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0822"a NOTE. With proper validation C ` 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 III ' DATE: 9_ 11- 90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 0VF_RS1ZF LOAD (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL r_ ,ca �r+r ont,ta 1 A 11" 1 1 1 1 n nTrT 1 1 0 1 1QT.RC SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 0-1 1-90 Sketch (attach construction plans if appropriate) MAUL ROUTE AVE A2 EAST OF WASHINGTON TO.WASHINGTON NORTH TO NY 111 ONE 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. /1 0, of Ap�plican.`t or Agent ` �TrTglrn �T�Tj.r_T?,1 LMTMr` TMV '7Q..S29 1 C'(1T11�1TI2Y ('T iIA Name of Applicant (please print) Business Address Telephone No. Tf�T-Tt�T QTr'IIt�TT Name of Contractor and Job Foreman Business Address Telephone No. A1QQ1A 157 Contractor's License No. City Business License No. C)M VTT.L ON FILE 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 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: 10.00 $ 10.00 Receipt No. Received by Date 005182 to 6952 09-11-90 S.0 i0 . CASH i TOTAL i i0.00 ° 0822 PERMIT VALIDATION PERMIT NO. 0822 DATE APPROVED 9-11-90 EXPIRATIDN DATE ATT-� DATE SUEDZ-- c;_1 T -on Administrative Authority Recorded by II TELEPHONE: (619) 564-2246 j NOTES \_ 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 9-11-9'0 LOCATION OF CONSTRUCTION OVERSIZE LOAD (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION .,..:.. S DIMENSION OF INSTALLATION OR REMOVAL Fo1> r: Ct-7rmT)uxa 1 A 1 W 1 1 11 01tm 11 Q- 1 1RT.RC s� SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Q-1,)—cin Subdivision Improvement Permit —Class II I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) AAUL ROUTE AVE A2 EAST OF WASHINGTON TO WASHINGTON NORTH TO NY 111 ONE 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. / 4(' (I Ap'jp .��,1� 1Signature of licarit or Agent ATTTT;vn W. Mr_TTR1'FF'.RTNf.' Tar 79-911 COUNTRY CLUB Name of Applicant (please print) Business Address Telephone No. jQMNT ATC'nRTT r Name of Contractor and Job Foreman Business Address Telephone No. A1RA AA Contractor's License No. 157 AK City Business License No. QN F'TT F. ON FILE Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class I II 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 �4}, Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date Recorded by .. 1h ff 00518'0 �a5'S'' 09�-11-90 10 S0 CA, •1 1 TML f 10.00 N TO 0822 PERMIT VALIDATION 0822 PERMIT NO. DATE APPROVED 9-11-90 EXPIRATION DATE q_1 Z—Qt1 DATE ISSUAED`Zz" 91-12-90 By Administrative Authority TELEPHONE: (619) 564-2246 r w this,form constitutes an '�w'-. s. �� '� '•� i- t!. + '-.:Vr�'.� o"3t ;.t.+'r Si,'7' ,t�4•av, mL'.y_•,Pfv''�' r't V encroachmen�t permitKCITY OF LA QUINT ITT `..;-��,` '" r 3`�,°�,`•'' >A�tRt,Gd MGM,() �, _ S 't'^��a�-'�? .T�`: `Lriw-�� ; ��•'�- Y,jb;: PUBLIC-. WORKS;CONSTRUCTIONi<(ENCROACHMENTI _ is - ., _ � wy ... ,. .. �i' •Y',. _ w�• � '•�.r .,. as. ��Fr+ � v+a--e�•S ,�rl. yFor vthe,, construtition--of.public;•orrsprivatedcurbs, driveways;.;pavements;,sidewalks;. parking a lots; isewers,.waterzmans°', z and.other,like public works. improvements in connection with MINOR.IMPROVEMENTSand APPROVED SUBDIVISIONS ' ... h.. �• . rd, �y . y ..fr4'i � Y- r`. ...ta.•• `I •t�4Y `y71� 'z .. Subdivision Improvement Permit = Class III 9-11-901 DATE:'' Minor Improvement Permit Class IV _ - [ ••rr R;-.: 71 a rc 6 a..i .t r: `i•'+r. n: f a ti•e}-*i�M•.1..� LOCATION OF CONSTRUCTION OVERSIZE"LOAD"'� ar: y (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)_,--i;�`. DESCRIPTION OF CONSTRUCTION—.. HAUL - ROUTE - AVE:' 52 EAST OF ."WASHINGTON TO.,WASHINGTON;NORTH TO H; WY 111 DIMENSION OF"INSTAL'LATION'ORkRKEMOVAL ` `` rh,ri•. t�C i T e. �sr`,�,r;++ :'q'',^''"..�"t'4 `:+^.:t.riu+,sy: a 3 .$ Fie dl?i 19 �.S 10 -W L1 9. 3ST.RC SIZE OF EXCAVATION, IF. NEEDED'' ` ,APPROXIMATE TIME WHEN WORK WILL BEGIN 9_12-9A - - ONE.' 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 -Ord inances, 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 AUlicant or /Agent �iH�V61-- gNCjjvgERING Tmr, 7c)—R11 C'OijwT?Y ,_TALE Name of Applicant (please print) Business Address Telephone No. F acNN Picnriz Name of Contractor and Job Foreman Business Address Telephone No. 4242224 157 Contractor's License No. City Business License No.- L8 ; ON FILE Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit.— Class III Public improvements: 3% of estimated construction costs 005182 10 6952 09-11-90. 10 Private improvements: 3% of estimated construction costs ��T10 CASH 1 TOTAL i 10.00 Minor Improvement Permit — Class IV: See attached schedule t�2 8 2 Inspection Fee $ `' PERMIT`VALIDATION Permit Fee 10.00 0822 PERMIT NO. Penalty Cash Deposit Surety Bond DATE APPROVED* '9-11-90 if required EXP DA TOTAL: $ 10.00 / DAT Receipt No. By. Received by Date VAdministrative Authority Recorded by TELEPHONE: (619) 564-2246 I NOTE: With propeevalidation this farm constitutes an encroachment permit .r CITY OF LA GUINTA 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 (] q Subdivision Improvement Permit — Class III DATE: v11 - r Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DISN�VEON OF INSTAL (TION OR fIjE�NOVA � p It I I r\ I , I 12 TQC Sketch (attach construction plans if appropriate) iAaw "-R 0 "-e- 1. SIZE OF EXCAVATION IF NEEDED � �rt r 1 +0 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: 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 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 Quina 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 Applicantplease print) Business Address Telephone No. Name of Contractor and Job Foreman Lf3 g R 2q Contractor's License No. Business Address Telephone 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 1LT0 Minor Improvement Permit — Class IV: See attached schedule lel Inspection Fee ■ Permit Fee Penalty Cash Deposit -Surety Bond If required TOTAL: $ Receipt No. Received by Date PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Recorded by >I TELEPHONE: (619) 564.2246 Administrative Authority