479-�.,yr�. ,,. - _ -- _ � - -- - - ---_��-�_�e�._.y;`�_y_�•s�»_:;',_E'L-::�''+:��{J�n�:niter_�;e_�1•_.�-=`R-�.4"._'_';ate
` •eNOTES ` - r �fif'�"wf< �{� '. r } • n'x• / :.
With, proper validation t .ithis form constitutes all
encroachment permit
CITY. OF LA QUINTA• •.
h V APPLICATION FOR'•PERMIT' " `
- PUBLIC WORKS, CONSTRUCTION (ENCROACHMENT)OF
�� ' m• �Sw4 .:.
r ; 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 l
.,.. December. 1 1989
DATE: , Minor Improvement Permit Class•IV•
t LOCATION OF CONSTRUCTION 46870 Cameo Palms, ' La Quinta, CA• 92253
{ r
• • t. 4 • +
(Street address or,Description of Location)
t ,PURPOSE OF CONSTRUCTION r, re»1 ar drYVPwa.v 'Sketch (attach construction plans if appropriate)'
DESCRIPTION OF CONSTRUCTION
:; SEE ATTACHED-�SKETCH' ;
r '
IN ACCORDANCE- WITH STANDARD #1 207
DIMENSION OF INSTALLATION OR'REMOVAL 1R fPf►t - • ,
' .'• SIZE'OF EXCAVATION, I F NEEDED' nt7nP '
- jy
•APPROXIMATE TIME WHEN WORK WILL BEGIN, nPr. 2. 19f39 . S'
a . APPROXIMATE TIME OF COMPLETION �—�4 WPPifr.
-ESTIMATED CONSTRUCTION COST $ 2 ; nnn , 0f1 +. '
,(Incl6ding.remb6 of all obstruction, materials, and debris; backfilling, com
s paction and placing permanent resurfacing'and/or replacing improvements)
a
+A, 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 fromiand 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. '
Kcomply 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. • ;^'
{ ti
Signature of Applicantzo.r—TAgent
.• .
'l Harold W. Heitz-46870•Cameo Palms;-La'Quinta 564-1685 •� '
'€ Name of Applicant (please print) Business Address Telephone No. =
same '
' 4 Name of Contractor and Job Foreman : ` Business'Address ` Telephone No.'
A�
S Contractor's License No. City,Business License No.
Applicant's Insurance Company c Policy Number
FEES:- Subdivision Improvement Permit —Class III ` r �_'• .. - .
Public improvements: 3% of estimated construction costs U45iE32 14
0 4277 a2~U%-89 =
t Private improvements: 3% of estimated construction costs ' -
iU DA'i i01AL i i4iM
Minor Improvement'Permit — Class IV: See attached schedule', h
u Inspection`:Fee$ n/a PERMIT VALIDATION
Permit Fee PERMIT NO. 479
Penalty Dec. 1 , 19 8 9
Cash Deposit -Surety Bond , DATE APPROVED'
• if required r EXPI•RATION DATE tiec.• 31, ' 1989
,
• TOTAL: $'- 7 (1.'fl,(1 T).- _ A 1 A•R9"
„ DATE ISSUED Receipt No: By. —fit �IL
/C.../)..-,w4 V
Received by Date ,_' Administrative Authority ,
Recorded by ' "^, TELEPHONE: (619) 564-2246 r� +
sA . { 1' ' . r s , si '. r i- ;"3 c; { ,�.f r , ,H?`•s 4'...1 -. 5.. �r ^f,..� �." Y • � . }
IRE
F %
NOTE*
With proper validation 2
this form constitutes an
CITY OF LA QUINTA
encroachment permit
I 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 II I
DATE: December 1, 1989 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 46870 Cameo Palms, La Quinta, CA 9.2253
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION o.i x'rti.lar rr,yo-wav
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 1S feet
SIZE OF EXCAVATION, IF NEEDED none
APPROXIMATE TIME WHEN WORK WILL BEGIN Dec • 2. '19R9
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION --4 uaeelt.r,
ESTIMATED CONSTRUCTION COST $ 2 - 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:
SEE ATTACHED,,SKETCH
1N ACCORDANCE WITH STANDARD # 207
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 Applicanvo. Agent
Harold W. Heitz' 46870 Caxneo Palms, La Quinta 564-1685
Name of Applicant (please print) IBusiness Address , Telephone No. "
same
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.t
N
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.
$ n/a
10.00
$ 10.00
Received by Date
Recorded by
00Tiall 14 0277 12-01--89 14-
10 . CASH 1 TQ`TAL' i io.00
.
e 479
PERMIT VALIDATION
PERMIT NO. 479
DATE APPROVED Dec. 11 1989
EXPIRATION DATE f3ec. -31, 1989
DATE ISSUED Dec. 1, 1989
By A
Administrative Authority
TELEPHONE: (619) 564-2246
.i
�. ..�.____�..... .�-- „� �4
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