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0741y e+ -•+-+-w.' •, a+x+�>`n�..r,�:ia-r.P::-.�r..�tirr'r•�..•a.-a-q•r- ....�.0 �.-..-.;�..-a' - .«+.a.. . • ,.��o.;...- r ,....,.r .. .�f..•:... r.,..,;'•«. r.r .� �.:.".r .._.,�...,.+i--r..r^... NOTE: With proper validation a� Q +I �� this form constitutes an � CITY OF LA QUINTA encroachment permit m 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' 71 0 Subdivision Improvement Permit —Class II I DATE: — 8-9 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (TER -SIZE LOAD " (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION �V NUEAUL ROUTE AVE 52 iD WASHINGTON DIMENSION OF INSTALLATION OR REMOVAL 991 R SCRAPM NORM .,TO NBLES AVE . 1AIRf11 11f11W 119'. 133 T.RC � SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN'WORK WILL BEGIN 8—CQ APPROXIMATE TIME OF,COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com I 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 undertakenunder 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 resb`lt of t�work. Signatul1euof Applicant or Agent N[IF.VO' FW,_TNFF RIR 79-811 [XkDEW C7-T1R RF'RNI MAS nTw.q 'A49;-177R Name of Applicant'(please print) Business Address Telephone No. JOHivNa e o contractor and Job Foreman Business Address Telephone No. 438834 ,' 157 ' Contractor's License. No. City Business License No. CAL AG INSURANCE CTS009151 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III 005182 10 S86' 07-18-90 iU Public improvements: 3% of estimated cgnstruction.costs i0 CASH 1 .C�'fAL 1 i�� TUU Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection, Fee $.. Permit Fee10.00 Penalty Cash Deposit -Surety Bond if required. TOTAL: $ 10.00 .Receipt No. 0741 L PERMIT VALIDATION 0741 PERMIT NO. DAT'7E APPROVED. EX.P_I.RA-TI.ON DATE `+ 7-18-90 DATER-SIJ:D � 7-18-90 Received by Date% Adrni,n: str"ative'A G? L0 C Recorded by TELEPHONE: (6.19) 564-2246 � .. >',,,%v �.. w._ - ....--`lr �.. -1's1:j�.r.'�""'�N""`'y�'+g7-�"'`:'"''�'..'1.�i��r.-r�v�..��mia.-�.•r""-'�..�`C[�itd'ti^.'"'''`N-t��-y«.n....�rAs �?..�r7 t::q:,. • 1 .'t�A:.rw�'.rw+�.�a-k�.�.r�.::�.r'-.r..ra. rr .w .�.w mow..«. A« -+c rea r. w 'm F.- .r.- w �i."... w r. Ns.a -a.w .h .i. • r w..... ,...� .. r: -r^.► ....+,...� .:.r ..- w.'..:ic-w ger'*w NOTE: R" With proper validation Q this form constitutes an' °s CITY OF LA QUINTA encroachment permit ' APPLICATION I 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: 7-18-90 Minor Improvement'Permit Class IV' LOCATION OF CONSTRUCTION cAM.RST7,E LOAD (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION NUEMJL ROUTE AVE 52 MD WASHINGXV DIMENSION OF INSTALLATION OR REMOVAL 471 R SCRAPER NOM TO MTTM AVE 1A IMF11111111W 119 11A T:a,C SIZE`OF EXCAVATION, IF NEEDED APPROXIMATEtiTIME WHEN WORK WILL BEGIN 1-19-90 N 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) Inconsideration 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 1ofththjis5work. Signatul(e" f Applicant or Agent NUEVOENGI) ERtNG 79-811 COUNTRY CLUB BEIM 4MA.S DUD'S ' 345-1778 Name.of Applicant (please print) Business, Address Telephone No. JOHN. ame oKontractor and Job Foreman Business Address Telephone No. 438834 157 Contractor's License No. City Business License No. CAL AG INSURANCE CTS009151 Applicant's Insurance Company '' Policy Number FEES: Subdivision Improvement Permit — Class I11 0051 '� 07--118-•90 4 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 Recorded by 10.00 $ 10.00 Date 10 GASW i "rdl AL 11 110.00 bra 0741 PERMIT VALIDATION U74 PERMIT NO. 7-18-90 DATE APPROVED EXP_I.R.ATION DATE 7-18-90 DATEISSUED 7-18-90 TELEPHONE: (619) c - NOTE: a`J With pr6per validation thiti 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 DATE:— LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION Subdivision Improvement Permit — Class 111 j Minor Improvement Permit Class IV (J� DIMENSION OF IUSTALLATION OR REMOVAL o t I LL Ili It\ r .1 1 n Cut in , i�C SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 77 1°\ Sketch (attach construction plans if appropriate) to LOA., jj nq-�on A --o Mt �5 v 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: 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 Quints and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778 Name of Applicant (please print) Business Address Telephone No. ,ohn?I Cub n, L Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. 17 t?()09 iIs Appl4eaa*4 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 TELEPHONE: (6191664-2246