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0568r d NOTE: ] With proper validation f this form constitutes an ! encroachment permit 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 IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit— Class III DATE: April 10. 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52nd Ave. between Jefferson and Washdjngton (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION Oversize Load DIMENSION OF INSTALLATION OR REMOVAL D -8—L— CAT 14.6' W, 15.2' H, 75' L SIZE OF EXCAVATION, IF NEEDED APPROXIMATE 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 4/11/90 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 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. � /� / S ture of Applicant or Agent CAL PERMITS INC. P.O. Box 799, San Bernardino, CA '(800) 344-1911 Name of Applicant (please print) Business Address Telephone No. KEMMIS LOWBED P.O. Box 422, Temecula, CA Name of Contractor and. Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Farmers Insurance Group 60CR21517 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: Receipt No. 10.00 $ 10.00 Received by Date Recorded by ig0518 A�H 13TOTF�LL-i0-90 10.00i0 N! 0568 PERMIT VALIDATION PERMIT NO. 0568 DATE APPROVED _ 4 TGDAY EXPIRATION DATE 4/1V90 DATE IISSUED 4/10w/,9,00 1 By L�erryCoffee Administrative Authority TELEPHONE: (619) 564-2246 �MPrM�I"Wa-vr_..• ... �.- .. - .. ... �� -.��_�.. n_a ::� !�� .Y .qr 4 1� M rr,lr tiA Y DsialY .6. _. _.. __ _. _ �... � _� � __ _ .� �- .- .-. ..� .-r — . _. _ �.. .r - N NOTE: 7 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 Subdivision Improvement Permit — Class I II DATE: Avril 10. 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52nd Ave. between Jefferson and Washington (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION Oversize Load DIMENSION OF IN OR REMOVAL D -8—L— CAT 14.6' W, 15.2' H, 75' L SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 4/11/90 Sketch (attach construction plans if appropriate) HAUL ROUTE: 52nd to WASHINGTON to MILES AVENUE REQUIRES TRAFFIC 2 Pilot Vehicles Vehicle Code CONTROL: per California Requires County Permit 0-1-90-6 APPROXIMATE TIME OF COMPLETION 4/11/90 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 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 Ouinta and to pay for any additional replacement necessary as the result of this work. SSgnature of Applicant or Agent . CAL PERMITS INC. P.O. Box 799, San Bernardino, CA (800) 344-1911 Name of Applicant (please print) Business Address Telephone No. KEMMIS LOWBED P.O. Box 422, Temecula, CA Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. Farmers Insurance Group 60(2215n1e7 License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I 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: Receipt No 10.00 $ 10.00 Received by Date Recorded by i(45f 3 A N 3 ST�tL-10-90 io.00i0 PERMIT VALIDATION PERMIT NO. 0565 DATE APPROVED A / I n / q EXPIRATION DATE 4"90 DATE ISSUED 4/10/90By 1 erryr,04 . C.OYTeYf' Administrative Authority TELEPHONE: (619) 564-2246 this form constitutes an CITY• OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC sWORKS CONSTRUCTION (ENCROACHMENT) r For, the construction of publicor private curbs, driveways, 'pavem`ents, 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: � G �' Minor Im rovement Permit CI P ass 1 LOCATION OF CONSTRUCTION` ✓� (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach, construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION O — - L' .. L ✓ B %� SIZE.OF EXCAVATION, IF.NEEDED = �. APPROXIMATE TIME WHEN WORK WILL BEGIN I� APPROXIMATE TIME OF COMPLETION ' ESTIMATED CONSTRUCTION COST $ , I (Including removal of all obstruction, materials, and debris, backfilling, com- paction om paction and placing permanent resurfacing .and/or replacing improvements) y In consideration of the granting of this permit, the applicant hereby agrees.to:l , 4:. Indemnify, -defend and save the City,, its authorized agents; offic,,rs, representatives and emaioyeesAarrnless feam 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. oe� of Applicant (please print) Signature of Applicant or Agent Business Address Telephone No. Name of Contractor and Job Foreman IN Business Address Contractor's License No. Telephone No. City Business License No. Applicant's Insurance Company Policy Policy Number FEES- Subdivision Improvement Permit'—,Class III Public improvements: 3%,of°es`tiinatecl;constructi6n costs Private improvements: 3% of estimated�eonstruction costs Minor Improvement Permit ---Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond-,, if required TOTAL: $ Receipt No. k.;41 Received by Date Recorded by N° PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246