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05274 NOTE: . With proper validation this form constitutes an encroachment permit 'CITY OF LA QUINTA APPLICATION FOR'.PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP OVERSIZE LOAD PERMIT 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 /i Subdivision Improvement Permit — Class III DATE: 3/15/90 Minor Improve ment,Permit Class IV LOCATION OF CONSTRUCTION Calle Tampico and Washington Street (Street address or Description of Location)-, PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL- I, 25' xH 10! W 1.2' WT 40100D SIZE OF EXCAVATION, IF NEEDED Sketch (attach construction plans if appropriate) HAUL ROUTE: WASHINGTON SOUTH TO'CALLE TAMPICO, EAST TWO BLOCKS, CO. PERMIT NO. 6-89-.65. APPROXIMATE TIME WHEN WORK WILL BEGIN 10051(SA H i2 74. 0-0-90 0--901.0.00 14 APPROXIMATE TIME OF COMPLETION 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. _ Signature of Arocant or Agent Whitnev Machinery 20 Iowa Ave. Riverside, CA 714-682-5353 Name'of Applicant (please.print) Business Address Telephone No. RayTer Inc. •PO'Box 1135' LA Ouinta, CA 564-3535 Name of Contractor and Job Foreman Business Address Telephone No. , Contractor's License No. City Business License No. John Deere.Ins. Co. BA 0097110 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class II I 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: $ 1 D n Receipt No. Received by Date Recorded by 0527 PERMIT VALIDATION PERMIT NO. ^ 0527 DATE APPROVED 3/15/90 EXPIRATION DATE 1/45190 DATE ISSUED- 3/15/90 By Administrative Authority TELEPHONE: (619) 564-2246 Q ?; `NOTE: • r , With proper.'validation r this form constitutes an t 4 encroachment permit. . CITY OF LA�QUINTA , APPLICATION FOR PERMIT .A PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) , r +4 r ®NE'TRIP OVERSIZE LOAD PERMIT For the construction of. public or private curbs, driveways;' 'avements, sidewalks, parking lots, sewers, water mains and'other•like public works improvements in,connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS ` • . nw:, ,,-y, "::Q; ••tih'�•g'�ie .! •1`.. ry p 'k . ,t,h�r•,�";�•.'y �, � �, _ . r '`ti, . • 'Subdivision Improvement Permit - Class I I I' T DATE: .3/15/.90 , •,. ` "•' Minor Improvement Permit Class IV ' Calle'- Tarn ico •and' Wasi'iin ton Street • ;LOCATION OF CONSTRUCTION P 9 (Street address or Description of Location) PURPOSE OF CONSTRUCTION' . Sketch (attach construction plans if appropriate) , l DESCRIPTION OF CONSTRUCTION r HAUL. ROUTE: • WASHINGTON'+•SOUTH •., + . , TO CALLE TAMPICO,I EAST TWO. BLOCKS DIMENSION OF INSTALLATION OR REMOVAL L 25' xH 10 W 12' WT 40.000 CO. 'PERMIT NO. 6`-89-65: SIZE OF EXCAVATION; IF_NEEDED UflSi .' (�' 2 4 (33-0.90 , - 14 .. rAPPROXIMATE,TIME,WHEN WORK WILL BEGIN S4 A 9 I(:PTAI:„1 'IQ.OU. APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ ' r: •; a ♦. i .. �. (Including removal of all obstruction, materials; and debris, backfilling' co paction and placing permanent, resurfacing and/or replacing improvements) s ,• ! '= a 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 from6.claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate resultvof any work undertaken under the permit granted pursuant to this application: i Notify rthe'Adminisirative'Authority at least twenty-four (24), hours in advance of the time when workcwill be started. . Comply, with 'all -applicable, City Ordinances, .the terms and conditions of the permit and all applicable rules and regulations oftheCity of f La Quinta and to pay'for'any additional replacement necessary as the result.of this work. Signature of Apphcant or Agent ' 'Whitney Machinery .20 Iowa. Ave. Riverside,. CA 714-682-535.3' ' Name of Applicant (please print) Business Address x' ` . Telephone No: ' to RayTr Inc.'' PO Box 1135 LA Quinta, CA •'564-3535 Name of Contractor.and Job Foreman Business Address • Telephone No:t%p', 3 Contracto'r's License No. ' , • City Business License NO. hJohh Deere Ins. Co. BA =0097110 '-Applicant's Insurance'Company Policy Number 1 , • FEES: • Subdivision -Improvement Permit — Class I 11, fi• , "• • •3 Public improvements: 3% of estimated construction costs • , ; tPrivate improvements: 3% of estimated construction costs w ®�, Minor Improvement Permit — Class IV:•See attached schedule t' ` • Inspection Fee f$ PERMITai;VALIDATION ' ”' Permit Fee •� 10.'00 ; •• •,, ` K0527 -, PERMIT NO. Penalty, :3/15/9:0 Cash.Deposit-Surety Bond .. DATE APPROVED if required3 / 15 • . EXPIRATION DATE ' TOTAL $`DATE'ISSIJED-- '�_ Receipt No. a��E��.. By Received by Date •Administrative Authority. Recorded by TELEPHONE: (619) 564-2246 , �.. -7,... NOTE:�r. 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 ; r Subdivision Improvement Permit — Class III DATE:" Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION-;— (street ONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) r. I DESCRIPTION OF CONSTRUCTIONLj sB DIMENSI NOF I A kAWIfAl. 75 -SIZE OF EXCAVATION, IF NEEDED ' r, APPROXIMATE TIME WHEN WORK WILL,BEGIN 7 " - '` .Cb ..APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including' emoval of all obstruction, materials, and debris, uackfiliing; eorii- paction and placing permanent resurfacing and/or` replacing improvements) �• In consideration of the granting of this permit; -,the applicant hereby agtees 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. SCJ 41 3z o+Signature of Appl6int or Agent e i y- Z 3s3 Name of Applicant ( ease print) Business Address Telephone No. Name of dontractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. i Applicant's..lnsurance Company �Policy_Number FEES: '.Subdivision Improvement Permit — Class l I I . Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs. Minor. Improvement Permit —Class IV: See attached schedule NO ' Inspection Fee $ PERMIT. VALIDATION - Peimit Fee PERMIT NO. Penalty DATE APPROVED Cash.Deposit•Surety Bond r if required EXPIRATION:DATE TOTAL: $ DATE ISSUED ' Receipt No. r By x Received by Date Administrative Authority Recorded by TELEPHONE: (61,911564-2246' # h Y