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07391 NOTE: With proper validation this form constitutes an encroachment permit-'" V s - 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 ,I t ,,and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS J , 7-16-90 Subdivision Improvement Permit - Class III DATE:` Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION - Westward Ho & Jefferson / Jefferson and Palm Circle / (Street addressor Description of Location) ' Street repairs — Gas Co. PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Repave potholes See attached sketch DIMENSION OF INSTALLATION OR REMOVAL ZOU plus -sqrt Refs Permit #488 and.467 .y Pavement must be sawcut Notify 24 hours before SIZE.OF EXCAVATION, IF NEEDED commencement of construction APPROXIMATE TIME WHEN WORK WILL BEGIN 7-17:-90 APPROXIMATE TIME OF COMPLETION 7-23-90 ESTIMATED CONSTRUCTION COST $ $600.?00 r (Including removal of all obstruction, materials, and debris, backfilling; corn- 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 agairist,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 puisuant 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 Ouinta�and to,pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Sunair Paving Co., Inc., P.O. Box 9590, Pa1m.Springs, CA 92263 (619) 325-2112 Name of Applicant (please print) Business Address Telephone No. . Dario Quintero PO.`Box 9590, Palm Springs, CA 92263 .(619) 325-21121 Name of Contractor and Job Foreman Business Address Telephone No. 41.5605 (A) 804 Contractor's License No. City Business License No. Golden Eagle Insurance CCP098027 Applicant's Insurance Company Policy Number t FEES: Subdivision Improvement Permit - Class 1I1 ' + 0051Bl ipL�ASM 580 07-16-90 10 J1 i TOTAL 1 80.00 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs © 0739 Minor Improvement Permit - Class IV: See attached schedule Inspection Fee $ 80:00 Permit Fee Penalty Cash Deposit -Surety Bond if required j TOTAL: $ 80.00 r � , Receipt No. + Received by % Date Recorded by PERMIT VALIDATION PERMIT NO. 0739 DATE APPROVED 7-16-90 EXPIRATION DATE 7-23-90 DATE ISSUED 17-16-90 q / By L inn 4* //'Administrative Authority TELEPHONE: (619) 564-2246 .q7r"`f-z.,,�t,.•�jy.•F3,;j�v�'rit`Z.f.j:?�Is�,::!'1.:.:":l'a""f"",`•;'1f+'I''Y"•-A-'7:."":.,°,.i'�r�'iia..iwl:;�'-g�r's�ji.�r'+`'(3.�[. vK.'al'-'a'�`r'".o`✓,d"`Iii;.•i��:i+".1L�f^c'"•.C�±IY SS�',�'. "�''!.'�Y�"?�fiiV'Ml���•iv`w. r1 fi��r4, i•t'li. r _ ....r �4 �.r .li.:rl. Y� Y• fr �9w. i fY •r 1?• W _tliw'>GL. wi •n' ai iO .r.� .r:rLeW.r w� a r.'.J. Yw-.i r-wi. •.r�..i' ws i } NOTE ;.. With'proper validation Q this form constitutes an ' CITY OF ' LA QUINTA encroachment permit APPLICATION • FOR PERMIT - 'PUBLIC WORKS. CONSTRUCTION (ENCROACHMENT) 0 For the, construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sew ers„water ,mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 7-16-90 } Subdivision Improvement Permit — Class III DATE: ', Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Westward 'Ho & 'Jefferson,/ Jefferson and 'Palm Circle / Avenida Rubio =south of Calle Ensenada (Street address or Description of Location) .' treet repairs Gas Co. ` •PURPOSE,OF CONSTRUCTION'”Sketch (attach construction plans if appropriate) - i DESCRIPTION OF CONSTRUCTION Repave potholes See attached sketch DIMENSION OF INSTALLATION OR REMOVAL :TUU pus •sq >:t, Ref: Permit #'488 and 467 - Pavement must. be ,sawcut k� Notify 24 hours before SIZE OF EXCAVATION, IF NEEDED Commencement Of, construction APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION —13 Ui?' r + ESTIMATED CONSTRUCTION COST $ S6U0." U , ' (Including removal of all obstruction, materials, and debris, backfilling, com-.. ` paction and placing permanent resurfacing and/or,•replacing improvements) 1In consideration of the'granting ofthis 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, liabilifies.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. i Signature of Applicant'or Agent ` ~� Sunair Paving.Co.,-Inc., P.O. 60x'9590, Palm.Springs, CA 92263 .(6.19) 325-2112 -Name of Applicant (please print) Business Address ' Telephone No. ; Dario Quintero P.O. BOX 9590, Palm.Springs, CA 92263 (619).325•=2112 Name of Contractor and Job Foreman Business Address •Telephone;No. • f ' • •415605 (A) 804: _r Contractor's License No. City.Business License No. u Golden Eagle Insurance CCP0980.2'/� Applicant's Insurance Company ?. { Policy Number t "FEES: .Subdivision Improvement Permit — Class III (0S48')` S i7 07--:16-90 10 AS i TOTAL'i 80.00 Public improvements:. 3% of estimated construction costs . '• Private improvements: 3% of estimated construction costs 0739, X , } Minor Improvement Permit - Class IV: See attached schedule. ' 80e00 Inspection Fee $ _PERMIT,VALIDATION' Permit Fee ; PERMIT NO: 07.39 ..Penalty -. .. ?