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0501� r• NOTE:a With proper validation z this form constitutes an CITY OF LA QUINTA encroachment permit' ct '-APPLICATION FOR PERMIT -- t .ti PUBLIC • WORKS CONSTRUCTION (ENCROACHMENT) ' .1 0F .For•• the construction of public or private.'curbs' driveways, pavements,i sidewalks, parking' lots; sewers, water mains and other like•public Works 'improvements iA connection with.MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS .'Subdivi'sion Improvement Permit — Class III , . DATE: -February 5,- 1990. 51 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 5g=510 and 54-530 ' Avenida Herrera, La` Qiinta (Street address or Description of Location) PURPOSE OF CONSTRUCTION ririvraw;4 annrc�ach t o Sketch (attach construction plans if appropriate) r 4 0 ~ DESCRIPTION OF`CONSTRUCTION tOform adrivewa Y • � .. .- . " � .- , .�, • . ' 'DIMENSION OF INSTALLATION OR REMOVAL 16'X'6' .With i ,2' f lare SIZE OF EXCAVATION, IF NEEDED �. 4 .' t f , ii. � .. ' �._M• ., _ . APPROXIMATE TIME WHEN WORK WILL BEGIN Fe5- 1990 i . }APPROXIMATE TIME OF COMPLETION Feb 5, 1990 300 oach ESTIMATED CONSTRUCTION COST $ . (Including.removal of all obstruction, materials, and debris, backfilling, com paction and`placing permanent resurfacing'and/or replacing improvements►•. 'A ' ?� In corisideratioin ,of the granting of this permit, the applicant hereby agrees to: , r Indimnify, defend and -save the City, its authorized agents, officers, representatives and employees, harmless from.Ad'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-.oL 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 'v ork will be'started. Comply with all applicable City Ordinances, the terms and conditions of th�rm,it7and all applicabl rules and regulations of. the City of " La Quinta and to pay for any, additional replacement necessary as the result of h7s work' ' _ .Ake ,{ _ Signature of Applicant or'Agent h, . Steven Farhadi• 51-001 Eisenhower Dr. La Quinta,.'CA' 56'4-026. ' Name of Applicant (please print) ,' i. Business Address" Telephone No. owner:builder, ., Name of Contractor and Job Foreman Business Address Telephone No. 'Contractor's License No. 't ;' City Business Licenw"No. s Applicant's Insurance Company = Policy Number FEES: .Subdivision Improvement Permit — Class III Publi6.improvements:-3% of estimated construction'costs . t - •' Private:improvements: 3%of.estimated construction costs i IN . �'995:,90 � . ., its Minor Improvement Permit — Class IV: See attached schedule(��A� 1 0.00 Inspection -Fee $ ' • PERMIT' VALIDATION Permit Fee 20.00 PERMIT NO. 0501 Penalty Cash Deposit -Surety. Bond :DATE APPROVED 2/5/90 ' f if required EXPIRATION DATE 3/5/90- TOTAL: $ 20.00 DATE ISSUED: 2/5/90 Receipt.No. By Received by' Date Administrative Authority Recorded by } TELEPHONE: (619) 564-2246 ,cef,,oi:=� C=�.n"�. ��,�'�=C.¢.=a fS��as; =--mss aiw eey rs. rt. ¢w �+�r mss+ as �, c� r. wr .^r ..� n5 c cs a' .0 �a. pr .w o., t.�-ic�� oa. rw.`.:...o�u +s r� ao. 4".. r�crc:5.. c� c:. � c. v. -E�s� �N ♦ I IfOT,E: With proper validation art Q' 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: February 5, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 54-510 and 54-530 Avenida Herrera, La Quinta (Street address or Description of Location) PURPOSE OF CONSTRUCTION r3rj vtmtaaY n nnrna '-'h to Sketch (attach construction plans if appropriate) vw^a r�ac ir�nr-� DESCRIPTION OF CONSTRUCTION to form a driveway DIMENSION OF INSTALLATION OR REMOVAL 16*x* 6 with 2' flare SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Feb. 51 1990 APPROXIMATE TIME OF COMPLETION Feb 5, 1990 ESTIMATED CONSTRUCTION COST $ 300 each (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 permtland 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 Steven Farhadi 51-001 Eisenhower Dr. La Quinta, CA 564-0217 Name of Applicant (please print) Business Address Telephone No. owner -builder 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 20.