456-41
:' - ,• , - '�'' ! `ems a,R,+'t �• ` i ..' F f �.. 4 V ' , - ••
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;NOTE:
i
With propervalidation < i? `{
this form constitutes an `' :' r ;R ' '` " ' '<<•
encroachment permit` CITY' OF -LA- QUINTA •
" .'• 'APPLICATION FOR' PERMIT
'P,U8LIC:' WORKS CONSTRUCTION (ENCROACHMENT)^
y-,(ENCROACHMENT)".'
O
For thii-construction, of public or private curbs,ldriveway s,_pavements, sidewalks, parking lots, sewers, water mains
and other, like public,works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS ^
IF
p Subdivision Improvement Permit = Class I I'
DATE: r Minor. Improvement Permit Class IV - �...
' Dunes Palms Road - South of Highway ;111' to; 48th' Street
f• ;LOCATION OF CONSTRUCTION - ,
_� •� ,.1}�• ' ,� 1 � �.. "1 ' +ram
(Street address or,Descri6tion of Location)
PURPOSE OF CONSTRUCTION. r3rPcs ttn road for use Sketch (attach construction plans if appropriate)
'DESCRIPTION OF CONSTRUCTION regrade. road between16
'
�4" DIMENSION OF INSTALLATION OR REMOVAL
4k
SIZE OF EkAVATION~IF, NEEDED
'APPROXIMATE'TIME WH oo6KK lLLL BEGIN j: `'
• ongoing ,as••o"l 0 89
APPROXIMATE TIME OF COMPLETION see above
I ESTIMATED CONSTRUCTION COST $ 5,000.00
(Including 'removal,of all obstruction, materials, and debris, backfilling, com
paction,and placing ,permanent, resurfacing and/or replacing improvements) '
In consideration of the grariing of this permit, the applicant hereby agrees to: t -
y flndernnify, defend and save the City, its authorized agents, officers, representatives and employees, harm Iess'from!and,agairist`any and all' ,
•r '� penalties,, liabilities` -or loss resulting from claims or court action and arising out of any accident, loss or'damagerfo persons or ,property.'.
happening or, occurring•as a proximate result of any work undertaken under the permit granted pursuant to this application. w .L
` t
■, •Y�,, ■;Notify, the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
If; Complywith'all3applicable;City Ordinances, the terms and conditions of the permit and all applicable rules and, regulations of. the City""of }.
'La;Quirita and:to,pay%fog any additional replacement necessary as the result of this work. p
', .. • . ,. •—Signature of Applicant or. Agent , t
R, ,Nor`th. `Star "California.,Corp. ,' 78-371 Hwy 1111•'LaQuinta,CA 564-2500, Y '
..' Name of Applicant (please pint) ;n, °.:•' Business Address " . ,. Telephone No. • .
''%' ,''•Nuevo En' gine.eri-ng.'(,Peter,, Peters)' 79811 iCoun.try .Club- . Beimuda.-Dunes• 345=1778 '-f
. `. Name`of Contractor and Job Foreman`;` `-' Business -Address, ' ' ` T616phone No.- - `
�'438834 4 v157
Contractor's License No: • , ` �. 1' City Business License'No:.'
Terb`est & Assoc `•Iris: -'Service,= -Inc -' �IMP,11098.614000 - g'•
-Applicant's'Insurance Company.,Policy Number
FEES:. Subdivision ,lmprovement Permit — Class III
Public improvements: •3% of estimated construction costs;,*:
Private improvements ,3% 1!of estimated construction costs No 456 j,'• • r
t; • Minor I-mprovement Permit,.-! Class IV: See attached schedule'150t '
Inspection Fee % t $ PERMIT VALIDATION
Permit�Fee ��.. <,! • PE M T N } ?�' i;...' '/ '• - .
F R I 4 5 6
o.ti b
Penalty
y - DATE APPROVED. i'.`10%'16/89 , o
• 'Cash'Deposit-Surety' Bond- ' ' ' '' . <
if.required EXPIRATION DATE ` 3 /.31 / 9 0 ,
'TOTAL: 15
$ :.' i •� DATE ISSUED, 10/16/89 '
Receipt No.
f �' a r �• ,By ,a
Received by - '`° ~ 'Date t '+' '' Administrative Authority
- .- .' �- .ir+t . ''ice q!*1 y' • � ' .ri .• -, `... , ... '•• T T .' , , •`'
Recorded by
.'"' �' TELEPHONE:'(619) 564-2246 • "' '.
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_T
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 III
DATE: 10/2"�i?9 Minor Improvement Permit Class IV X
LOCATION OF CONSTRUCTION Dunes Palms Road — South of Highway 111 to 48th Street.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION un rneld fnr use
DESCRIPTION OF CONSTRUCTION rearade road between
-P n W
DIMENSION OF INSTALLATION OR REMOVAL
Rnad-R.0.W.
