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0812 (2)NOTE: , With proper. validationr this form constitutes an +CITY OF LA QUINTA encroachment permit'{ APPLICATION FOR PERMIT . fPUBLIC WORKS•,CONSTRUCTION'.(ENCROACHMENT,,,' ,, . ONE TiRIP OVERSIZE ':GOAD PERMIT � . i . - ° • r dF v For -the •construction .of' public or, private curbs, driveways, pavements,'sidewalks, "park ing lots, sewers, water, mains .::., .and other like public works improvements in connection' with MINOR IMPROVEMENTS,and_ APPROVED SUBDIVISIONS ''Subdivision Improvement Permit—2Class �I II . DATE: AUQUst 31, 199".0 . > ->. Minor`lmprovement-Permii'Class IV LOCATION OF.CONSTRUCTION moveequpinerit • (Street address or Description of Location) . PURPOSE OF CONSTRUCTION ' Sketch (attach construction plans if appropriate) D. SCJRIPTION O.F.,CONSTRUCTION HAUL ROUTE: •'I-10 to Washington 2 wide;, 1. '41-, weight legal �.10 South to -.Htay 1].1 ` DIMENSION•OF'INSTALLA'TI'ON,OR REMOVAL " •' - ; #A Haul date :'September 4 , 1990. *'SIZE OF EXCAVATION, IF NEEDED,,'' • , , one "day trip- only+ APPROXIMATE TIME WHEN WORK WILL BEGIN +' APPROXIMATE TIME'OF COMPLETION ESTIMATED CONSTRUCTION COST $ ' - (Including.removal'of�all'obst�uction, materials; and debris, backfilling„com, paction and placing permanent resurfacing and/or replacing improvements) • ' In consideration,of the'. ranting 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 a, . •. `�+• penalties, liabilities.or loss.resulting from claims or court action,and arising out of any accident, lossordamage to persons or property ''• t,happining orroccurring.as a.proximate resulta.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 applicablerulesand,regulations of the City of h . La Quinta 'and to pay.for any additional replacement necessary as the'result of this work. Signature of Applicant or Agent"' ' F_T.-, itF+aarc+r. • : •1.996 Aiia;; MnnaRaif—>q�1�1=1 Name of Applicant (please print) .•, , Business Address �'; Telephone No. r : , , Name of Contractor ana Job Foreman . a' Business Address . �, + .Telephone No. nn , f i 1: ,• a . kin ..f i'1p . . Contra ctor's'License No. r. �� City Business License No. +• `•, �, " ,.: On '' f i 1-9; f , t ' • "`` , Applicant's Insurance Company * {' Policy Number_- r FEES: Subdivision.Improvement.Permit = Class III *. H Public improvements: 3%"of estirnate'tl construction costs T bb©?•$� a 67 t3 --31-q0 14 C"SN 1 07AL 1, , 1.00 Private improvements: 3/0 of estimated construction costs _ .;£. �•� 08:2 Minor Improvement Permit —Class IV: See attached schedule • Inspection Fee a $ '� , PERMIT VALIDATION ~ Permit Fee a -e 0;.`00 081'2. �.. PERMIT NO. Penalty Cash Deposit Surety Bond �' f • DATE APPROVED' 8[31/90. , if required _ . _ •� _ EXPIRATION DATE • TOTAL: $ 10.00. .8/31/90 - • DATE ISSUED' Receipt No. Y Received by Date r y Administrative Authority Recorded by TELEPHONE: (619) 564-2246 ' a ,. :.w.ai.��hi+r+r•Ai..r!r'.e�r'h�'sr+�[x�1�dr�'y+"r w. .r w. yin ... w� .,;;. �,�,r�; a. a+r•..n..ia.'..a� r s �t► eRa ...► �s. r �r «.� ...r ..... w* n:.� ..r+� r...... w....