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roper. validation 4,Wt . '• `e. t
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this form constitutes- t } . Y';7 t r ✓ ,i Ij IC wt, �,y �,;).
encroachment permit `CIT,If ,aOF:LA' I « y
'. NTA.
F,-{LAPPLICATION=. �`r�'�
_7r5 PERIII�IT,.,;; £u^;e!. ,
' .7.,[� PUBLIC :,WQRKS Y CQN$1'RUGTI/yr' NCo H N �.;. :•
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i ,'t:.'• w v.FF,.,�{' s..• .. �,. _ y •? ,.,,�•' C }i`. ' s+v+�» • 4t y�w�,.r�,
or theroonstructiori'of;public';or�prlvate,rcurbsxdrivewa s avements; sidewalks, parking 'lots, i,sewers, water mains,.'
• v Y FP
a
T1.andiothgr like'.pubhc works Improvements In'connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
AD,1) .'
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Subdivision Improvement Permit -Class IILw
Ir
DATE c� October 1,:�1987 xa �� y� ' '`. ;; -L'
' C ""T ' .,='* y '—'- r" „r.. ,4—'----h�' ► ?r "x, r ':� Mlnor�lmprovement
Permit Class LY,,• '
i r LOBATION'}((``����,,F CONSTRUCTIOfy Te�j rlaton �=Streets an �i »: f `
1tf, ..j•� �1, ..J..3o+00ri.,,d .S .'L`°CS tY°bL4 Y`: '.t yz�g'i'..'TCTdy���•+ 1', r£t' ft•i .��"]J lf '•S ' f
ti } STA. ` , rto.. $TA: 5 X02 ',� _:t it " 'r 2 ' and f`h�� �t:itii: of t'cz� J fO j is "Land ,
(Street add i •.,
rens or, Descri t � y� .!. " ' •
- �: ;t,:.. ..� .P.i4,i Ofyl�o�atlofl) cr's .'t-�.r i • `i . - � i..._ � rr+Y� ! 4
,PURPOSE
OF. CONSTRUCTION' °
r. TO ,Provide sanitary
S °toy the 'N: E•: rcomer rof .Washin ton°S'— t *%� `� .: Skwetch (aa�ch Ionstrutit►oi�pigrts if approRriate)
' DESCRIPTION OF CONSTRUCTION -To�_ins3talw.1,11gravityt d# A p, l :'. j , 4 £ A,-.11 x r fez, y toy . ; tt t t� ,
low° sewer and3;5�'man o�yl/�es' ,urs t;+ Fa . :AaJA + . tr744,1 Q att'a'ch'
tC t `{arC3iw
'F • -�'' til ,' �' i.�, ..ai 'R aeY
r The :-attached `General',. and
;,DIMENSION OF INSTALLATIOWOR.REMOV•AL� 4tSp�cial' Prov s
01 r-, ob =i'�:t �+ eit�T �., � 1'na�:,ma fir' la ms ark: inclue ed
rt q. th f n e�rniit
-.' f r3 i 17 Y t ♦ '.•j y - +Y
SIZE OF EXCAVATION, IF NEEDE F' +��
.r �hal3 ?e pr oAi.2<' 1—c-QU fix« n. a,° :o1SAr%l�ci� IJ
APPROXIMATE TIME..WHE BE INS , t' Dte Issu d.
(N WOnR K...,,Wy Iy�L,'}Ly +•� j/{.�7 p. p{ }� )+� !Q
'S~• i'F!'.�`1• \�-y, :I.. �4.' w43i�1tri i.��?'{.iC'�. •ii. �'4 �.' r.1+L a!�yA• 4.I fd,.. f•6,Yi.). y Y7• ^!•
APPROXIMA_TE•TIME OF COMPLETIQfU`'' tntr, :1 �CiF Ga:4� Y ,�;r i1<xrll bo
{ xAESTIMATED CONSTRUCTIOIV'COST
,$t; 'G. vn: ,; E ru y'_',�t =etus.1•:e'07'ydl'Cit�t;, 1� '
" . - '-
"--`.4••! �a -,C .. „ :. rw ,. 7 ? +�tt6�LiG� `4 Llc'�'Yi��cr,,;.r4.
t (Including removal of all{obstructi6n, materials, .and debris, backfilling +
'paction,and,.placing peimanentresur`faci4Yi� ` ,��s .''' �' ,. �s 'j
i resurfacing replacing'i , rovements).