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 20.00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 0501 DATE APPROVED 2/5/90 EXPIRATION DATE 3/5/90 DATE ISSUED 2/5/90 za t By Administrative Authority TELEPHONE: (619) 564-2246 NOTE: Witli proper validation this form constitutes an encroachment permit CITY OF LA QUINTAL APPLICATION FOR-, PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) k e 5 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 �J.� q Subdivision Improvement Permit — Class III nATFr / Y/� // /�` Minnr Imnrnvemant Permit I'l— w LOCATION OF CONSTRUCTION - ��y� 1/0 ur M- 5"3 (Street address or Description of Location) PURPOSE OF CONSTRUCTION .,Q2c�,� �Sketch (attach construction plans if appropriate) . DESCRIPTION OF CONSTRA)CTION �� '4A y - , DIMENSION OF INSTALLATION OR REMOVAL��% IX 60 ` L,,41�; r 2 '•-ate G�•��� - SIZE OF'EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN._)Of�-6 S, !O APPROXIMATE TIME OF COMPLETION EM -15 ESTIMATED CONSTRUCTION COST $ �3i-2c'l (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•Authoiity at least twenty-four (241 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 nuinta and to pay for any additional replacement necessary a Signature of Applicant or Agent / .S2 —Dal ~ ,612_'A/ h'/at�e 4e- 4A <PwM24- c56 i�r©21-_7'Z' Name of Applicant (please print) Business Address Telephone No. - �I'W,c-F:�. — %� c� � c. Q Yom. .S�rv�-t:� ,��-�� • 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 (mprovement Permit — Class III Public improvements: 3`Yo of estimated construction costs Private improvements: 3% of estimated construction costs ' NO �• Minor improvement Permit — Class IV: See attached schedule Inspection Fee $ I PERMIT VALIDATION Permit Fee PERMIT N0. Penalty Cash Deposit -Surety Bond if required TOTAL: $ DATE APPROVED EXPIRATION DATE DATE ISSUED Receipt No. By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 AL. - NOTE. , Witli 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 A Subdivision Improvement Permit - Class III DATE: /" �� l% Minor Improvement Permit Class IV LOCATION :OF CONSTRUCTION (Street address or Description of Location) r . PURPOSE OF CONSTRU TIONi��-%' �io✓�Gf ��' .Sketch (attach construction, plans if appropriate)' , DESCRIPTION OF CONSTRtJCTI�e"t DIMENSION OF INSTALLATION OR REMOVAL �' ,_1 1_o `f f=G*1.4 ff- , SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION , ESTIMATED CONSTRUCTION COST $ �r/a G� •' (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 (241 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 applicablerule and regulations of the City of La Quinta and to 'pay for any additional replacement necessary as the r f this rk. a Signature of Applicant or Agent %rte✓ �,� X11 ,� oc/ ,�,v.��u�r. e �J�. �- �r� C Name of Applicant (please print) Business • Address Telephone No. f Name of Co ractor and Job Foreman. Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company, I Policy Number FEES: -Subdivision Improvement Permit—Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs TO Minor -Improvement Permit — Class IV: See attached schedule j� Inspection Fee $ ( ', PERMIT VALIDATION Permit Fee PERMIT NO. Penalty . DATE APPROVED Cash Deposit -Surety Bond u if required ' EXPIRATION DATE TOTAL' ;, $ DATE ISSUED Receipt No, By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 y,