-16-90 Cash Deposit -Surety Bond • DATE APPROVED ' if required'7-23•=.90 E P X IRATION DATE 80.00 , - TOTAL: $• #s 7-16-90 DATE ISSUED Receipt No: l� �G/ifian nl�.u� Received by € Date By G'Administrative Authority Recorded ey TELEPHONE: (619) 564-2246 NOTE: With proper vaiidation this form constitutes an CITY OF LA QUINTA~ encroachment permit " APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) K - 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 DATE: ` ' ✓ �� LOCATION OF CONSTRUCTION (Street address or Description of Locationl PURPOSE OF CONSTRUCTION. 22a'Zi2&9�v DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN -7- V7 -' n Subdivision Improvement Permit — Class 111 Minor Improvement Permi Class IV Sketch (attach construction plans if appropriate) yEE A-rrAe_14- 5/r e- 7r- N q49 7 PAv 0 c-,,. -r f' • APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION, COST $ (Including removal of all obstruction, materials, and debris, bawkfilling, 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 againstyany 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) 1 . ' Foreman Name of Contractor and Job F _ a Contractor's License No. A Business Address Telephone No. e Business-AddressTelephone No. � City Business License No. Applicant's Insurance Compfny Policy Number , FEES: Subdivision Improvement Permit —Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs ��,,��U 7 3 Minor Improvement Permit - Class IV'- See attached schedule lr'' Inspection Fee S R�' d �I PERMIT"VALIDATION Permit Fee PERMIT NO. 7 3 9 Penalty - DATE APPROVED 7-/&:-9 0 Cash Deposit -Surety Bond , if required EXPIRATION DATE TOTAL: ... $ r��• Ob /� DATE ISSUED 7 Receipt No.' By Received by Date Administrative Authority Recorded by t TELEPHONE: (619) 5642246 ', NOTE: • _ . , • ' ' ' :','' . ' ' �' t .. �- • J ��•. r With proper validation f. r 6 _ this form constitutes an CITY OF LA QUINTA encroachment permit ` r APPLICATION FOR'`PERMIT 'f. PUBLIC`.WORKS CONSTRUCTION '(ENCROACHMEN T) t�0 Tf89� i r 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 ° 7-16-90 Subdivision Improvement Permit - Class IN _ • DATE: Minor Improvement Permit.Class IV LOCATION OF CONSTRUCTION WPst-ward Hn & T,-ffersnn' / Tefferson and Palm Circle-/ F Avenida Rut) -in co tth of ' Ca 1 1 e • Ensenada (Street. address or Description of Location)' - - .` r - • ` • ” Street repairs - Gas -Co. PURPOSE OF, CONSTRUCTION Sketch (attach construction plans if appropriate) 46 r } DESCRIPTION OF CONSTRUCTION . Repave potho es f• SeLattached ' sketch ' Ref: Permit #488 and 467 DIMENSION OF INSTALLATION OR REMOVAL 2 0 ,p us sq. ft • 3 Pavement must.be sawcut Notify -.24 hours before SIZE OF EXCAVATION, IF NEEDED commencement, of construction _ •' ,.. APPROXIMATE TIME WHEN WORK WILL.BEGIN 7 0 +; APPROXIMATE TIME OF COMPLETION_MO- 7-23 t ` i• r ESTIMATED CONSTRUCTION COST $: O -- 00 t ` . (Including removal of all obstruction; materials, and debris, backfilling, com- paction and; placing permanent resurfacing and/or replacing improvements) t In consideration of the granting of this permit, the applicant hereby agrees to: , t ' Indemnify; defend and save theCity, its authorized agents, officers, representatives and employees, harmless from and against any and all e ` .penalties; liabilities or loss,resulting from claims or court action and arisirig out of any accident, loss or damage to persons or property -happening or occurring as approximate result of any work undertaken under the per granted pursuant to this application. Y 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 r , • La Quinta and to pay for any additional replacement necessary as the result of this work. ' Si na ure of Applicant or Agent _ Sunaii''Paving Co., Inc.,` P.O.'Box 9590, Paim,Springs, CA 92263 (619) 325-21 Name of Applicant.(please print) f' Business Address -,Telephone No. _ Dario Quintero ; P.O. Eox 9590,, PaIm Springs, CA 92263 • (619) 325-21: f, Name of Contractor and Job Foreman Business Address Telephone No.'- 15605'(A) o.'-15605'(A) F RG4 Contractor's License No. s -City Business License No. r Golden EagleiInsurance CCP093027 Applicant's Insurance Company,' - - _ ,Policy Number. FEES: Subdivision Improvement Permit — Class 111'- • "� 005182 1 5817 07-16-90 V ` ` • 10 CASH i TOTAL 1 .' 80.00 • Public improvements: 3% of estimated construction costs . F Private improvements: 3% of estimated construction costs 7 Minor Improvement Permit — Class IV: See attached schedule ' N° 073.3 Inspectioee $ $0.00 n FPERMIT VALIDATION ' t v Permit Fee, PERMIT NO.* 0739 Penalty ' • - 7-1(;-g(` • ~ ' Cash Deposit -Surety Bond DATE APPROVED if required'• • EXPIRATION DATE •7-23-90 TOTAL` $ 60DATEZ ED 7-00 1G=.9C ` Receipt No. By Received byDate Administrative Authority Recorded by f 'TELEPHONE: (619) 564-2246 ' t 3N�1 K"J Lid W r 00 0 Al ' i. N .►i o coo i loci + ' Ll ► R �. Z0. V <R ul • � y � � � i t � 0001 < j •< � i Y ,} f i 1 i 1 ._ '<! R 0 I • � 0 �� t f oo . v u u 3 W ooa ❑ 0 ❑ ' 0 r,it n m + 4 O R a > O< z Y < < s M h Z ' F F O, 0 M • Ll ► R • W . W Y J r _ 0 < R W ooa Y R > O< M • Yal SIn > tri JO J r i i I O �•00 J >1. i 11 to i0 '• . , Ri .f� r` -, �, r �:r