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0715
NOTE: Wlth.proper validation �.- "'�• this form constitutes an encroachment permit CITY ,OF LA QUINTA N 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'lll• DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTIONtOF, CONSTRUCT DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION r 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: • Sketch (attach construction plans if appropriate) e5 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 Ctuinta and to pay for any additional replacement necessary as the result o this work. Name of Contractor an Jo Foreman Business Address Telephone No. ©n� Contractor's License o. City Business 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; 379 of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required Abuiot Not:* Naaiv6d by - Date Recorded by N0 PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED _ ...R ._....._.....:......._. I Administrative Authority TELEPHONE: (619) 564-2246 IR 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 I II June 21 1990 DATE`.•` � : .. Minor Improvement Permit Class`IV LOCATION OF' -CONSTRUCTION 79999 .Avenue 52, east end of Sod Farm •aonrox•. 1000 ft ,east`of above address (Street address or Description of Location) ; PURPOSE OF CONSTRUCTION rra o ,•; tr�a Sketch (attach construction plans if appropriate) trees on both.sides of.Ave: 52 -temporarily DESCRIPTION OF CONSTRUCTION 10". PVC irrigation line crossing Ave. 52 0051-82 10 5295 06-22-90 10 GASH 1.TOiAL 1 120:00' DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP ; APPROXIMATE TIME OF COMPLETION 6/25/90 ESTIMATED CONSTRUCTION.COST $ 2,500.00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction. and placing permanent resurfacing and/or repla6ing 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 Signature of Applicant or Agent Landmark Land Co. PO Box 1000 La Quinta, CA 345-2888 Name of Applicant (please print) Business Address r Telephone No. CP Pipe and Grading/ Ken'Long Landmark 774-1292 Name of Contractor and Job Foreman Business Address Telephone No. 551499 on .file Contractor's License No. City Business License No. The Travelers 1977112889 WC 807412465 Applicant's Insurance Company Policy Number , FEES: Subdivision Improvement Permit - Class III, i Public improvements: 3% of estimated construction costs ' Private improvements: 3% of estimated construction costs �.� Minor Improvement Permit — Class IV: See attached schedule No 0715 Inspection Fee $ .120.00 II PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No $ 120.00 Received by Date Recorded by PERMIT NO. 0715 DATE APPROVED 6/21/90 • z EXPIRATION DATE 12/31/90 DATE ISSUE6/21/90 By - - U Administrative Authority TELEPHONE: (619) 564-2246 i is � • ,, 'M�'A`f�'�'�-�'�'�' Nr is. r r. Y: 6 ��rw w� M. r.af .�►^4► 4. r r..� w �. w. i �6. r Qi w Y. M �.•w,•n:. r r"nY s. ��I r...► aj►-sM ^w. -f0 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 I June 21 1990 DATE: � Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 79999 .Avenue 52, east end of Sod Farm anvrox. 1006 ft east of above address 1. (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) trees on both sides of Ave. 52 temporarily DESCRIPTION OF CONSTRUCTION 10" PVC irrigation line crossing Ave. 52 p i 10 5 i CASH 12iQOTa0L 06—?2-90120.00 00 14 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP APPROXIMATE TIME OF COMPLETION 6/25/90 ESTIMATED CONSTRUCTION COST $ 2,500.00 (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'gy ature of Applicant or Agent Landmark Land Co. PO Box 1000 La Quinta, CA 345-2888 Name of Applicant (please print) Business Address Telephone No. CP Pipe and Grading/ Ken Long Landmark 774-1292 Name of Contractor and Job Foreman Business Address Telephone No. 551499 on file Contractor's License No. City Business License No. The Travelers 1977112889 WC 807412465 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 •fy Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ 120.00 Permit Fee Penalty Cash Deposit -Surety Bond• if required TOTAL: $ 120.00 Receipt No. Received by Date Recorded by 1 if PERMIT NO PERMIT VALIDATION 0715 DATE APPROVED 6/21/90 EXPIRATION DATE '' 12/31/90 DATE ISSUE6/2_1�/j'90� U Administrative Authority TELEPHONE: (619) 564-2246