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07754 pft1'G"`i�`'r.-.E.S+`•jy:r'x+4,",{3.i:.`fi"^`3+%"trt1G^"F'i�`:"r'"�l.: ity,.,.i+'"t"'";;�.?d'.°''i""y,"y""''''iJt'':v1•,.J+�Ysr..•.3.�eA`'"r,L°Ke,^N'::y"°.ba`V�'�tiv�u'*Nt,: i NOTE: With proper validation r� 2 this form constitutes an CITY OF LA QUINTA encroachment permit. APPLICATION . FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) C� OF TR89wS . 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 III DATE: 8'-9-90Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction. plans if appropriate) DESCRIPTION OF CONSTRUCTION BOMAG GRINDER 9 16 11 WIDE WIBH—BEGAL— 14' HIGH 65 LENGH WEIGHT LFC,AT. HAUL. ROUTE . -- 71 52 AND'JEFFERSON WEST DIMENSION-OF INSTALLATION OR REMOVAL r BOUND TO BERMUDAS SOUTH BOUND TO NOGALES TO NAVARRO SIZE OF EXCAVATION, IF NEEDED HAUL DATE 8,-10-90 APPROXIMATE TIME,WHEN WORK WILL BEGIN• 8' .9-90 F. APPROXIMATE TIME.OF COMPLETION ESTIMATED CONSTRUCTION COST $ ONE DAY` ONLY (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 resultingfrom claims or court action and arising out_of an accident,. loss or daFna a to persons or 9. Y 9 P 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. is work. Signature of Applicant or Agent x A_WCS;WV C_ANja A T1C/aTr T n T+'I1af -, •n - .�. - • u sa t / 1Y L� t Name of Applicant (please print) a business1AVrress �"t' Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ' (1TT PTT:V Contractor's License No. • City Business;License No. QNT T: Ta =. 11V x 1 L' Applicant's Insurance.Company - Policy Number FEES: Subdivision' Improvement Permit — Class III 00518`' f0 b33g 08-09-90 qa. i0, CASH .i TOTAL i 10.00 Public- improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs °0775 . Minor Improvement Permit --Class IV:• See attached schedule ' `p Inspection'Fee $ PERMItT VALIDATION Permit. Fee 10.00 PERMIT NO. Penalty. Cash Deposit-Surety Bond _ DATE APPROVED,.:,R-9-9R if required K EXPIRATION DATE -A- 19-90 8-10-90 TOTAL. $ 1 C- R C D ATE ISS .E Receipt No. By _ Received by ,Date -Administrative Authority'' Recorded by TELEPHONE: (619)'.564-2,246 - „.•.�"r. r • v, � _ r ., . •T.. ; r �.. ^.��..r 'w.'r.,-. +... s_ r , rr„•`w.' �. ti---•r.r ...'\. +.-+.N �� ...,..,: o- -.r. Is v ry M� _� 0+�„(i'�•Ni�"ff�ViY`IA"..'e+..i !b eP G r4 Q '�..��M M: Yi r.rf. W aia w Oulu tl r r M� M. (N 0* Iwo f NOTE: With proper validation 2 this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)�� I'„Sw�ti SOF TE�9 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 III DATE: 8—A -9C1 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Sireet address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION BOMAG GRINDER 916” WT.DE WfEI£—BEGA3— 14 HIGH 65 LENGH WEIGHT LEGAL DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 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: HAUL ROUTE 52 AND JEFFERSON WEST BOUND TO BERMUDAS SOUTH BOUND TO NOGALES TO NAVARRO HAUL DATE 8-10-90 8-9-90 ONE DAY ONLY 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. , MACSEV CANm AND Name of Applicant (please print) Signature of Applicant or '7 A f9 Tw. T Business Address eA ephone No. Name of Contractor and Job Foreman Business Address . Telephone No. ONI VTT.P Contractor's License No. • . nT VTT.F' City Business License No. f'u � Applicant's Insurance Company � Policy NumberJ"' FEES: Subdivision Improvement Permit — Class III 005ig2 10 b335 08-09-90 10 10 GASH+ 1 T OTAL. 1 10.00 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 10.00 $ 10.00 Date PERMIT VALIDATION PERMIT NO. n779► DATE APPROVED 8-9-90 EXP�ATIO.N DATE—8-9-90 8-10-90 DATE ISSUED - Administrative Authority Recorded by II TELEPHONE: (619) 564-2246 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: rl ..LOCATION OF CONSTRUCTION 91 Subdivision Improvement Permit —Class III Minor Improvement Permit Class IV , (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach co tructi n plans if appro riate) DEC 1PTION 91F CONST TI N / `. DIMENSION OF INSTALtATION-OR.REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Ila a% . 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 o:Indemnify,•defend and save thaCity, 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 4started. 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. Signature of Applicant or Agent . Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Privetc improamentu 3% gf onimatlid Gg itryGlign Ggui *♦ O Minor Improvement Permit Class IV: See attached schedule lel Inspection Fee $ Permit Fee Penalty 6eali 9�yis6itauFi3fy Bond if required TOTAL.- NCO! OTAL; ' ::.......... Radvid by bete Recorded by _-.........._ -..._ -.... PERMIT VALIDATION PERMIT NO. s DATE APPROVED EXPIRATION DATE DATUNUID TAdfnlnleeretldo Auth©rlty T�l�EPH9NE; (�19) 664•�Z4