0748r.
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NOTE:.'
With proper validation Q
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR. PERMIT
83
PUBLIC WORKS ' CONSTRUCTION (ENCROACHMENT)
+ 0
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots; sewers, water mains-
and
ains-and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit Class III
.- DATE: July. 23, ' 1990 'Minor. Improvement Permit Class IV.'
TR 23268 Bradford -Circle/Forbes Circle
LOCATION OF CONSTRUCTION •
(Street address or Description of Location) .
PURPOSE OF CONSTRUCTION trAnrh Sketch (attach construction plans if appropriate)
instal gas lines.
DESCRIPTION -OF CONSTRUCTION reference` So. Galifornia •Gas
ti
permit #k 0714
DIMENSION OF INSTALLATION OR REMOVA[36 r9Aor� 1 R'" ur
• � , id all conditions of permit 0714 .
u» �A shall apply to this. permit
SIZE -OF EXCAVATION, IF NEEDED
.'APPROXIMATE-TIME.WHEN WORK WILL BEGIN 25 y J
APPROXIMATE TIME OF COMPLETION ria�rc
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 wien.work will be started. y
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.. +
tzo, .n _
Signature of Applicant or Agent _T
` Macco Construction
Name of Applicant (please print) Business Address, Telephone No.
•Macco. Construction . PO Box 783 Palm Desert, CA 343-1.180
Name of Contractor and Job -Foreman Business Address, Telephone No. .
-on file on fi a p,
Contractor's License No. City Business License No.
on .file
Applicant's Insurance Company Policy Number
FEES: Subdivision' Improvement Permit.— Class Ill OOali$o 0 59_53 07-23-y0 lU
' i:0 LSA 1 TOTAL i . L'?0'. 00
Public improvements: 3% of estimated construction costs f
Private improvements: 3% of estimated: construction costs fro = ''
'Minor Improvement Permit —Class IV: See attached schedule N 07-48
Inspection Fee, $ 1.2-0.00 PERMIT VALIDATION
K �•.
Permit Fee,. 0748
:PERMIT NO.' -
Penalty' DATE APPROVED 7/23/90
Cash Deposit -Surety Bond 12/31/90 '
if required EXPIRATION. DATE
TOTAL:. $ 120.00
DATE ISSUED "� .7/23/90
Recei t:No:
p gy
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
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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'AP,PROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE: July 23 1990 Minor'Improvement Permit Class IV
LOCATION OF CONSTRUCTION TR 23268 Bradford Circle/Forbes Circle
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION t-rpnr:h Sketch (attach construction plans if appropriate)
Inisr—
DESCRIPTION OF CONSTRUCTION reference So. Galifornia Gas
permit # 0714 "
DIMENSION OF INSTALLATION OR REMOVAL611 dppn-, IR" -id all conditions of permit 0714
w`de shall apply to this permit
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION lova
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 Quinta and to pay for any additional replacement necessary as the result of
oof this work.
'Signature of Applicant or Agent �~
Macco Construction
Name of Applicant (please print) Business Address Telephone No.
Macco Construction PO Box 783 Palm Desert, CA 343-1180
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file
Contractor's License No.
on file
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: 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
$ 120.00
$ 120.00
Date
005iR
SH A19TQTA�-I3-90124.UO U
0748
PERMIT VALIDATION
0748
PERMIT NO.
DATE APPROVED 7/223/90
EXPIRATION DATE 12/31/90
DATE ISSUED/f ff, 7/23/90
By
Administrative Authority
TELEPHONE: (619) 564-2246