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0014NOTE: With proper validation this form constitutes an encroachment permit 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 II I DATE:_ October 27, 1983 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Washington Street, S/O Highlazxi Palms Drive W.O. 0543-31119-I (Street address or Description of Location) PURPOSE OF CONSTRUCTION Place a cimmA.ieatson cable. Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION BGYe a=SS Wa3 .stxeet DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1-15-84 APPROXIMATE TIME OF COMPLETION 345-84 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 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.,--, , Signayture of Applicant or Agent General Teleghale Ca1pmy 83-793 Avenin 47, Indio, CA 92201 (61.9) 347--8775 Name of Applicant (please print) Business Address Telephone No. - Name of Contractor and .lob Foreman J Business Address Telephone No. 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 G r�14 a Minor Improvement Permit — Class IV: See attached schedule .Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ 50.00 15.50 0 $ 65.50 Date PERMIT VALIDATION PERMIT NO. DATE APPROVED 014 October 27, 1983 EXPIRATION DATEOttc*)�-r 27� 1984 DATE ED Og ober 27912983 By Administrative Authority c . T EPHONE: (619) 56*24P6 X 4• i .• . %, '• r - - Fy\ 'L .i Aty. h , •�- t � ,*�` - V rj i. � ., pyrj 7. \.�. � �'4p f d - rY .. . .a,• . t, } F ,a, f? r �s � r � r� . r x•� ytr£ �T , rte .,j'.f7 r�; �'!''� .a�a. �,q jr'h�„J�a .; Y�� � `:t"t''' 3,,.i;YP ,r"'�r•• 4. ' - t.*• .7 ' � � r y„ ! .t .. l`s ^t^t'Q R ... d•. ,v r s v+`�i. �; . _. • ',s! '�r d �. { 1' r ,YM."tr ,"1r , �'�r'u ='! * t riy... ^'�s ""i^ 14 J Y• _,tisi .,tkn, t;r YctA•tLy xrrt� }.X,� 0' S s� �^-i. " " F •.t v' O.'s. r� '1 ' ' �, r,.t; '- - w - • 0" ; a I"" r � �'." Si f 'Z4 - -•v k *a ' , 2' { xr.+�tl �• i � fs �! t "7 �i a� _ it ,1: .,. .� "� ,y Y•,� ltdr "C Y.1i. �'�1 f,lX i+ raY - NOTE: �. z '' ,,;_tdr.. 'i ,. ir. �"": iYr'` a *�• ' -. a•$� 2� i .... With propirvaliclation. this form constitutes an ; �r n s=.r v e a •� z r 1Ri3 k: -CITY; OFKLA QIJINTA `' encroachment permit APPLICATIONfrFOR <PERM Ty''°`'ty ,. •. �,; S••Y_ Nrcry �;.,;:Y1t -cY'•ri',r „q,r :`v+ct`.-a.jtM<Ylt'; i. �;s:: f: s��''i�. }g^u��7.6� •r�}�;.�,i1,�•f-,fit: °�. � �� PUB LIC WORKS CONSTRUCTION (ENCROACHMENT)'���"` . .. . ' "+� t. ,.. �" ;� ^:tx FYI' y� .c. w r����: '�' �r.<.�,■`S' 0F�OSt+S ,+ .,,y rv. t'L-f F. ,.F„ 1'v..>�.., ."L-•r'l z"�," °.�i.c-'...{."i .t t...�e,� r-. 1. ,i y° •'. ..a {'1� i:�'•.? F. .. � . � t., ., . • c-, .. r�, tiswyir�.:�'.I aw',�•% • For, the` construction . of"public tor- private' cuibs,• driveways, pavements, -sidewalks, .parking.lots, seweis, water• mains and othei like public works improvements in connectiori with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class I II DATE: Octi)her 0, 1981 Minor Improvement Permit Class IV ~ LOCATION OF CONSTRUCTION Washington St S/0 Highland Palms 'Dr W,taO. ;' 543-31119—I 1, • (Street address or Description of Location) PURPOSE OF CONSTRUCTION Place a Communication cable. Sketch (attach construction plans if appropriate) - DESCRIPTION OF CONSTRUCTION I ew bore across • Washington Street DIMENSIO^! OF INST.-'ILLATION ORAEMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1-15- 84 APPROXIMATE TIME OF COMPLETION - 3-15-84 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 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 res It of this work. Signature of Ap 61nt or Agent GENERAL TELEPHONE CO._ 83-793 Avenue 47, Indio, CA. 92201 619/347-8775 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 III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor lrriprovement Permit — Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee v PERMIT NO. _ Penalty —�� DATE APPROVED Cash Deposit -Surety Bond if required TOTAL: $ AS" 0 Receipt No. Received by Recorded by Date EXPIRATION DATE DATE ISSUED By TELEPHONE: (619) 564.2246 Administrative Authority I I� ' ss 30.,.. ;. :... ; .. ...: .... A2_-7F,4EP PROROS bS 70 Pl_.lLE A C 17N AA Y/N/ CA'T/ON - - - — - CaB,cE - - - _ _.. ........... _ -.._._...... ..P/r D POSED... C 0A1 nit. CA SEVERAL TELEPHOIIE OF CAUFORMA LOCATION WASH/NGTDN s/c EXCHANGE _7AID /jq C.O. A d 11/1V ISSUE DATE APPROVALS DWG SIZE A __- AREA GENERAL -MANAGER ---•_._... DWG. NO. RELATED DWGS. WORK ORDE� _.. FORM 609540 �.. LML DEV. LOPMENT CORP. OF CALIFORNIA -LA QUINTA, CA. 92253 No. 02140 DATE INVOICE NO. DESCRIPTION INVOICE AMOUNT DEDUCTION BALANCE 10/14. Excavation permit p10-,027-83 i CHEC V CHECK A EK 10/14/83 NUMBER 2140 TO .i' - ._ r .. 1 PLEASE DETACH THIS PORTION AND RETAIN FOR YOUR RECORDS