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0567V V 4 + Nr. Or -V IF "I it 1".. .1'sw With proper validation V 4, .A* +' A c CITY OF ',-_'LA' Q'UIN"TA. this'f6'rrfi` constitutes ani permit ,encroachment ply 7 'V.PERMIT, APPLICATION, F0 x -PUBLIC--'WORKS',,C(jNST'RUCTION, (ENCROACHMENT) 4.'.,r A .0 f public, o veways,orpave�nents,'�id�vV�lks, pa'rkir�-'Iots,seaers,,vviit For the construction '6 r 'private curbs, Ari er mains 4arid'ot'ger, like public ivoiks improvements in connection Jvith'MINOR IMPROVEMENTS,and APPROVED SUBDIVISIONS A S64'vision. mprovement Permit-, Class III' April 10 �590, DATE.' P Class Minor Improvement ermit -IV, LOCATION OF CONSTRUCTION 52nd'Ave-: 'be'tween`.'Jaf f arsoij, and Washington p (Streetacldress or Description of Locatib;) 'PURPOSE OF. CONSTRUCTION sketch '(att'ich construction plans if appropriate) DESCRIPTION OF CONSTRUCTION HAUL, ROUTE:,, -52nd to'WASHINGTON to MILES AVENUE. DIMENSION OF INSTALLATION OR REMOVAL, 633 Scraper REQUIRES 'TRAFFIC'. CONTROLi - 14 H- 131 W; - 75 :'. T. '2 Pilot vehicles per California Vehicle -Code' SIZE OF EXCAVATION'. IF NEEDED Requires County'.Permit • l0-1-90-6 APPROXIMATE TIME,WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 4/11 7g-0 77 MOVE ON,: April 11, 1950., ESTIMATED., CONSTRUCTION -COST $ .(Including removal f all obstruction, materials, and debris, backfilling; com- paction and ,.:l . �acin`g 'permanent resurfacing and/or re.pla'cing'improvemen'ts) In consideration. of the granting of this permit, the applicant. hereby agrees to:' J indemnify, -defend and save the I City, its authorized agents, offi6rs, representatives and erriployees,llhamless"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 occurr.ing,as a proximate result. of. any work undertaken under the permit. granted pursua nt 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 tierms'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;'' S, ure of Applicant or Agent CAL -PERMITS INC,' P.O. Box 9,.San Bernardifio, CA (800) 344-1911 Name of Applicant (please print) Business Address Telephone No. KEMMI.9 LOWBED P.O. rBox 422, Teme'bula, CA! Name' 'of C , ontractor and Job Foreman Business Address Telephone No. % C6ntractor's License No. City-Busihess'L icense No. -Farmers Insurance Group 600221517xx' Applicant's Insurance Company Policy N.u'm-ber . 4 FEES: Subdivision Improvement Permit —Class 111 005182 10 3388 04-10-90 10 CASH -: i TVAL A 100 Public imp rovements: of estimated construction costs 1U 'Private improvements: 3% of estimated• construction costs 0567 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ r PERMIT VALIDATION Permit Fee 10.00 0567 :PERMIT NO. Penalty DATE APPROVED . .4 t4/1 . 0/90 Cash Deposit -Surety Bond if required . EXPIRATION DATE TOTAL:.$ DATE ISSUED 4/10/90 Recejpt No. Received byBy' , Date J6ery ]D4/'Co'ffeyrA�d-m71`ffstrative Authority Recorded by TELEPHONE:'(619')564.-2246 NOTE: a 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 i April 10, 1990 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52nd Ave. between Jefferson and Washinaton (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION (lir--c-cj DIMENSION OF INSTALLATION OR REMOVAL 633 Scraper 14,8 H. 13' W. 75' L SIZE OF EXCAVATION, IF NEEDED , APPROXIMATES TIME WHEN WORK WILL BEGIN 4/11/90 Sketch (attach construction plans if appropriate) HAUL ROUTE: 52nd to WASHINGTON to MILES AVENUE. REQUIRES TRAFFIC CONTROL: 2 -Pilot vehicles per California Vehicle Code Requires County Permit 0-1-90-6 APPROXIMATE TIME OF COMPLETION 4/11!917 MOVE ON: April 11, 1990 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 applicanthereby 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 I' happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. f• 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. i. Signature of Applicant or Agent CAL PERMITS INC. P.O. Box 9, San Bernardino, CA -(800)-344-1911 Name of Applicant (please print) Business Address Telephone No. KEMMIS LOWBED P.O. Box 422, Temecula, CAS. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Farmers Insurance Group -60022151.7xx Applicant's Insurance Company Policy Number FEES:: Subdivision'[ mprovement Permit — Class 111 005102 10 33.88 04-0-90 to :Public improvements: 3% of estimated construction costs 1.0 CASA i TOTAL. i io.00, Private improvements: 3% of estimated construction` costs �o Minor Improvement' Permit — Class IV: See attached schedule 0,567 Inspection Fee $ PERMIT VALIDATION Permit Fee 10.06 0567 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date Recorded by PERMIT NO. DATE APPROVED 4/10/90 EXPIRATION DATE All > /an DATE ISSUED 4//10/90 Jefty D ✓ COtteYTAdmini'strative Authority TELEPHONE: (619) 564-2246 NOTE: ; With proper validation this .for m constitutes'an }CITY OF LA QUINTA encroachment permit > APPLICATION. FOR PERMIT PUBLIC 'WORKS CONSTRUCTION (ENCROACHMENT) �g 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: l Minor Improvement Pjirmit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE"OF CONSTRUCTION" Sketch (attach construction plans if appropriate) .DESCRIPTION S p 1 ..p Iv ' DIMENSION` ' L —1-0 yk7 fL E S SIZE'OF EXCAVATION, IF NEEDED APPROXIMATE.TIME•WHEN WORK WILL BEGIN 0 APPROXIMATE TIME OF COMPLETION ' ESTIMATED CONSTRUCTION COST $ (I,ncluding re:rwai `of ail obstrut:tio materials;.and debris, backfilling, com paction' and placing permanent resurfacing and/or replacing improvements) ` f In consideration of the granting of this permit, .the applicant hereby. agrees -to: Indemnify, defen6 and save the City,:its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting froem 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 x(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 r. La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent arJn`e of Applicant (please print) "` Business Address , Telephone No. !� is 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 improverrte.nts: 3% of estimated construction costs Private improvements: 3% of estimated construction costs - Minor Improvement Permit — Class IV: See attached schedule N° ' r Inspection,Fee $ PERMIT VALIDATION Permit Fee i PERMIT NO. Penalty f DATE APPROVED Cash Deposit -Surety Bond.. if required EXPIRATION DATE TOTAL: $ ' DATE .ISSUED Receipt No. By—Received by Date Administrative Authority Recorded by TELEPHONE: (619).564-2246 _