In consideration of -the grantiyn.g offs J rmit?�the a i `
:.. �' A. ' f t f i r. Ids • c, tc r� Vii. �p� .ri;, ere a�reesr � d�E'kshi1'i>
C by 1c31
q +Indemnify,•defend and.saye the gjtYz,t`euthorized agents„off,cers,"representatives and employees; harmless*from and against any and all
. ,.
r penalties, liabilities or loss resulting ,from .cla,ms'or'court ecpon and. arcing out of any accident; loss,or dama a to
happening•or, gccurnrta as a pfoz�mat re uJt an 9 persons or property
ix. ,�,L;s°+ Yw°F,rtkrri�d�fu� enj r« the Permit Qranted bkyr3uant;,toiQhisiippiicatiori!.'•�7it C e
�- Notify'the,Admihistrativerquthority; fle st„t ntyfour (4 hours i va ce,.pfe time1whenlwo�Jitvill-tie started._ +
`4 Comply with all' appFli blefCity`Or�in�nc;es,�thg;.tarrns andtconditions ofahe>permit and all ppl cable rule �e d regulatio^s of the City of
d La Quinta:'a d to i
7 r ' R Pyfpr�a3lnydt,o�e �acement necessary r ; It'Q tthis'ivoik:. ,
.,� f P y nec:�the @.i! i f Cp16t:XLtsI�CDt3"1Ct'it7iF'f An
T'�� will b�, `�'�xzr.�t�zr`:�ed g" 0S•�� � u �,.
L wa +± • ' •_j' r ” �: ' d ."in.ad _� }" �:.i t,'i i'>.e.di. rt".4('r .Y 4w. , 7 r- '•x' • rl +,,��:v. !e °`"' ..#'•. }{ r 1,••
y Signature of'Applicant or;Agent
' r - Michael " Sliovlin�` . �7=1' 084 �Tamar'isl�� Lane "I RancYio ,I�i ��� �b" +bt?� %e F j p ad, '`� t
r�ge,,,.CA»9227 .I,n
Name of:Applicant (please`p�inf +aux; titii yY�«.!- - ,
t�,•, Business Address :r .Tele
,,; ,. �.. • ., : , phone No.,
i Name of Contractor and J b F
tet: 4. ,9fea�tn� i i7 Business Address �� M tfa�C'-Telephone No` r
'`; -. .�.4 }'` ,,', a ,y. >}, - . t`Rc - f:. "» •,y !-+t +-: ,� A,;f-r :t i' ,r. Ztr-. .1. _i ^4 - ,
. •$ t r �•.;i � ar._,A ., . r ''- a.r t > -fir r;•} {r' < s, -:
Contractor's Lrcense No:wi1C �:tr.a2x{: tip] 3 �, .�l G,C.a y rQ Imo– �•�i��m rf.r�:��tTE�4
`''•[�i. y`t,,its. j v o; f ar iY,. D'c±+: f �".J I.ilt�/ BUSIneSS Llcerise No.-`-:
t q
:, 1 >:,a �.• ` ��? .. ! iu4.,� . �,- .r .+t S{,E�:+ 'h�� s� � 2,� r yr:�H, �.
ti Applicant's In ; • '
. ,. �ra.gce Co IRanr � 'iii . =� j.;�,; t;� Eta' J.'d, ta?t� z>GS :l~ �. ; Yllic' mbe�
r. ii x�w _j.• YNu y y s-.•
FEES Subdivision Improvement Permit r Class III �''�'• ""' ' r �'='''f i }` +
t _ �,. , + ! r - - • !a,F.�t
Public improvements: 3% of estimated construction costs. .•
',Private improvements 3% of.estimated construction costs
Mlnofrlm� . C`3 mit la s \ L �., . is } rt,: ,+• ��,��'® w�ir,l QQ.QQ `;iY. ,
• t, provement Per --.0 sstlV: �e attached sehedule'4`4 ; A, OUINTA,
• '' - .. 4 Tt, �:�TA•t F C,k,� -� ;"iv_f+ - �` ".ri,�S; `•`'� "'` a.' `�.
