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0260With proper validation A.. this form constitutes an encroach,ment 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 Subdivisionlmprovement Permit —Class III_ DATE: April 22, 1987 - Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida Bermudas and Avenmda Velasco (Street address or Description of Location) PURPOSE OF CONSTRUCTION Domestic water. improvement Sketch (attach constructionlans if appropriate) ppropriate) DESCRIPTION OF CONSTRUCTION Installation of 12- See attached sketch. inch domestic eater line The attachdd special and general provisions are included and made DIMENSION OF INSTALLATION OR REMOVAL Rpfar to a part of this permit. This _p++anhcA man permit is for the.construction_ and maintenance of water line f:aci SIZE OF EXCAVATION; IF NEEDED Raft -.r t.n attar-hPd map facilities. APPROXIMATE TIME WHEN WORK WILL BEGIN Anr- i-1 27. 1987 [7RA Tncrui rv' Nr) i APPROXIMATE TIME OF COMPLETION MRV 15, 1.987 Date: ESTIMATED CONSTRUCTION COST $ - RRD . DD `— (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) 1n 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 V penalties, liabilities or loss resulting from claims or court action and. arising out of any accident, loss or damage -to, persons or property th ' 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 COACHELLA-VALLEY WATER DISTRICT, Ph O. BOX 1058, 1156ACHELLA, CA.,.. 92236 Name of Applicant (please print) 'Business Address Telephone No. (619) 398-2651 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 Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by' PERMIT VALIDATION PERMIT NO. DATE APPROVED y! EXPIRATION DATE 7 A 6 DATE t" ISSUED �� /-1->XP 7 By ! / Gt., -.� Administrative Authority TELEPHONE: (619) 564-2246 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: 4 "'2-z--" .8 i Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION. 13eft"A1,2A S E V F-LASC1, - .SE.E (Street addreis:or Oescription.of Location) . PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION ZNS-Cki LLjs'ttoh ote tb- 11ut4,k Sef✓St 1C V eTC-_91�, LA I,> DIMENSIO"l.CF !^1S', ,ELATION OR .REMOVAL -E�'I& Zo ATT 4 C. -W 6. MAf SIZE. OF EXCAVATION; IF: NEEDED V%kP APPROXIMATE -TIME WHEN -WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION.'S' ISAU ESTIMATED CONSTRUCTION COST S U O (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 a,nd arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertakem 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 ana to pay for, any additional replacement necessary as the result of this work. Signature of Appilbrit or Agent CokLw LLA VhLL.Ej wa'TE9% U ST • T-0 OAi, 11C C6 C.O&LA ILA c.a OLI.X36 _34a z65) 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 i• . .. �T, r. ,� i . - ��t •1 I�r1• r. t. • _1 `=: r R � .: r �T Irl I /+ +`iT"4�J...h �1` 1•.�= • /t � I ,� � . ,3315 1 _ 55E R W bLZ N W ,p009-44 vse " L 542 EL2 " L 0 O>6=vS 095-L -- E9C O 9LZ a,.? 7M 28t agetoO LL2 T42 O O EBS 99F - - 'r n S S 09B m P n TSE OGZ oBi sSSG-PG v V .. - .. .. 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S' A.C.TEMECULA 213 I V - 2 J- - 452 500 517 5E5 '0 N '77-643 I 1 T.- 381 '24 77-705 r.j ..L12 M Ei 1 _�9 4 344 380 515 v SFE N (v N m ri (V ct, N $4-535 'C ­54C 201 ru 2E3 293 N :a4S 379 CU 126 450 515 cn 1�67 N m (n -EEO N E-4-550 54-575 54-550 ci 54-5E5 -EEO t7 -.7,2 5 Z jj!5 -T, 200254 292 378 427 149 502 �Ot e54 -E.. v 54-639 CJ54-51054-595 199 255 u !�03 C'. in cu Z) 291 0 141 < 377 42B 513 569 3 "J L, ..... ... .... -E22 154-e2O Ln Z• 290 :3-2- 1 dy 54-605 197 • Co 229 (D 430 (m" _Z'�7 — I !, — , r, --4-640 54-C25 51, r 5-620 54-621 288 376 431 25S r, L> 510 :Q -'5a 640 54-645 54-545 54-C-5 < 195 10 259 1 287 to i5 537 -o _ 375 M 4-6S0 54-S85 E-660 '$�4-655 192 Ln10 26 0 *2e6 N0 351 374 tn a Lila 1 Gal 506 7 G -s90 54-711 E4-700 193 v 251 295 352 373 V 5,9 zl� S4-722 - - 54- 2E2 261 372 M CIJ 43"0 _:L41 Rf CJ 353 E ri S4-711 CALLE POTRERO . 2" STEEL 7 --SANTA CARMEL! lei _283 3-54 371. -43-6 7-575 "T 77-671 dr 7,� 71, 437 ,�� - ,, N (v ]90 264 m 355 '77 ilu - Fi -615 189 N m 265 282Nlm 370 43b 3ss r n :4-780 N N54-620, 1 e8 266 231 .357 439 :4-800 w 187 267 280 3583S9 440 In17 .54-835 54-845 --"•m• 12, 269 279 359 35B 441 54-835 54-84 Ise ass 278 350 367 54-855 n 5.-115 5-94-. 184— 270 3E1 7 -4-860 CD 54-865 m 366 183 271 277 362 to ,82 w0 272 2760 -3153 7-560 54-940 / .. 273 77 -SOC 274 - - ) STUL TECATE NOTE: With proper validation this form constitutes an encroachment permit wk_ ZWORKS OF LA QUINTA TION FOR PERMIT PUBLINSTRUCTION (ENCROACHMENT) For the construction of and other like public work DATE: 2Z % LOCATION OF CONSTR/.UCTIIO. (Street address orript0on PURPOSE F CONSTRU Location) ON OF CONSTRUCTION or private curbs, driveways, pavements, sidewalks,, parking lots, sewers, water mains vements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS MENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV x APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ ylncluding removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Inconsideration of the granting of -this permit, the applicant hereby agrees to: Sketch (attach construction plans if appropriate) 3rd a.� L L U SA- w,ry /C4 : �M � Indemnify defend and save the City, its authorized agents, officers, representatives and employees, harmless loom and against any and all ; e;aal�lties, liabilities or loss, resulting from claims or court action and arising out of any accident, loss or damlge to persons or property happ8. ing or occurring as a proximate result of any work undertaken under the permit granted pursuant to t%is application. Notify the _ dministrative Authority at least twenty-four (24) hours in advance of the time when wc started. Comply with alla pl; cable City Ordinances, the terms and conditions of the permit and all applicable rul end regulations of the City of La Quints and to pay f�n�Ladditionel replacement necessary as the result of this work. Name of Applicant (please print) Signature of Applicant or Agent 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. $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date PERMIT NO. DATE APPRO 1 EXPIRATION ` DATE ISSUEC By Administrative Authority PERMIT VALIDATION Recorded by 11 TELEPHONE: (619) 564-2246