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0805NOTE: With proper validation this form constitutes an ' CITY OF. LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT) • bNE '�"rZ►P OV��.SrZ.+1., l-OAD ��RM I% 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 �i Subdivision Improvement Permit - Class III DATE: 8-29=90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE EQUIPMENT Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION BOMAG GRINDER HAUL ROUTE: navarro to nogales to bermudas DIMENSION OF INSTALLATION OR REMOVAL 6" wide to ave 52 out to city limits all else legal HAUL DATE:8-29-90 SIZE OF EXCAVATION, IF NEEDED or 8-30-90 APPROXIMATE TIME WHEN WORK WILL BEGIN one day only!!! 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. C7ri�C..GC1?' Signature'of(Applicant or Agent MAACgF.y CAmn ANTS pnrK Pn - ROY 1999 TWjnTn .r'A g9gal Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. PIAT FTT.F. Contractor's License No. ON FTT.'F City Business License No. QN1 FTT.F OOT FTTX. Applicant's Insurance Company. Policy Number ���� n!�_•.�9-9i) 14 0 CASH i TO -1 -AIL I1U.vU FEES: Subdivision Improvement Permit - Class I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs AAT� Minor'Improvement Permit - Class IV: See attached schedule. N2 0805 Inspection Fee $ Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date Recorded by 1 PERMIT VALIDATION PERMIT NO. nQ^izz DATE APPROVED .8-29-90 EXPIRATION DATE8=31-90 DATE ISSUE 8-2 -90 By v' Administrative Authority TELEPHONE: (619) 564-2246 Td� �-yr•-i .I.- �^'. �ti.....^... .a �.--.-...�� '�-yI" J..:.%4L. r _ .. .�r.� r_ .•�..r�.-�.` i.._ .._. ��v 14 ','4"r�'!"e�.i+a;',�w�'w!►�^�wd/f�►�yy�-r. r rw N. r w. r !a�"r ...,.e.. w r �... r .Mr r w w. r .� w r w v/. r w R+ iis�. o .m r....+� M r a. w.... --- ....— r — r .(. — w. w t�+ • NOTE: r, r With proper validation t this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 41AIC —r1Z,1 P OV rc'. Z fc. I -QA p PC -R M t_r 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: 8-29-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE EQUIPMENT DESCRIPTION OF CONSTRUCTION 130MAG GRINDER 99 ;D4MENSION OF INSTALLATION OR REMOVAL 6" wide ,;all else legal SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) HAUL ROUTE: navarro to nogales to bermudas to ave 52 out to city limits HAUL DATE:8-29-90 or 8-30-90 one day onlylil 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 MAA99VV S,11s'Rn AMM iQrV PQ nOY 1nAg TniT)TO CA q?901- Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ON F'TTX ON F'TLF Contractor's License No. City Business License No. ON FTT.P. ON PTT,P` Applicant's Insurance Company Policy Number t AAV ■ j,)n 41% f f A t AM -IM -0A �14 i0- FEES: Subdivision Improvement Permit - Class I I _CA.`N i TUiAL i 14).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: 10.00 $ 10.00 Receipt No. Received by Date Recorded by N11,11 0805 PERMIT VALIDATION PERMIT NO. nonr, DATE APPROVED 8-29790 EXPIRATION DATE8-31-90 DATE ��ISSUED � 8-2�-90 By Administrative Authority TELEPHONE: (619) 564-2246 NOTE; With proper validation "f — this form constitutes an'�,, 'encroachment permit CITY:r OF `LA'� QUINTA APPLICATION, FOR; PERMIT PUBLIC WORKS CONSTRUCTION. (ENCROACHMENT) . pA Tf1� 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 • I ......Subdivision Improvement Permit —Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION -n?,o y6 640u' p Sketch (attach construction plans if appropriate) ' DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL ``rAvGt' V'r0 i� SIZE OF EXCAVATION, IF NEEDED rn-u ; APPROXIMATE TIME WHEN WORK WILL BEGIN 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) %�t1 �l1 i11 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. , Name of ApplicantAplease print) . Signature oCApplicant or Agent 0. 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 improyemOnt;;: 3% of wi.matod gQnstrintign GQsts Private Improvements: 3% of estimated constrlagtign goats N'0 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fa® Penalty Gash D@pasivsuraty Bead if required TOTAL;, Receipt No,. Rialud by bate PERMIT VALIDATION PERMIT NO.. DATE APPROVED EXPIRATION DATE Recorded by _ .. _ ...... TEWKN6; (616)564*2746 - -- - YAdmInlstretive Authority ... — . r NOTE:.. �.' With proper validation ,.<• '' this form constitutes an CITY OF LA ,QUINTA encroachment permit ` y . 1, APPLICATIONFOR PERMIT { 3 PUBLIC. WORKS,CONSTRUCTION (ENCROACHMENT) + $ , ewe�!LI P O><Efe s f Z ; Lo.aD PG2"'t IT of rt�� • y . �y s 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 PerrriiY— Class 111 • , DATE: $-29-9 . Minor Improvement Permit Class IV". LOCATION OF'CONSTRUCTION ` + (Street address or Description of Location) - It, - PURPOSE OF.CONSTRUCTION: MOVE: EQUIPMENT. Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION BOMAG GRINDER HAUL ROUTE:• - . navarro-to nogales-to bermudas t9 wi a to ave- 52 out. to, city~ limits' DIMENSION OF -INSTALLATION OR REMOVAL y, all else legal. �. ^ HAUL DATE: B± 9-90 3 SIZE OF EXCAVATION, IF NEEDED Or , t 8=30-90. APPROXIMATE TIME. WHEN WORK'WILLBEGIN r one day only!!! APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ • �' (Including removal of all obstruction, materials, and debris, backfilling, com- paction-and om- paction and placing permanent resurfacing and/or replacing improvements) In consideration of -the granting of this permit; the applicant hereby agrees to: i .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 124) hours in advance of the time when work will be started. Comply with allapplicableCity 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. r Signature of pplicantor AgeAt: ntnnecrV SAND ]1itiLLROCK T30 ox 'son ITIDIO tell g')7nl l Name of Applicant (please print) ' - Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. } IelN . PTLE. nN ETT.F _ I Contractor's License No. City Business License No. . ; ON Ell g - nw FTT.F Applicant's Insurance Company Policy Number AllSig— — 14 1?1 CASK FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs , Minor Improvement Permit — Class IV: See attached schedule N° 0801;* Inspection Fee $ PERMIT VALIDATION ` F Permit Fee 10.00 PERMIT NO. 9885 Penalty 8-29-90 ' Cash Deposit -Surety Bond DATE APPROVED t ' if required s EXPIRATION DATA 90 TOTAL: $ 10.00 $-2 —90 DATE IS UE Receipt No. - By ' Received by. Date- Administrative Authority Recorded by TELEPHONE: (619) 564-2246 l