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0274NOTE:. .. ... With prd�0 validation this form constitutes an CITY OF LA QUINTA 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 III DATE:_ August 25, 1987 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Tract #21120 — La Quinta, CAl (Street address or Description of Location) PURPOSE OF CONSTRUCTION Golf Cart Path Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Drainage culvert with Cart Parth,construction Tract 21120• rmmnacf-Pd emhankment•n£ Rin Ran. A 66".Storm Drain crossing. DIMENSION OF INSTALLATION OR REMOVAL 10 X 65 See apprroved,plans USA Inquiry No. SIZE OF EXCAVATION, IF NEEDED 50 Cy Date: APPROXIMATE TIME WHEN WORK WILL BEGIN 8-25-87 APPROXIMATE TIME OF COMPLETION 10-1-87 ESTIMATED CONSTRUCTIO.N COST $ 29.769.00 (Including removal of all obstruction, materials, and debris, backfi-lling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defenii 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. Signature of Applicant or Agent LA QUINTA JOINT VENTURE 77-350 Avenida Fernando, La Quinta,'CA 61-A 564-1315 Name of Applicant (please print) Business Address, Telephone No. Anden Corporation Same Same Name of Contractor and Job Foreman - Business Address. rs° Telephone No. 333762 Contractor's License No.. City Business License No.' Applicant's Insurance Company Policy Number r ' FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs h Private improvements: 3% of estimated construction costs-' 274 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 892.95 `r Penalty Cash Deposit -Surety Bond if required TOTAL: $_ H97.95 Receipt No. c Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 2 DATE APPROVED EXPI'R:ATION DATE �Z " 3 S-% DATE ISSUED' By /� r/�/'.• 5 . Adm'strative Authority TELEPHONE: (619) 564-2246 J v~ �✓ 1i�GP 0/'/ j�o iOPv,y� /fi2rRld��Jr. NOTE: With proper validation this form constitutes an CITY OF LA QUINTA 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 DATE: I�R LOCATION OF CONSTRUCTION. At ,;F140 Q Subdivision Improvement Permit — Class III Minor )mprovement Permit Class IV (Street addreu or Description of Location)ji� PURPOSE OF CONSTRUCTIONS Sketch (attach construction plans if appropriate) OF CON,9rR.UCTION CAr L ( Rl_�_ I y Co N5T19L/L %/pit/ 7/LAc7 Ivo, -7- !/z DIMENSION OF INSTALLATION OR REMOVAL /6 X 4 li— 1 (, G " 57BXIK "Lo og"' `' SIZE OF EXCAVATION, IF NEEDED G APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 4. %`" ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction om 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 V Quints and to pay for any additional replacement necessary as the result ignature of Applicant or Agent -!►_'i 't�L/i����.C:�J�i -� ��`�: ^L�-- J%LLCr_ iT+ !'�►ZSfifSL r Name of Contractor and Job Forefillan / 3332e� 2: Contractor's License No. Business Address Telephone No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs 2 7 Private improvements: 3% of estimated construction costs ! Y v 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 VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Recorded by 11 TELEPHONE: (619) 564-2246 Administrative Authority