Sketch (attach constructionplans if appropriate)
-SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE I1TI E W EN 1O%KkVILBLaBEGIN
01
APPROXIMATE TIME OF'COMPLETION see above
ESTIMATED CONSTRUCTION COST $ $, 000 < 00
(Including removal of all obstruction; materials, and debris, backfilling;'com."
paction and placing permanent resurfacing and/or replacing improvementsi}L�}
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
North Star California Corp 78-371 Hwy 111 LaQuinta,CA 564-2500
Name of Applicant (please print) ' Business Address Telephone No.
Nuevo Engineering (Peter Peters) .79811 Country Blub Bermuda Dunes 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
438834 .157
Contractor's License No. City Business License No:
Terbest & Assoc. 'Ins. Service, Inc. IMP1109863.4000
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
O 456
Minor Improvement Permit — Class IV: See attached schedule
.Inspection Fee $ 150..00 ff PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ 150.00
Receipt No.
Received by Date
Recorded by
PERMIT NO. 456
DATE APPROVED 10/1G/89
EXPIRATION DATE 3/31/90
DATE ISSUED 10/16/89
By .
Administrative Authority
TELEPHONE:. (619) 564-2246
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
0 i/ 8 Subdivision Improvement Permit — Class I I I
DATE: Minor Improvement Permit Class IV X
LOCATION OF CONSTRUCTION Dunes Palma Roar? - South of Highway 111 to 48th Street
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION' d."nGS up —road for use
DESCRIPTION OF CONSTRUCTION rearade road between
T2 -n 147 .
DIMENSION OF INSTALLATION OR REMOVAL
Road R.O.W.
Sketch (attach construction plans if appropriate)
SIZE OF EXCAVATION, IF NEEDED
n/a
APPRoonlgoingl TIME WHEN BEGIN
APPROXIMATE TIME OF COMPLETION see above
ESTIMATED CONSTRUCTION COST $ 5v000.00
(Including removal of all obstruction, materials, and debris, backfilling, com-"" J,..
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
North Star California Corp 78-371 Hwy 111 LaQuinta,CA 564-2500
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering (Peter Peters) 79811 Country Blub Bermuda Dunes 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
438834 157
Contractor's License No. City Business License No.
Terbest & Assoc. Ina. Service, Inc. IMP11098614000
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 $ 150' 00 II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 150.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 456
10/16/89
DATE APPROVED
1/11/'90
EXPIRATION DATE
DATE ISSUED 10/16/89
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR .PERMIT
PUBLIC WORKS 'CONSTRUCTION .IENCROACHMENT) '
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: 10/2/89 Minor Improvement Permit Class IV X
LOCATION OF CONSTRUCTION
Dune Palms '-Road = South of Highway 111'to 48th Street
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) '
6_ress-up road for use.
DESCRIPTION OF CONSTRUCTION
Regrade road between R.O.w.
DIMENSION OF INSTALLATION OR REMOVAL
Road R.O.W.
SIZE OF EXCAVATION, IF NEEDED
N—A
APPROXIMATE TIME WHEN WORK WILL BEGIN '
07 grii`ng as of 12/01/89.
APPROXIMATE TIME OF COMPLETION See Above,
ESTIMATED CONSTRUCTION COST $ 5,000.00
(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 to... and conditions of the permit and all applicable rules and regulations of the City of.
Le Ouinte and to pay for any additional replacement necessary as the result of thi rk. "
Signature of A plica t or Agent
North"Star Califor ' 564-250 .'
Name of Applicant (please print) Business Address] Telephone No.
La Quinta., CA. 92253
Nvero Ena. (Ppt-p Ppt-pra) 79811 Country Club 345-1778
Name.of Contractor and Job Foreman Business Address Telephone No.
Bermuda Dunes 92201
438834 157
Contractor's License No. City Business License No.
Terbest & Assoc. Ins. Service, Inc. IMP11098614000
Applicant's Insurance Company Policy Number
FEES: Subdivision. ImprovementPermit —Class III
Public improvements: 3% of estimated. construction costs i
Private improvements: 3%of estimated. construction costs
Minor Improvement Permit — Class IV: See attached schedule j
Inspection Fee $ II. PERMIT•VALIDATION
Permit. Fee
Penalty
Cash Deposit -Surety. Bond
if required '
TOTAL:
Receipt No.
Received by Date
Recorded by
PERMIT NO.
DATE APPROVED Zk/a9
EXPIRATION DATE
DATE ISSUED e Q
By
Administrative Authority
TELEPHONE: (619) 564-2246
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