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0554NOTE: With pr.oper'validation this form constitutes an, encroachment permit 4 CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OVERSIZE LOAD ONE TRIP 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 Subdivision Improvement Permit — Class III DATE: 4/3/90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — MOVE F.OTTTPMEN.T (Street address or Description of Location) PURPOSE OF CONSTRUCTION move -250 loader Sk t h ( h I f DESCRIPTION OF CONSTRUCTION f DIMENSION OF INSTALLATION OR REMOVAL 1�ha�l •z�r7�1. l-,��r.l��- roiT,nv...se��}� SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 4/3/90, e c 0 G construction p ans i appropriate) HAUL ROUTE:. AVE. 50 to�Washington to Eisenhower Drive, N to Coachella Drive, Co. Permit D-4-90-3 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. Notifythe 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 wUoW. Sigria'tu"Fe 6f/Applicant or Agent F. J:°-Stowells PO Box 10.59 Vlndo, CA 92201 Name of Applicant (please print) Business Address —4 Telephone No. Name of Contractor and Job -Foreman Business Address 4, Telephone No., on file on file Contractor's License No. 'City Business License No. , ,,on file Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 1.11 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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No Received by Date 100 5i CASH i 5i A�4 43-94.i0.40 10 0554 PERMIT VALIDATION PERMIT NO. 0554 DATE APPROVED d /i fan EXPIRATION DATE 4/3/90 DATE ISSUED 4/3/90 By Recorded by II TELEPHONE: (619) 564-2246 Administrative Authority NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OVERSIZE LOAD ONE TRIP 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 Subdivision Improvement Permit — Class I II DATE: 4/3/90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — MOVE EOUIPMENT . (Street address or Description of Location) PURPOSE OF CONSTRUCTION move 250 loader Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION HAUL ROUTE: AVE. 50 to Eisenhower Drive, Coachella Drive DIMENSION OF INSTALLATION OR REMOVAL -4dth hgigb I J oug= ht Co: Permit D--4-90-3 ./ J fig SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 4/3/90 to /3 90 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: to Washington N 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 4 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: Signa'tu're 6f/Applicant or Agent F. J. Stoweils PO Box 1059 VIndio, CA 92201 - Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. on file on file Contractor's License No. City Business License No." .on file Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III gOSi ' 10 V -03-90 10 -Public improvements: 3% of estimated construction costs iQ CAS 1 0 rAi 10 ..00 Private improvements: 3% of estimated construction costs N1• -p 0554 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: {' $ 10.00 Receipt No Received by Recorded by Date PERMIT VALIDATION PERMIT NO. 0554 DATE APPROVED 4/3/90 EXPIRATION DATE 4/3/90 DATE ISSUED 4/3/90 By Administrative Authority TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an encroachment permit i 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 IMPR,OVEMENTS'and APPROVED SUBDIVISIONS Subdivision Improvement Permit - Class I II DATE: `�-� ~ Minor Improvement Permit Class 1V LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION 4.5_o U Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTR�1� DIMENSION OF INSTALLATION OR REMOVAL PPS/Q 11 1,f"ZIPUZ - Tv SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ' 70 ESTIMATED CONSTRUCTION COST.$ � (lnclud!ng,remova! cf all obstructions, 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. r of Applicant K Name of Applicant (please print) Bustness Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License N City Business Li se 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 NO Minor Improvement Permit — Class IV- See attached schedule lr Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by Il PERMIT VALIDATION PERMIT NO. DATE APPROVED r EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 t F.,X. S' TOWELLS, JR.'; . 3'3 4 8' • M: J. 'STOWELLS: '• ,� �nri r ,. P ' O:.BOX 1059 `t 774-1359 INDIO:CAt9?202:-9Q-288/1272 r s.rcK p_ L 45900:Far 4lndio; CA 92201 'i:"1.2 2:20;2:88A"X :'3.34'8,,.0 30.1 19 2°5» 8q �i: