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NOTE: l _ 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 r and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class 111, DATE: June 6-, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION - Madison •St. E/S• N/0 Avenue 58 and Jefferson St N/0 Ave. 54 (Street address or Description of Location) PURPOSE -OF CONSTRUCTION f-ol AnhnnP sprvi mP Sketch (attach construction plans if appropriate) �n a ria c c /n' AI:A • DESCRIPTION OF CONSTRUCTION COUNTY PERMIT: .D902-34 GTE Permit 524 conditions shall DIMENSION OF INSTALLATION OR REMOVAL apply to, this permit f SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6/7/90— APPROXIMATE /7 9APPROXIMATE TIME OF COMPLETION 7/7/90 ESTIMATED CONSTRUCTION COST $ (Including removal of a ll,obstruction, materials, and debris, backfilling, com0/ - 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. a. Signatof Applicant or Agent ' Herman.Weiss�er Inc. 3366 Cherry Ave.,, Long Beach, CA 90802 714/877-2470 . Name of Applicant (please print) Business Address Telephone No. Name of.Contractor and Job Foreman Business Address Telephone No. 183556 1661 Contractor's License No. City Business License No. Great American Ins. Co , GLP2814682 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —'Class I II Public improvements: 3%0 of estimated construction costs Private improvements: 3%of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule' Inspection Fee $ 45.00 ff Permit Fee II Penalty Cash Deposit -Surety Bond if required TOTAL: $ 45.00 Receipt No. Received by Date Recorded by 1 day-,@ $ 45.00 0O0518CASF i9TppOTAL~ii. 07 -�Q 45.40 i0 N2 0684 PERMIT VALIDATION PERMIT NO. 0684 -DATE APPROVED 6/7/90 EXPIRATION DATE 7/31/90 DATE ISSUED 6/7/90 By Administrative Authority TELEPHONE: (619) 564-2246 �. • •-y..,� `a iLr`z..�.rv.a:�.- _. 4. J.';F,.rv's• :r vet.+.+^-.:+r-..-�,.,:r-^�-t...rr �- ..:�'..vi..f-t�"'�.�:.•' K +.w+=o6�e�"tri-'�F-Yr:.+fKiR*{wi.`�!�G�.!�an..q.`�-..`a+'.� �. �1:. W �:. ice « w. r r w;.r w +i. `.:. w.. w•W.:r.w .� r +w. w. w AtLr'.+. r« o.^r a►=+:...a....«'.:, ....,,..v -mow w-w-�'.• �A NOTE: With proper validation this form constitutes an CITY OF LA OUINTA 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 II I DATE: June 6, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Madison St. E/S N/9 Avenue 58 and Jefferson St N/O Ave. 54 (Street address or Description of Location) PURPOSE OF CONSTRUCTION tpl—wohone to ariaac c/n Pr.A DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6/ 9U Sketch (attach construction plans if appropriate) COUNTY PERMIT: D902-34 - GTE Permit 524 conditions shall apply to this permit I x APPROXIMATE TIME OF COMPLETION 7/7 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- i n's; 'r pactlo - and placing permanent resurfacing and/or replacing improvements) t.� J In.consiiieFtion of the granting of this permit, the applicant hereby agrees to: r' 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 Herman Weissker, Inc. 3366 Cherry Ave Long Beach, CA 90802 714/877-2470 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 183556 1661 Contractor's License No. City Business 'License No. Great American Ins. Co GLP2814682 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III 1. day @ $ 45.00 ) Public improvements: 3% of estimated construction' costs 005182 18 4gp 06-07-90f0 Private improvements: 3% of estimated construction costs }}��j R - LAS i TOTAL. i 45.00 Minor Improvement Permit —Class IV: See attached schedule I`�' O 684 Inspection Fee $ . 45.00 II Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ 45.00 Receipt No Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 0684 DATE APPROVED 6/7/90 EXPIRATION DATE 7/31/90 DATE ISSUED 16/7/90 � By .�i-s Administrative Authority TELEPHONE: (619) 564-2246 d 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 III DATE:. ��- v \ �9C v Minor lmprovement'Permit Class IV LOCATION OF CONSTRUCTION NIAD6S'O� S'� EIS A0 AE' S 8 ',�,aFrwJco Av { (Street address or Description of Location) - PURPOSE OF CONSTRUCTION -17CLCP140) C_ S CZI�Ia 70 Sketch (attach construction plans if appropriate) >��EA; So i�A ECr DESCRIPTION OF CONSTRUCTION q0 Q UZ�� . DIMENSION OF INSTALL'ATION.,OR REMOVAL E L AT'7(Ac44 0 S Z \- .f SIZE OF EXCAVATION, IF NEEDED " APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Inc'u-Jing removal Cif all obstruction,,materials, and debris, backfilling, com- . paction ?nd 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 Ordinancas, 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 /. I,/ /I_____. A.., Name'of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 1 � 3 5.x(0 • ' 11A (Licen' Contractor's License No. r City. Business se No. ( 7 kic-4( tnf SJR9� CE �n �-, L 1p 2 e 1,468 Z 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 Improve'mentRermit = Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty 4 Cash Deposit -Surety Bond if required TOTAL: �$ Receipt No. Y Received by Date Recorded by PERMIT VALIDATION PERMIT N0. DATE APPROVED EXPIRATION DATE DATE ISSUED 'By Administrative Authority TELEPHONE: (619) 564-2246 • (�dh1�21� Jai,' •; ' -. Dro I�r. C C �h�0 /� ►�r� j s��� 00 —payss 131�1 Ce wn tl d© 7 rr ` C �% `i [trjz =TI ` JG Aii) , "fit •.c iw�tr ...r :•'�eesk.:�.�.n�Wy�+.k+*.o.'c.+i�'�9 - . . - !- PRO A Equipment Make your first choice PRIME. CALIFORNIA Indio Ontario San Bernardino Victorville (619)347-5195 (619)328-8062 (714)984-2291 (714) 889-8341 (714)684-5464 (619)245-6401 68 locations coast-to-coast