520- .- ._`.
y a.
With proper validation 4 2
O
this form constitutes an `
encroacliment permit
' CITY OF,; LA OUINTA _
APPLICATION 'FOR PERMIT
PUBLIC. WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private. curbs,- driveways; .pavements, sidew7.
alks,. parking lots, sewers; water mains
1 and other like public works improvements in connection with. MINOR- IMPROVEMENTS and APPROVED SUBDIVISIONS
' Subdivision Improvement'Permit—Class I(I'-
r;, DATE: 'January 31'1 1990 • Minor Irnprovemeht Permit Class IV '
LOCATION OF CONSTRUCTION Ave. 50 between Washington St. sand the. p®oposed Park '
7 'pvanua _ Tr 23292 . Tiandmaxk z,and Co. South side of Avenue '50 '
(Street address or Description of Location)
I -
_PURPOSE OF CONSTRUCTIONto provide /water to Sketch (attach construction plans if appropriate) ,
tract 23292;.-
DESCRIPTION, OF CONSTRUCTIONin.Rtall •1-18" astub out r
r _nonn�rj't-:� �n czn' Abe 50 -a.nnrox.. 750:9± west of,
i Tl4•Ikklar�l' »aYk 'avAntta SEE',ATTACI1ED' DISTRICT` DRAWING -.
DIMENSION OF INSTALLATION OR REMOVAL r NO. 1560.5
SIZE OF`EXCAVATION, IF NEEDED
APPROXIMATETIME WHEN -WORK WILL BEGIN 2 /9R '
APPROXIMATE TIME OF COMPLETION 2/90 n
ESTIMATED CONSTRUCTION:COST $ Z� CnG
(Including removal of all obstruction, materials,'and.debris, backfilling, com •'
paction and placing permanent resurfacing 'and/orreplacing 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 Ouinta and to pay for any additional replacement necessary as the -result of this work.
Signature of Applicant,or Agent
C.V.W.n.. PO Box 105E Coachella, CA 92236. �398•-2651-
Name of Applicant (please print) Business Address Telephone No. r ',-.
Name of Contractor and Job Foreman , Business Address . - Telephone No. '
Contractor's License No. City Business License No.
`Applicant's Insurance Company . ' Policy Number, �'•. d
FEES: Subdivision Improvement Permit — Class III r' F
Public improvements: 3% of estimated construction costs . a
Private. improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule 52� `
_
Inspection Fee $ _Q _ PERMIT VALIDATION
Permit Fee NO. 520. ,
:`PERMIT
Penalty •
Cash Deposit Surety Bond DATE APPROVED Jan. 31 199.0
if. required EXPIRATION DATE 5/31/90
TOTAL: $ -0- Jan,.' 31` 1990• ,
DATE ISSUE,D��_ ' - Y.
Receipt No. - ��;fG /� .h�C a •` ' r
-By-
-Received by ,Date ' Administrative Authority -
Recorded by TELEPHONE: (619) 664-2246 ,
encroachment permit
CITY OF, jA QUINTA
I �
APPLICATION 'FOR PERMIT
s
,__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 MIIO R IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I I I
DATE: January 31, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Ave. 50 between Washington St. and the pooposed Park
ANrntxue, mar 23292. Landmark Land Co. South side of Avenue 50
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION to provide eater to Sketch (attach construction plans if appropriate)
tract 23292
DESCRIPTION OF CONSTRUCTION install 1-18" stub out
connection on Ave. 50 anprox. 7509± west of
r�rn��r,��r t7arlr �ac�nt�.P SEE ATTACHED DISTRICT DRAVIING
DIMENSION OF INSTALLATION OR REMOVAL NO. 15605
SIZE OF EXCAVATION, IF NEEDED 6'XIS '
APPROXIMATE TIME WHEN WORK WILL BEGIN 2/90
APPROXIMATE TIME OF COMPLETION 2 /90
ESTIMATED CONSTRUCTION COST $ 16.000
(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
C.V.l�. PO Box 1058 Coachella, CA 92236 398-2651
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.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111.
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee 1 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
ffIm
$ -0-
Received by Date
N� 4j
PERMIT VALIDATION
PERMIT NO. 520
DATE APPROVED Jan 31, 1990
EXPIRATION DATE 5/31/90
DATE ISSUED Jan. 31, 1990
By X,
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246