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0765S. :iE.�Yk:'� 'rVR� •""rq.,,!'i'A'•. .'tA.34 .� .�`.�!!�"i'•"�.:- .. �'� � r..}�V.s'� yR,. ';��.' ''ii• [R.' 'i^��__ 11 QLr�' J.f•�;-�. -. �� �"-i• c eii ..'. f''ai"`A1 4 ♦.`.'•+_��7"1•l..+,!<"; {};�'-4'''i�i, .,., ri. . �.'v*"►� �' 'i.1lh'�! K° 7. tV,.r '�...�J+ew�.•.h +��'Yw• 'vv.}'�4. �•± �.,+ i"-1 � 44 iii {, ` � � . r NOTE: With proper validation r 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 it i` , -. Subdivision Improvement Permit — Class II I DATE: Auqust 1, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenue 50 V00' w/o Section corner of Adams st extending w/o Park Avenue (Street address or Description of Location) PURPO E,OF,CONSTRUCTION t0 place telephone Sketch (attach construction plans if appropriate) faci�li.ties DESCRIPTION OF CONSTRUCTION 9 4" con ults to existing cross connect box froF existing SEE,ATTABBDD DRAWING AREA OF WORK manhole 32. DIMENSION OF INSTALLATION OR REMOVAL of —4 IN WORK ORDER GTE 543-311781. reference CTV permit 0729 SIZE OF EXCAVATION, IF NEEDED 381 long 21—wide all' conditions of permit 0729 4' deep apply to this permit APPROXIMATE TIME WHEN WORK WILL BEGIN iii 9 APPROXIMATE TIME OF COMPLETION 10/1/90 ESTIMATED CONSTRUCTION COST $ 2,500 (I.ncluding 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, ha�rrilessfrom�a'nd against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persdns.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. Signafu> of�Applicant or Agent Hermam Weissker Inc 3366 Cherry Ave. Long Beach CA 714/877-2470 Name of Applicant (please print) Business Address - Telephone No. same Name of Contractor and Job Foreman Business Address Telephone No. 183556 1661 Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III 1 day inspection i05Li3� LrAS'H 52 TOTAOL7-106-94 40.Cq Sq Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs o - Minor Improvement Permit — Class IV: See attached schedule 0765 40.00 Inspection Fee $ PERMIT VALIDATION Permit Fee PERMIT NO. 0765 s Penalty 8/1/90 Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE 12/31/90 `. TOTAL: $ 40,.008/1/90 • DATE ISSUED Receipt No. By Received by Date �'"� Administrative Authority Recorded by TELEPHONE: (619) 564-2246 .+ria+.+�,�:a�.��-�.a-.C,a.s�w-.`a ks�:.w�werr. v q. nw sw �. r w ..�.r d� � �n r r .r w ....r r `. rr w r r w.w w. r .o'.,.��i' r.... rr •.. r .. er. r a r+. r + q. a : -ro w w d 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 DATE: Aucrust 1, 1990 Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Twenue 50 900' w/o Section cornea of Adamo hit extending w/c Parr 1ivenue (Street address or Description of Location) PURPOSE OF, CONSTRUCTION to place telephone Sketch (attach construction plans if appropriate) facilities DESCRIPTION OF CONSTRUCTION 41411 conclultss to existing cross connect k:ox Irom exist ng SLE; ATTABEiDD DRAU?ING AREA OF VIORK nj'nY1�ll v ai DIMENSION OF INSTALLATION OR REMOVAL 38W 01 4-4 SIZE OF EXCAVATION, IF NEEDED 3U1 Jong wicie 9' a!eep APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 10 i/y0 ESTIMATED CONSTRUCTION COST $ 2,500 (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: IN tv©RK ORDER GTL 543-311781 reference GbL permit 0729 all conditions of permit 0729 apply to this perruit 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. tIt:a bgnature=of Applicant or Agent Herma>it. Weissher Inc 3366 Cherry Ave. Long beach CA 714/877-2470 Name of Applicant (please print) Business Address Telephone No. same Name of Contractor and Job Foreman Business Address Telephone No. 183556 1661 Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 1 day inspection `� Public im rovements• 3°/ of estimated construction costs i�� i8�'-A�H � �MA�L i4��90 40.0 i�? V o Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 40.00 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ 40.00 Receipt No. Received by Date PERMIT VALIDATION 0765 PERMIT NO. {l DATE APPROVED 8/1/;C EXPIRATION DATE 12/31/96 DATE ISSUED x/1/90 By Administrative Authority Recorded by „ TELEPHONE: (619) 564-2246 vv =5. Ic q 16AL -DE7791!_ PL. Mpl 4.4"P i 1 LK.. A/. e 3fi /777' L W —'S NOTE UUORK , TORE LOM PLETF'-BY ' CONTRACTOR-' • r - 1 E Am SCA t� N" CONTR" r U G COAD 4 TC. 214 ES ma"survw A . !X A rl0N AVENUE SO W/O PRE K--AVEMU E ��...• You `. XC4ANGE �_- t 'SSUE CATE PPFOVAl5 I 4,43 f ~ 'MG St PERMIT I DRAWING Cy' CONTRACT_'.DEAWING DWG.N A T', 2NT G -18-9D • t t ELATED DWGS. WORWOADEA� A -.B-C_ 5.43=3./l78