4369 (2)� 10
_.�
FINANCE
NOTE:
With proper validation _ Revenue Code_J
this form constitutes an CITY OF LA QUINTA
encroachment permit S
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT).'S�,��
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
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Subdivision Improvement Permit— Class III
DATE: 03-24-05 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 77-935 CALLE TA14PICO VUP 2004-021
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PRECISE GRADING Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION SEE PLAN SET
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
APPROXIMATE TIME OF COMPLETION, nn!z�
ESTIMATED CONSTRUCTION COST $ 38.387.00
(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.
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Signature of Applicant or Agent
CORONEL ENTERPRISES (ZEKE) P.O., BOX 389, LA QUINTA, CA 92253 760-564-4604
Name of Applicant (please print) Business Address . Telephone No.
CORONEL CONSTRUCTION SANE -AS ABOVE
Name of Contractor and Job Foreman Business Address Telephone No.
634981 "B"
Contractor's License No.
PROBUILDERS SPECIALTY'INSURANCE
Applicant's Insurance Company
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee �t 1,150.00 .11
Permit Fee
100.00
%i=yAS—BUILT DEPOSIT 1,000-00
Cash Deposit -Surety Bond
if required
TOTAL: $ 2,250.00
Receipt No.
Received by
Date
2261
City Business License No.
RES 5002963
Policy Number
N� 4369
PERMIT VALIDATION
PERMIT NO. • 4369
DATE APPROVED -
EXPIRATION DATE
DATE ISSUED _
By
Administrative Authority
Recorded by
Telephone: (760) 777-7075
t
of
i
I.t
I'_
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7000
FAX (760) 777-7101
October 2, 2006 D e
Ish Coronet OCT 02 2006.
Coronel Enterprises .
P.O. BOX 389 CITYOF LA QUINTA
La Quinta, CA 92247 FINANCE DEPT.
Re: Encroachment Permit No. 4449 — SDP 2004-021
Permit Type: Precise Grading -
Dear Mr. Coronel:
Encroachment Permit number 4449 has expired [will expire] as of July
19,. 2006. In order to avoid the issuance of a "Stop Work Order," please
renew this permit immediately. .
The renewal fee as per City Council Resolution 96-27, states:
Encroachment' Permit — renewal of expired permitshall consist of a
$100.00 permit renewal processing fee plus 10% of ' original fee. to
extend the permit one additional year (until July 19, 2007).
ORIGINAL PERMIT FEE
10% '
PERMIT RENEWAL FEE
of original permit fee
(one year extension)
$1,150.00
$115.00
$100.00
RENEWAL AMOUNT DUE:
$215.00
If you have any questions or need additional informationlease contact
Raoul Martinez at (760) 777-7047. r
Sincerely,
v�
Pa Goble
Senior Engineer, Public Works Department
cc: Bryan McKinney,- Principal Engineer Engineering Services
Leonard St. Sauver, Assistant Engineer II .
,/ Permit File, No. 4449
SDP 2004-021'�,
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