�^ic -rG �. NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TaIP OVERSIZE LOAD PERMIT 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: August 31, 1990 LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCJRIPTIO.N OF. CONSTRUCTION bZ4 a0zer JZ wide, 14 41, weight legai DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) HAUL ROUTE: 5-10 do Washington south to HwI7 11.1 Haul date: September 4, 1990 one day trip 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. ,.Signature of Applicant or Agent' r.,L. Yeaaer 1995 Auaa Monza Riverside. CA L—GOD—M—OFIOD Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. on file on file Contractor's License No. City Business License No. an f i le 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 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date Recorded by iC 51 ;AS'HD i aj�TO 00-31-90 L 1 µg0 14.00 t4 n Yr+ ® ' 41 .. PERMIT VALIDATION PERMIT NO. 0812 DATE APPROVED 8/31/90 EXPIRATION DATE 9/41/90 8/31/90 DATE ISSUED —, By'r'l " Administrative Authority TELEPHONE: (619) 564-2246 y NOTE: ' With Proper•vaiidation= thls.formcoranwtesan. CITY' OF LA QUINTA encroachment -permit APPLICATION FOR PERMIT PUSUC. WORKS. CONSTRUCTION --(ENCROACHMENT) For the construction of public, or private- curbs, driveways, pavements;, sidawaiks; parking lou; sewers, watltlr ;_ and other like Public, works%improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBOIVISIOW.5f �i_31— 90 Subdivision improvement -Permit-- Class 111 DATE: d c Minor. improvement PermitClass:IV. LOCATION OF CONSTRUCTION!' (Street eddrew or Oasertsl n of Loration►�.k• PURPOSE OF CONSTRUCTION Sketch (_attach construction Plans if app -nix jillm DESCRIPTION OF CONSTRUCTION, - DIMENSION OF)INSTALLATION Oq REMOVAL SIZE OF EXCAVATION, IF NEEDED - APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION f _ ESTIMATED CONSTRUCTION COST S (Including removal of all obstruction, materials, and debris, ba -*filling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: ndemnify, defend and saw the City, its authorized agents, officers, representatives and employees, harrniess from and against anv,saks:all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or orepsavy •• happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notity the Administrative Authority at least twenty.four 424) hours in advanceof the time when work will be started. Comoiy with all applicable City Ordinances, the. terms and conditions of the pemtit and all applicable rules and regulations -of the Chy of La Quints and to pay for any additionahrsplaoenant necesorl► as the resultof this work. Signature of Applicant or Agent 4, Ap,,L Name of Applicant (please print) Efusiness Address Telephone No. Name of Contractor ano Job Foreman Business Address Telephone No. Contractor's L;cense No. City Business License No. t� Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class ill Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule insoection Fee S Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date N° PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative,Authority- Recorded by 11 TELEPHONE! f6191 664-2246, 1 ~ ��, ,. . . - Y 1 Tl• .• �� ' ,. ~ •. • � flit `S .Y yr'NANCY TAKALA -FRYSINGER �!, 310 3 } ' ,'' - _ j :4 ; •,. }� MICHAEL FRYSINGER .I N ,16983 4TH AVE 2441441;• a' HESPERIA, CA 923451 f. ' "U, �` 19 16.66/1220.x1 r y tq the F `�. iX02 O eror ': '``✓'' V�th •• �-.+�11 � M�',r •. :_w. '1 1 .-il1 'y, s! CYC?� ����Q���PS + 7, i ` x ' �.r` - �, _1;.e, -Y'1 t.• :., '•�''�� a. 't_ �h..i. �vF'.'.n,{ -7-� .I .• .,.. .. �° BA KOF AMERICA Nf "'HESPERIA BRANCH 0472; ? P 0 BOX 808 1 ¢, .•r r' p!. - _ - { ' ,� 's✓`Y HESPERIA, CA 92345 ' r 2` L���-0?5 L 3 511' x111': ,44 L 2 2000.66 i�: 3 L0 3 04