468""A T'N All,r .
&
NOTE:
With proper validation
this form constitutes an
encroachment permit CITY 10F LA, QU I NTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OF
ONE TRIP:OVERSIZE.'PERMI7ONLY
For the.,,constrUbtion 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 SUBD'IVISIONS.
Subdivision Improvement Permit — Class I I I
DATE: 25 Minor Improvement Permit Class IV -
LOCATION OF CONSTRUCTION QVFRSIZE LOAD
(Street address or Description of Location)
.PURPOSE OF CONSTRUCTIOW_'-' Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
0 A rr r, I I R 1 A T4 1 1 10 TAT 1 1 Cl 1 '1 R T.R.q
SIZE OF EXCAVATION, F NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION _5 .12 lath
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
dministrative Authority at least twenty-four (241 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 thCFesult of this work.
Signature of Applicant or Agent
NITFI70 VNGTNEERTNG 75-811 COUNTRY CLUB DR
Name of, Applicant -(please print) Business -Address Telephone No.
PTCONT .TRUCKING
Name of Contractor and Job Foreman Business Address Telephone No.
4 19 R 'A 4
Contractor's License No. ..City Business License No.
Z, 661,421 .2
Applicant's Insurance Company' Policy Number
FEES,: Subdivision Improvement Permit,,— Class II I
005-182 10 4638 05`25-90 1.0
'
Public improvements: 3% of estimated construction costs 1.0 CASH i TUTU. S.(i�00
Private improvements:,3% of estimated construction costs
Tie
Minor Improvement Permit.— Class IV: See attached schedule
71
Inspection Fee $ / PERMIT VALIDATION
Permit Fee 'PERMIT NO. 468
Penalty
DATE APPROVED 5/25'/96
Cash, Deposit-Sur'eiy Bond
if required EXPIE'� 51 29/90
RATION -DATE
TOTAL: $
DATE ISSUED)
Receipt No:
By
Received by Date Administrativ'e Authority
Recorded by TELEPHONE: (619).564-2246
t ,•- � _. < .� it �, - irr l,y,'WN�... .. _�' ..ti' _ _„J- .. _ .-.' :J J .
@if
NOTE: .
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
O, E TRIP OVERCIZE PERMIT OULY .
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: S / 2 5
LOCATION OF CONSTRUCTION OJx RSIZE LOAD
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
r91T-: 1 u pd 11 10 �Jl 111 1 "' T,t3fi
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
/.o/qn
APPROXIMATE TIME OF COMPLETION r / /nn
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
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. .
r
Signature of Applicant or Agent
NUEVO ENGINEERING 75-811 COUNTRY CLUB DR
Name of Applicant (please print) Business Address Telephone No.
PICONI TRUCKING
Name of Contractor and Job Foreman Business Address Telephone No.
438834 ;.
Contractor's License No. City Business License No: +
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 Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ �a
Received by Date
Q f �a
6Q
PERMIT VALIDATION
468
PERMIT NO.
DATE APPROVED 5/25/90
EXPIRATION DATE 5/29/90
DATE ISSUED 5125.191
By —
Administrative Authority
Recorded by
TELEPHONE: (619) 564-2246
. . .
NOTE: .
With proper validation
this an ^ ' '' '
- CITY OF �l�Ay���.
encroachment � . .
APpLICuTON FOR
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) _
'
For the construction of pub\ic or private curbs, driveways,, pavemepm, sidewalks, parking |mm, sewon'.woter mains
and other like public works improvements inconnection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
.
^
Subdivision Improvement Ponnit-Cb$ U| �_-----_-_
DATE. ' Minor Improvement PonnitCbss|V ---_-__--__
LOCATION OFCONSTRUCTION driveway amproach 54555 Avenue Martinez
..(Street address -or Description of -_-
'
PURPOSE OFCONSTRUCTION driveway Skotoh'(xt��hoon�,uotionp(xn,�vpp,op,��>
-_---_
DESCRIPTION OFCONSTRUCTION
DIMENSION OFINSTALLATION ORREMOVAL
. .
-
--
� SIZE OFEXCAVATION, |F'NEEDED' '
` . .
APPROXIMATE TIME 'OF COMPLETION 11/13/89
ESTIMATED CONSTRUCTION COST - -
(Including removal of all obstruction' materials, and debris, buuhfiUinq'oom�
pmction and placing permanent resurfacing and/or replacing improvements)' '
' .
/n conside,abon of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the c' t its^ xumvrium agp~*, officvn. representatives and employees, harmless from -and against a"v'anuall `
penalties, liabilities or loss msummb from uv/ns or court mu/un and arising out of any accident, /po or damage to persons or nronertv.
x»nn*"!no or mcum=n a, o n�xmam mmu of ovv wm,x u��noxo� underthe permit granted, pursuant to this application.
` .
mnu�.moAum/nutro*o �� �o� wvw,m�ou, (ow hours inuuv *wmrxot�e~oonwvmpxx started.
�ou�
' ` ' ^'
uomp�vwma/�anpxoa�oo/mo�/?onco.the �m,,and coru/tmmo,�mepom`xand oxopn�omem/^eon�,v� ov/mmnsmmocuvm
| , La o"/*m and to pay � any au�/�m�y�n/a�men n,���
�..~-7
| `
,,
Public improvements:
3% -.esd'/-i-- construction
���n' uo'o� �*�Y�`i9A~. 35 L
i-iOi� -8^ '9 'i0.0' `0' i4
Private improvements: 3&ofomima�edxonmruoioncoms iOT]�A
N. 468
Minor Improvement Permit Class |V See attachedschodub� .
'.
»
lO
00
Inspection Fee ' $ '` � PERMIT VALIDATION
,
Permit Fee '
'
. ^ �
,- Penalty
Cash Depn,�SumtvBond
�required
TOTAL:
N ` ' °� lO UO
' �
-
Receipt No.
,
R�m�odby Date '
Recorded by
�������
' PERMIT
DATE APPROVED 11'
1/89
EXPIRATION DATE
DATE ISSUED
lBy-
strative Authority
NOTE:
With proper validation
this form constitutes an
encroachment permit
R
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 III
DATE: 11 / 1 / 89 ,'Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION driveway approach 54555 Avenue Martinez
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION driveway approach. Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR 'REMOVAL 16' x 51
w s
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 11/13/89'
APPROXIMATE TIME OF' COMPLETION 11 / 13 / 89
ESTIMATED CONSTRUCTION COST $ 400.00
(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
Richard Siddons 76-724 Daffod
Name of Applicant. (please print) Business Address Telephone No.
owner/ builder .
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
State, Fund
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class -Ill'
Public improvements: 3%of estimated construction costs 005182 1 9 355 iii-01-89
i4
S Private improvements: 3% of estimated construction costs "10�j A H 1 �OTAI. 1 10.40 .
Minor Improvement Permit — Class IV: See attached schedule +, • 468
Inspection; Fee $ 10.00 PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond .
if required
TOTAL: $ 10.00
Receipt No'.
Received by Date
Recorded by
PERMIT NO. 468
DATE APPROVED
EXPIRATION DATE 1 1 Z 3n ,a
DATE ISSUED e
By
Administrative Authority _
TELEPHONE: (619) 564-2246
1