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
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NOTE:
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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
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.,,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
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PROROS bS 70 Pl_.lLE A
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-.._._...... ..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
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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