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0642'-tea.'��.dic..a«o.�:.=..a,,,i,.��w:%d�-'1blr"�-�.�.-,..q+ a.+`.�:--+s+.�,••s„F'..t.Y.rFW-�-+,-Y+.-..r^^rr—.. r.---...,..,_-,...+w�w.•,,,�ri.w-i.A.i+>+.n•.•: ir.:,;,ro�..�C°'ibw.:.w�pt, �►a�.' "�"�,. -. ... w'�... ,.: �,.w.. -.,. ra ....,...r. ...,r .,.. ...:.r. .�......w.,........�..�.r.nwo..,�.....�r •..�.^.-..«+-..�..w ,.�..�. ,r:...�.... ......�...�-��..,... r NOTE: With proper validation 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 II I DATE:' May 17# 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Calle Nogales S/S between Avenida .Bermudas & Avenida Juarez..also Avenida Bermudas W[S between Calle-Nogales & Calle Ensenada, also (Street address or Description of Location") CalleEnsenadas NIS between Avenida - Bermudas & . Ave . Navarro PURPOSE OF CONSTRUCTION Sketch (attach construction plans.if appropriate) burn communication. cable_ within right aht of way. DESCRIPTION OF CONSTRUCTION ape attached drawing ce�� DIMENSION OF INSTALLATION OR REMOVAL a SIZE OF EXCAVATION, IF NEEDED co �•,Qi( Vlll�`" S�'�, APPROXIMATE TIME WHEN WORK WILL BEGIN 5/21/90 APPROXIMATE TIME OF COMPLETION 6/7/90 ESTIMATED CONSTRUCTION COST. $ (Including removal of all obstruction, materials, and debris, backfilling,.com- pact-ion and placing permanent resurfacing and/or replacing improvements) In consideration of the grating 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 ESigraiure of Applicant or Agent . r California Wire& Telephone Inc. 22495 Lopez St. Perris; CA 92370 (714)657-6079 Name of Applicant (please print) Business Address Telephone No. same Name of Contractor and Job Foreman Business Address Telephone No. 504394 - 1647 Contractor's License No. City Business -License No. CNA/Talbot Acrency GL903441509' " 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. Received by . Date Recorded by AA��5189 i0 408T05-0-90 90 10 -C 0642 TAL i .630.00 PERMIT VALIDATION PERMIT NO. DATE APPROVED :�7 EXPIRATION DATE DATE ISSUED By— TELEPHONE: (619) 564-2246 ministrative Authority *-- — — r f `.,. — — — — — — r — — w — — — w w — — — — — — — w — — — w — s — K ,p ti NOTE: 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 I DATE: Nav 17, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Calle Nogales S/S bctween Avenida Bermudas & Avenida Juarez, also Avenida Bermudas W/S between Calle Nogalen & Calle Ensenada, also (Street address or Description of Location) CalleEnsenada€ NIS between Avenida Bermudas n Ave. Navarro PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) bury- communication cab1c within right of way DESCRIPTION OF CONSTRUCTION nee attached drawinc DIMENSION OF INSTALLATION OR REMOVAL r ' SIZE OF EXCAVATION, IF NEEDED, Ns APPROXIMATE TIME WHEN WORK WILL BEGIN 5/21/90 APPROXIMATE TIME OF COMPLETION 617190 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. ,;§ nature of Applicant or Agent California 11ire & Telephone Inc. 22495 Lopez St. Porri:, CA 92370 (714)657-6079 Name of Applicant (please print) Business Address Telephone No. same Name of Contractor and Job Foreman Business Address Telephone No. 504394 Contractor's License No. 1647 City Business License No. CNA/Talbot Agency GL903441509 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II 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. Received by $ ,� Date PERMIT VALIDATION PERMIT NO. DATE APPROVEDH�i`'� EXPIRATION DATE Z DATE ISSUED By- Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 NOTE: ' With proper validation this form constitutes an encroachment permit CITY OF .LA QUINTA APPLICATION FOR PERMIT - PUBLIC WORKS CONSTRUCTION (ENCROACHMENT). For the construction of publicor 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 111 DATE: 5/15/90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION —Calle Nogales S/S between Avenida Bermuda & Avenida Juarez also Avenida Bermudas W/S between Calle Nogales & Calles Ensenada -also Calle Ensenadas (Street address or Description of Location) N/S between Avenida BErmudas & Ave. Navar i . PURPOSE OF CONSTRUCTION Bury communication cable .within Sketch (attach construction plans if appropriate) right of way. DESCRIPTION OF CONSTRUCTION See attached drawing. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN. 5/2 1 f90 APPROXIMATE TIME OF COMPLETION 6/7/90 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 my accident, loss or damage to persons or property rjt, .• ,.happeningtor-occurring as,,a�praximate;res6iv& any„work;undertaken,,under,tfie"ipermit`granted.pursuitnt t -'':this' apilicition: ' P' ` s ta;"at ;'. 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. 4 Signature of Applicant or Agent CALIF WIRE & TE.L•EPHONE„�22495 Lopez St., Perris, Ca. 92370 (7 14) 657-6079 Name of Applicant (please print) Business Address t Telephone No. CALIF. WIRE & TEL)PHONF.Mike Nieblas 22495 Lopez St., Perris, CA 92370 (714) 657-6079 Name of Contractor and Job Foreman Business Address Telephone No. 504394 w Contractor's License No. City Business License No. CNA/Talbot,Agency GL90344`1509 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. Received by Date Recorded by N° PERMIT VALIDATION PERMIT NO DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEf-HONE: (619) 564-2246