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0795aw5 t ` 4 �toq y�u'kin�at 3"" 2s`fvyl•v .,.-� _ NOTE: With.pr.oper validation t t t Ort 2 thisform constitutes ari. `f CITY OF LA QUINTA encroachment permit APPLICATION. FOR PERMIT - PUBLIC WORKS CONSTRUCTION. (ENCROACHMENT) �• '"�� �w4� 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: '9-21-90 Minor Improvement Permit Class IV' LOCATION OF CONSTRUCTION OVERSIZE. LOAD (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION HAUL ROUTE. FROM WASHINGTON &'48th TO HWY 111 DIMENSION OF. INSTALLATION OR REMOVAL AND WASHINGTON 12 W. IPGAT, T4F.T(;T' W1+T(;HT .AND T.FNTH SIZE OF EXCAVATION, IF•NEEDED , APPROXIMATE TIME WHEN WORK WILL BEGIN II - APPROXIMATE TIME OF COMPLETION - ESTIMATED CONSTRUCTION COST $ (Including removal.of all obstruction,•rimaterials, 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 this work. Signature of Applicant or Agent NUEVO ENGINEERING- 79-811 COUNTRY CLUB BERMUDAS 345-17.78 Name of Applicant (please print) Business Address Telephone No. ame`of Ccin`tracf"x anPJob Foreman Business Address - Telephone No. nr1>Atrrr.� ON FILE. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number' FEES: Subdivision Improvement Permit — Class I II 2 g Public„improvements: 3% of estimated construction costs 00.51 AS'H 151 TA0L8,i�i-901o.00.iq Private improvements: 3% of estimated construction costs ��TT Minor Improvement Permit — Class IV: See attached schedule ' ' i�in 0795 Inspection.Fee $ PERMIT 'VALIDATION Permit Fee 1 (t) PERMIT NO. (17AS Penalty Cash Deposit Surety Bond DATE APPROVED 8-21-90 if 'required. EXPPI-RA IT ON DATE-,; ` TOTAL: $ 10.00 / By ATISS1 Fn c?�EReceipt No: ' Received by Date `�_ Administrative Authority Recorded by TELEPHONE: (6.19).564-2246 ' 4y+:.w�i.MiMKy►'c•�,ra� h Ms � fF.. w r. ...�s. /,.`. r �.+ « r ra +M wN w W M ti w M� Mr �iY •A H �¢.��!I-.r �r. r « � `.. •�Y rr.. �. �i 4. H.' t:. -� y 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 Subdivision Improvement Permit — Class I I I DATE: 9-21-90 Minor. Improvement Permit Class IV LOCATION OF CONSTRUCTION OVERSIZE LOAD (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION HAUL ROUTE FROM WASHINGTON & 48th TO HWY 111 DIMENSION OF INSTALLATION OR REMOVAL D—f; DOZER AND WASHINGTON 12 � W� tC.A.L HETGT WETr.HT ,AND LFZrTH_ SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 5--21-90 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 Quinta and to pay for any additional replacement necessary as the result—of this work. Signature of Applicant or Agent NUEVO EI,'-CINEERING . 79-811 COUNTRY CLUB BERMUDAS 345-1770 Name of Applicant (please print) Business Address Telephone No. Fs CoatavcCtoa-rraavd Job Foreman aoBusiness Address Telephone No. nMW„rT.F 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. 10°00 $ 10.00 Received by Date Recorded by 1.0 0705 PERMIT VALIDATION PERMIT NO. 079.5 DATE APPROVED 8-21-90 EXPIRATION DATE Q-1-1 `° 8— 2 a -moi DATE -ISSUED' By Administrative Authority TELEPHONE: (619) 564-2246 NOTE: Withroper validation 41s 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 DATE:{� 1 I ���..r �� G Subdivision Improvement Permit — Class III -_ A. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Locationl PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION m vt vl nu I DIMENSION OF INSTALLATION OR REMOVAL � �— W a�z95 01 I i a I . , r— /— 41.4 1 /.:.-Moxlt '. t i'1 T—_ 1 )—I r SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 06 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and deb: -is, backfilling, com- I 1 pactlon and placing permanent resurfacing and/or rep acing Improvements In consideration of the granting of this permit, the applicant hereby agrees to: W A�}-I K1 C1 [ O fJ Indemnify, defend and save the City, its authoriied 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 • proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four 1241 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. i �0 4 l _MlkC VIL►JC 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 Private improvements: 3% of estimated construction costs NO Minor Improvement Permit — Class IV: See attached schedule lr Inspection Fee $ II PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246