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0703�,�. � "����'�.'�i•'" •i�+E�l+s-�-'.E�".�i"-W5r�y ��.i'�r+.�-�i,:.W.�'�t:lrrJyN� 3,h„v`�'. `F ��+y5+��`"+ti.ew�..air+:b'hr.cLw.ilPr`1�,,��},.'�.:Crt'�1 Mi�1�� ��i"-5'.li���'.�Y�i{Jur«.�>�'.�=- ,. 'M4�M�'rites'!•+P�^W`.dY�aWrf1'•�=-,... r+,r:.w..,.iir:rv....:i`�.r•.r.. w►.w r. �' R.. 'w r ".. .r.r-r w... «r -r. r.�i...+.. .r �a�ea-. -... r.i.�.. .s: w� r NOTE: • . With proper validation this form constitutes an encroachment permit � CITY OF LA 1.11111M IIA APPLICATION FOR 'PERMIT ' PUBLIC WORKS CONSTRUCTION (ENCROACHMENT), .One trip over size load permit 4 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 I DATE: 6-15-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION ' Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTIONloader ' inf+• Ain 1Af+• Air h+ -"Haul Route: 1 cna 1 G7+ DIMENSION OF INSTALLATION OR REMOVAL 52 at washington east to city limits i SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE'TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ Haul Date: 6-18 or 619 (Including removal of all obstruction,, materials, and debris, backfilling, com- one day only paction and placing permanent resurfacing and/or replacing' improvements) _ In consideration 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 Za92_201 Maag,Pv•wand &rook n n:o_ box 1767-indio Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address. Telephone No. on file on file Contractor's License No. City Business License No. ' on file Applicant's Insurance Company Policy Number 005 i,• p 5 2 Q6 -15 -YO i0 FEES: Subdivision Improvement Permit —Class 111 i.0 AAI i �AL i 50.00 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 1 n n n Penalty Cash Deposit -Surety Bond if required TOTAL:. $ 10.00 Receipt No. Received by Date Recorded by Ns 0703 PERMIT VALIDATION PERMIT'NO. 0703 ,DATE APPROVED 6-15-90 EXPIRATION DATE 6-19-90 DATE ISSUED 4-1 rl—Qn By— Administrative Authority TELEPHONE: (619) 564-2246 7.,3.x"'..` -vs ' J .+..� -,4^• 'TV"i.""7r". �"".t.4":.. •c4,1'.•!.-✓1�r:r�s�.�•t�`^'•„,"'+"^�.•.r'.+'+`�7 "-z+,.+� .�"1'.d�'"., L. '_jh�lf""'',+r,..^" r v-F'MbbY4"�R�h+++R'M 'M .Yr A ♦G.� o�wr w r � N.; 1-YY'vi'w, Y i.",M'�V uw"t M r.-N-YIiw'M lr .6-is�n � �..wr we-rr-....r va w-r^y�...i NOTE: With proper validation this form constitutes an encroachment permit R�;f CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) One trip over size 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 IMPROVEMENTS and APPROVED,SUBDIVISIONS Subdivision Improvement Permit — Class III DATE: 6-15-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION"' Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION ader lnft rin wirlra 1df4- tiro ht- =y 102A1 Wf Haul Route: DIMENSION OF INSTALLATION OR REMOVAL 52 at Washington east to city limits SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 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: Haul Date -.6-18 or 619 one day only 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. Name of Applicant (please print) Signature of Applicant or Agent Business Address ,tea 92201 Telephone No. t Name of Contractor and Job Foreman Business Address Telephone No. on file on .file Contractor's License No. City Business License No. on file Applicant's Insurance Company Policy Number - 0051 ©5 �" 4 06-15-910id FEES: Subdivision Improvement Permit — Class II I 10A! 4OTAL i �0,f�(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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No Received by Date Recorded by PERMIT NO N° 0703 "PERMIT VALIDATION. 0703 DATE APPROVED 6-15-90 EXPIRATION DATE 6-19-90 DATE ISSUED r..1 c; -an By Administrative Authority 4 t• `1 - TELEPHONE: (619) 564-2246 r NOTE: , With proper validation this form constitutes an CITY . OF, ' LA QUINTA encroachment permit ' APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENC70AC ENT), per P . f r o'a %z ©c per /9'7,/ . 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 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach co ruction plans if appropriate) DESCTPTION OF CONSTRUCTION `d'- La t, x/1.2- DIME(ISION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN L ea - 4 ���rnlS y� — -- - ' LC l J�,)4e_ APPROXIMATE TIME OF C0MPLETi0N c� ESTIMATED CONSTRUCTION COST $ (Including removal of a ll. 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. Signet re of Ap licant or Agent s� S - Name of Applica t (please print) Business Address Telephone No. Name of Contractor and J Foreman Business Address lephone No. IOU Contractor's License No. City Business License No. - C Gl Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111. Public improvements: 3% of estimated construction costs Private impmements; 3% gf estimated onstrmion coo Minor Improvement Permit — Class IV: See attached schedule Inspection Fee . $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL; .. Recorded by N@ . PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED— TELEPHONE: SSUED TELEPHONE: (619) 664.2246 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 01 Q Le f!l U �� ✓Yl l° (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach co ruction plans if appropriate) DESCTPTION OF CONSTRUCTION `d'- La t, x/1.2- DIME(ISION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN L ea - 4 ���rnlS y� — -- - ' LC l J�,)4e_ APPROXIMATE TIME OF C0MPLETi0N c� ESTIMATED CONSTRUCTION COST $ (Including removal of a ll. 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. Signet re of Ap licant or Agent s� S - Name of Applica t (please print) Business Address Telephone No. Name of Contractor and J Foreman Business Address lephone No. IOU Contractor's License No. City Business License No. - C Gl Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111. Public improvements: 3% of estimated construction costs Private impmements; 3% gf estimated onstrmion coo Minor Improvement Permit — Class IV: See attached schedule Inspection Fee . $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL; .. Recorded by N@ . PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED— TELEPHONE: SSUED TELEPHONE: (619) 664.2246