Inspection Fee $" �+
"PERMIT 'VALIDATION " r�
k . Permit Fee 1 r > / o • o. / �� + �.
3,• >; o' v ,� • : t .
Penalty,. 4`Mi+ir�?r_ tj:saw%i`_k';�tt+r�tfSg�i-'€�Ei rS+tifr, PERMI N r ���6
x� Flo
s s ,� i♦ �! pp + c
F_ 'Cash DepQslt Surely 8,99d.4.,–.'.,.,.. 3Z r .,auScyiJat�i1i'!�l'. i Y,rul,re9ATE /4} FPRQ h ! ro-�/ /.
If 4 �} r (r� i
fequifed ''i/e 1i irNt!i•a / •t ss vhY I.xF, fl�i }+?'l,i!?i" i'Ft4�I.Cit��i-R,
EXPIRATION
r
v13 JOTAgi} 17 e,'�r%$.— �.E��� �,r3„i� " '+i xL:• r3� � t . �3{ � rtr i� aFP 1 #' wiKdl4� ; at r .:t' •.:<:r , r' , ` r
" Recelpt+No, `;.Ur( 5I`EaII: ��(A;yirr�tr2�.:asxa. F�,rraE� ,: `•y�tY u4ATE.ISSU Ri;.F
} "t 1t(zfCt4lFlr,b ap*bt171 F RF{ }r4i3- _•t n r. {r'y{r srw+i�` t s +a' tet. ,�: '
A 7 -!•_ T
Recei�rec� by ,:�4;':.x �
ianv"rlaaFk# i�F4,VWtl�'F •t•
"' "�Jtt�'i,i .Ff 't +.• r `r{x -r« "b,t Ad in f y
r3tarrt. .s'� tk:Ict; +t '!.`l+<3,it iqy {:r } ;e' . 13 at Authorit
Recorded by k,,.� v: _ ^a ""%- ter �?., Fe wlt;'ti "wi4iSHSF>%►F/i {t ill r•yt rR i;
��,., :, ,•,, ,.x ..,. r �F t, I; T ELEPHONE' ,(619) 564 2246yttci'3 �",
J/. t r L ■f `�t,l[ c }Y
' t� ti/t'21 J � '�'" VEj''4VL �',fJC)r•«1fF'�v�Lrl.;.S �i.'wA��''��tk�% K,"` �.j'.3`D• S '' :,,Y:; SisF* ui: cafi�true '� + +rr 9 t r "
LI , + - .. , •.� . e t � .yf•^ .� �'%�d'i-S�$t �,1,�4�,�`4 rS'+GT' i YI8r1 tts-.11t,h, Y�}��t a.�.•f - ,
�..!!,C. otarhnelaitb$Cwnpi
tlt 4 d a ra,s tlsc iir3 'a .
a .�.{'�..A.w.�:.t... p y r'2�'�.''•., .t r F �',(�r •�,_t3F-'r:Cirjr_::FiiFF,.7,+F t-..
vL�q rYi l ��•4.s eq TI f Y '•.
qe replaced iJ �! Ilt:t�liOtlu> turd ettititpv,,vt` ur v i'+i r ,,.,. EC Et�At DC rltitEJy+i,S�sbe3e'.tSlrr - ; - 4 yak
. afill..„rJt,Y Y��'•."there
r ,y •lira! 1. v,lw.�rr`trbt t,.•
ties to these monuments shall be furnished to the, Engineer prior to the removal of any monuments. This office shall
xarlrri I , . r.._ rr .. r1{, iUa�S i
be'notified'upon completion of 'replacement of all survey monuments. or proper project clearance
Dai. £)(2istSl �,.A Uril '{U tJtt US)ib 86 afiGlsif� ,.l,.i"3 !iG wll'.tilcKti f1d o6da )1 WGfiG -435.2-iii.twod6 ont) (" �
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