��r"
DIMENSION OF INSTALLATION -OR REMOVAL
0 7zj ��6w j M5
SIZE OF EXCAVATION, IF' -NEEDED.: M1 A✓��;y,tvolo�s, %�✓L sow- j
APPROXIMATE TIME WHEN,WORK WILL BEGIN ^�_^/9S/>>�S�on
APPROXIMATE TIME OF COMPLETION'S
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 Administretive.!Authority•-at least twenty-four°(24)•hours in advance of the time -when -.work will be started:;
Comply with, allapplicable,City,Ordinsnces; the•tertns.and conditions of the permit arid all applicable- rules and regulations of the City -of,
La Quinta and to pay•for any:.additional•-replecement:neceaary.as.the result of this work.,
Signatur -Applicantor Agent
�/Z-TTa � e od &9T v c%io. �,QD 6.o d in/ 9 2Yr?1rt�,D C.a 9179-,s" 7�%3d S �� d
Name of 'Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman • Business Address. Telephone No.
Contractor's License No. a i City Business License No.
69
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
Inspection Fee $ PERMIT VALIDATION
Permit Fee ,�� •o o ¢3�
P
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $- Iq-
Receipt No.
Received by Date
Recorded by
ERMIT NO.
DATE APPROVED B�Z.Z/B9
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246