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0133C_z _1%. NOTE: 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 III DATE:JUrie 25, 1985 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION o n Adams St. (Street address or Description of Location) 1 PURPOSE OF CONSTRUCTION 't1-) inGtal l ntmw rxaG main. Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTIONTb install 665' of 3" PA SEE M= TGP 214, F-1 medium pressure Dlastic aas main 16' E?WPL of Adams St., Cut Earth, Cut. Oil & Gravel 42' DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED " APPROXIMATE TIME WHEN WORK WILL BEGIN July 9, 1985 APPROXIMATE TIME OF COMPLETION October 9, 1985 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: NOTE: If this job is given out to a contractor a separate permit must be pulled by the contractor before any construction can begin. 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 Of i happening or occurring as a proximates+• 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. Roger Baughman - Distribution Supervisor Signature of Applicant or Agent Southern California Gas Company P.O. Box 2200 Riverside, CA 92516 7147369-4512 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 Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee N/A Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by 1"", :6 N0 1.33 PERMIT VALIDATION PERMIT NO. 133 DATE APPROVED June 27, 1985 EXPIRATION DATE October 10. 1985 t DATE ISSUED June 2_7, -1985 By ( 1 C��> > �1✓l 0 �L. n Administrative Authority TELEPHONE: (619) 564-2246 r C . -FIVED 3ulg COMMUNTY DEVELOPMENT DEPT 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 III DATE: June 25, 1985 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION On Adams St. (Street address or Description of Location) PURPOSE OF CONSTRUCTION To install, new gas main. DESCRIPTION OF CONSTRUCTION To install 665' of 3" PA medium pressure plastic gas main 16' E/WPL of Adams St.,. beginning 22' N/SPL of Miles Ave., proceeding north._ DIMENSIC^: CF !:"•!•ST,-,L!_ATION OR.REMOVAL SIZE OF EXCAVATION IF NEEDED Sketch (attach construction plans if appropriate) SEE SKETCH TGP 214, P-1 Cut Earth Cut Oil&Grave 42' APPROXIMATE TIME WHEN WORK WILL.BEGIN JU�'y 9, 1985 APPROXIMATE-TIMEOF COMPLETION October .9, 1985 ESTIMATED CONSTRUCTION COST S (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 resul.ting.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. anatur of A i cant or ge t..• ger %aug an - i sprT buti on Supervi sor Southern California Gas Company P 0 Box 2200 Riverside, CA. 92516 714 369-451 Name of Applicant (please- print), Business Address Telephone No. . Name of Contractor and Job. Foreman ..t= Business Address,, Telephone No. Contractor's License No. City Business License No. Applicant's Insbrance•Company . Policy Number ' FEES: Subdivision Improvement Permit = Class11 Public improvements: 31/b of:est•imated construction costs •-: Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: -See attached schedule Inspection Fee S_ Permit Fee — Penalty — Cash Deposit -Surety Bond if required — TOTAL: S Receipt No. — Recpived by Recorded by Date I PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By TELEPHONE: (6 9) 564-2246 Administrative Autho; w. NOTE: -- - With proper validation _ this form constitutes an encroachment permit 31245-657 r C . -FIVED 3ulg COMMUNTY DEVELOPMENT DEPT 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 III DATE: June 25, 1985 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION On Adams St. (Street address or Description of Location) PURPOSE OF CONSTRUCTION To install, new gas main. DESCRIPTION OF CONSTRUCTION To install 665' of 3" PA medium pressure plastic gas main 16' E/WPL of Adams St.,. beginning 22' N/SPL of Miles Ave., proceeding north._ DIMENSIC^: CF !:"•!•ST,-,L!_ATION OR.REMOVAL SIZE OF EXCAVATION IF NEEDED Sketch (attach construction plans if appropriate) SEE SKETCH TGP 214, P-1 Cut Earth Cut Oil&Grave 42' APPROXIMATE TIME WHEN WORK WILL.BEGIN JU�'y 9, 1985 APPROXIMATE-TIMEOF COMPLETION October .9, 1985 ESTIMATED CONSTRUCTION COST S (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 resul.ting.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. anatur of A i cant or ge t..• ger %aug an - i sprT buti on Supervi sor Southern California Gas Company P 0 Box 2200 Riverside, CA. 92516 714 369-451 Name of Applicant (please- print), Business Address Telephone No. . Name of Contractor and Job. Foreman ..t= Business Address,, Telephone No. Contractor's License No. City Business License No. Applicant's Insbrance•Company . Policy Number ' FEES: Subdivision Improvement Permit = Class11 Public improvements: 31/b of:est•imated construction costs •-: Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: -See attached schedule Inspection Fee S_ Permit Fee — Penalty — Cash Deposit -Surety Bond if required — TOTAL: S Receipt No. — Recpived by Recorded by Date I PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By TELEPHONE: (6 9) 564-2246 Administrative Autho; NOTE: With proper validation this form constitutes an CITY OF LA aUINTA encroachment permit 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 I I I DATE:`Tunc+ 25, 1985 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION o n A(fiar,s S'L. (Street address or Description of Location) PURPOSE OF CONSTRUCTION '11) i*ncta1 1 ni7-w pati ruin _ Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION`m in2.t_-111 t (=. i' of 3" PA `EE '1=1 `l'C,Y 214, 1,-.1 M -._dirt Pressure Mastic cxas main 1.6EIrwPI: of. Adams St., Cut Earth, Cut Oil &• Gravel 42' fN-cri r)n i nn 12' TI/PPT, of Ave. oroceedina north. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 14OM: If this job is qiven out to a contractor a separate - permit must be.pulled by the contractor before any construction July 9 1985 can ��'• 195 APPROXIMATE TIME WHEN WORK WILL BEGIN DEC -1 ' TER�� 1985 N APPROXIMATE TIME OF COMPLETION October 9, ESTIMATED CONSTRUCTION COST $ (including removal of all obstruction materials and debris backfillin com- paction and placing permanent resurfacing rand/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 orproperty 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. Roqer Baug?mian - Distribution Supervisor . Signature of Applicant or Agent Southern California Cas Cutipany P.O. Box 2200 Riverside, CA 92516 714-3619-4512 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 I II C ENTERED NQv 2 5 1S85 Public improvements: 3% of estimated construction costs G Private improvements: 3% of estimated construction costs Minor Improvement Permit- Class IV: See attached schedule 1.33 , Inspection Fee $ II PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: 42 N/A Receipt No. . Received by Date Recorded by PERMIT NO. 133 DATE APPROVED June, 27, 1985 EXPIRATION DATE QC1.0ber 10, 1985 DATE ISW-kD .Tune '27, 1.985 By i- Z � 1 67". Administrative Authority TELEPHONE: (619) 564-2246 r�. , i f v a. • - 4 , ZZ 38� /1 i Q ,fuT I b i y Lli ' v 1 y. G �� i