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0603ib-.�•.'.cif•i q—,• , a -r J• '+a.r _, _. aN , .. ti ,...!..:-."�,•Y. °_„F': 'vi z., ■ ^��i..w .'F'`r� - . • 0 witn proper.vanoatlon , ;this form constitutes an CITY OF LA QUINTA r encroachment permit 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'IMPROVEMENTSand.APPROVED SUBDIVISIONS . •s Subdivision Improvement Permit — Classal l ' DATE: April 27, 1990 '? Minor Improvement'Permit Class IV Move equipment LOCATION OF CONSTRUCTION .(Street address or Description of Location) . PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) HAUL ROUTE:.. 50th and Washington ' -DESCRIPTION OF CONSTRUCTION Cat 633- to. HighWay.' 111"_ 9” T4 13'6" WF 90 L: r TRAFFIC PILOT CARS WILL BE ` DIMENSION OF INSTALLATION OR REMOVAL REQUIRED (2) SIZE OF EXCAVATION; IF NEEDED,- APPROXIMATE EEDED- APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL DATE: ti'. April 30, 1990 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal,of all obstruction, materials, and debrisi backfilling, com paction and placing permanent ;resurfacing and/or replacing improvements) In consideration of •the granting of this permit, the applicant• hereby agrees to; �Andemn ify, 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. f , Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. } Comply with'alI :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. _Sig re•of Applicant or Agent , Schwab Sales 175 E. Warner -Rd. Chandler AZ. , Name of Applicant (please print ► • Business Address -Telephone No. Name of Contractor, and ,Job :Foreman Business Address Telephone No. . on file on file f. Contractor's License No.. "' i City Business License No. 'Applicant's Insurance Company Policy Number FEES:` Subdivision Improvement Permif— Class III 80518:1 10 3897,04-27-00 Public improvements: 3% of estimated construction costs x i • , CASH i TOTAL i it> a00 Private improvements: 3%of estimated construction costs �T®.6 Minor Improvement.Permit - Class IV: See attached schedule N2 0 InspectionFee `'$. PERMIT VALIDATION , - • . • 10 . 00 ` Permit Fee . 0603 PERMIT NO. Penalty '4)127/90, Cash Deposit Surety Bond 4'' DATE APPROVED if required EXPIRATION DATE -4/30/90 .TOTAL: $' 10.00 • ; . DATE ISSUED4 2'7 90 Receipt No. �� 1 By -.L sE �._ w Received by Date v 'Administrative Authority Recorded.by TELEPHONE: (619) 564-2246 I arr..�:s.4'rf' ;re•'.�•Kcw.+,�(�;' •fR•�:�'ac"t'�'..� .a eye 'r.. !i. r .!•�..... �.c. w r r ....r,..�. �+...� .. r .u.., nr. w..a: r � ....w .� ..b r ... r�....a. - o �. r n� a- r ..�� .w -.. a .�r' o • ta'w NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP OVERSIZE LOAD- PE1U,1TT 1 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 MINOR1MPROVEMENTS and APPROVED SUBDIVISIONS April 27 1990 Subdivision Improvement Permit — Class III DATE: r Minor Improvement Permit -Class IV LOCATION OF CONSTRUCTION Move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION Cat 633 -scraper 1511711 H. 1316" w. 90 L DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) HAUL ROUTE: 50th and Washington to Highway 111' TRAFFIC PILOT CARS WILL BE REQUIRED (2) HAUL DATE: April 30, 1990 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 Applicant or Agent ",Schwab Sales 175 E. Warner Rd. Chandler AZ Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. on the on file Contractor's License No. City Business License No. t 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 Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. 10.00 10.00 Received by Date Recorded by f UOSi CAI i T�7AL4 �27--9q�("1.Oq 1U XTa -0603 PERMIT VALIDATION PERMIT NO. 0603 '4/27/90 DATE APPROVED EXPIRATION DATE 4/30/90 DATE ISSUED©_ . 4/27/90 By /%. A--. Administrative --.Administrative Authority TELEPHONE: (619) 564-2246