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0823�",� .Yr.'aR' .'iy"o'a'+Sif.gi.+ 4+1 r+[• i �q M!. w•�' Safi.• ., ���� y� / �,� �•'!�•`�� 'j�rww `�' � 4� F �'�-t %�i`+f'�k..� ; EpY+a {r;'��ytiSX.s.a�31'"�+.ty-.i{il" � '- �i@"""'•"i�i7',"kY.`�,y+t"�.�:. �.�{Y`s� +.ta' v-iT r• il ' j' '•v� �»V,+,,�. �4T`y� `h! �,1�•�'n .tr r NOTE: i With proper validation this form constitutes 'an encroachment permif_ CITY OF LA QUINTA APPLICATION FOR 'PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) .011rERS IZ I 4-OAp Pte - 1T of 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 Q Subdivision Improvement Permit - Class I II DATE:, ." 'i-� 1 a Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Sti�eetaddress or Description of Location)A PURPOSE OF CONSTRUCTION -E �QV E �QuIDm E Ili Y Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION F37-1 C D01 E. R � � A1A4 �0LtTE V FRED WA.RIMO f, WA5�1(M6TON w 'DIMENSION OF INSTALLATION OR REMOVAL t3' ail" !w� EAST. TO SEFFEI�SON 5DUT1•i 13' I INSTALLATION BION TD . AVE 54 EAST _TD MADISON SOUTH 6M MQl71SD(�l IT'D SIZE OF EXCAVATION, IF NEEDED P(aA W APPROXIMATE'TIME WHEN WORK WILL BEGIN CEI — 9' HAUL DA—iE: 9.1 p _. q 0 APPROXIMATE TIME OF COMPLETION ` ESTIMATED CONSTRUCTION COST .'$ FRoOT 01: LOAD (Including. removal of.all obstruction, materials, and debris, backfilling,com- CPILOT' CAR KECRU IKED) 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 j penalties, liabilities or loss resulting from claims or court action'and arising out of. any accident, loss or damage'to persons or property 1 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. h l O a A.�,e7�1 Ch Signature of60icant'or Agent CP 19)3'1 S ' 1776 n.1UEVv ENGINEERIA/6 -7.9-811 CDUAITRY C LI BERMUDA DUNES Name of Applicant (please print) Business.Address, Telephone No. fttDNI TR 1A 0( IN 6 Name of Contractor and Job Foreman' % Business Address Telephone No. • ti hnl FILE /57' Contractor's License No. City Business License No. ons X/LE O/V ftLE Applicant's Insurance Company Policy Number FEES: ' Subdivision Improvement Permit —Class III Public improvements:. 3% of estimated construction costs' Si$'' b9pq 09—Q7-90 i0 Private improvements: 3% of estimated' construction costs� _AI i TOTAL i 10.00 Minor Improvement Permit -Class IV:.See attached schedule No 0823 Inspection Fee $ PERMIT VALIDATION Permit Fee h PERMIT NO'. ®S Z 3 ' Penalty Cash Deposit -Surety Bond DATE APPROVED 9-7— o if required. EXPIRATION DATE 90 TOTAL: $ /0' O D DATE ISSUED 9-7— 9 0 Receipt No. By2/1,(;(M- IA U-Iq_ D(/Y Received by Date U Administrative Authority Recorded by TELEPHONE: (619) 564-2246 NOTE:, . . i With proper validation 4. :this form constitutes an CITY OF - LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 09't� , 7"rZkP OVe-RSIZt: �_O,Aj> 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 - 9,61 Minor Improvement Permit Class IV LOCATION OF'CONSTRUCTION % (Street address or Description of Location) PURPOSE OF CONSTRUCTION . EAQV r— 66t i T2) 11A F kid Sketch (attach construction pta'ns'if appr6priate) Teo R7-4 a 007— S=ve AIA Lt t, ,DESCRIPTION OF CONSTRUCTION ."r RED WARIM6-4 WA5WMGT0N F EA5T, TO JIFFERSON _;50tH `H . DIMENSION OF INSTALLATION OR REMOVAL 173' 9" IQ2 -T' 7 D MAD150V TD AV F_ 5 4 Ek� 44 ok 1 00 0 1 krr. ':ZDLI TM 6 M MAWSOKI M F 6 AW -. SIZE OF,EXCAVATibN, IF NEEDED XF 01 0. APP'ROXIMATE'TIME WHEN WORK WILL BEGIN C11-7 - Ick 0 �AAUL -APPROXIMATE TIME OF COMPLETION ESTI MATED CONSTRUCTION COST $ FRoo P LbAD 01 (Including removal of all obstruction,,mai'e'rials, and debris, backfilling; ,com- K'EtI) 'paction .and placing, permanent 'resuff acing' and/or. replacing improvements)(P�LOT CAR WRIED In, consideration of the, granting of'this'permit, the applicant- hereby agrees to: 160emnify,'. defend "and. save the City, its authorized agents, officers,. representatives and employees, harmless from and against any and all penalties, li6bilities or loss resulting from claims"br 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 a6ance 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•Quinia and to. pay for any additional replacement necessary as the resultof—th,is_work. Or I A)tIVS7 17764 Signature of A, or Agent ,Ty Applicant Na -me of Applicant (plea`se print) Business Address' Telephone No. ptcow TR U 10 -N Name of Contractor and Job Foreman Business- Address Telephone No.%. - . .......... .... �i L hAll -F" -,Con tractor's License No.. City Business License No. -Aopl icarit's. I nsurance Company, Policy Number FEES,: Subdivision Improvement Permit = Class I I I Public improvements;. 3% 6f.6stimated construction -costs 9-27-91. 0 010 Private improvemehts: 3% of estimated construction 01805i%M F� T L .01 n costs 0 0823'., Minor Improvement Permit — Class IV: See attached schedule Inspection Fee* $ PERMIT -VALIDATION Pdrrnit Fee ©0 - PERMIT NO. Penalty DATE APPROVED ,� -9 0 Cash Deposit Surety Bond if required 0 EXPIRATION DATE TOTAL: $ :,o 0 9�- 7 DATE ISSUED Receipt No. By J ­ Received by Date •Administrative Authority Recorded by TELEPHONE: (619) 564-2246 SEP— 7-90 PR I_....1 i Q ENG I NVING •=� -i�� l NOTE: 917- 3 With proper validation (,)this form constitutes an CITY OF LA OUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCA ACHMENT) P. 02 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 IMPROV4MENTS-and APPROVED SUBDIVISIONS DAVE: �j, J LOCATION OF CONSTRUCTION (Street address or Description of t.oationl PURPOSE OF CONSTRUCTION DI`SCRIPTiON OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL l � SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision improvement Permit — Class III Ahrw Improvement Permit Class tV ,.. a (11 2!!j (attach Construction plans If appropriate) c.tc K 1 P i APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (h)cluding removal of all obstruction, materiola, and debvis, backfilling, eom. paction and placing permanent resurfacing and/or replacing Improvements) In Consideration of the granting of this permit, the applicant hereby agrees to: Indemnity, d0end and rave the City, its eutharlped agents, oftkers, representatives and imployaes, harmless from and against env and sit penalties, liabilities or lose resulting from cteime or court action and ariring out of anytaecident, toss or damage to persons or property happening or ocrurrin9 at o prexlrngte result pf any work undertaken under the permiq }graork nted pursuant to this spoliation, Notify the Administrative Authority at least twantyfour 1241 hours In adven¢e of the tinge when wwill be started. Comply with all apolleable City Ordinances, the terms and conditions of the permit and (elf applicable rules and RVIationf of the City of La Qulnts,and to pav for any additional replacement necessary as the resale ®f this wox, Name of Applicant (please print) ? t (X-C (I.- A ruCYA t Name of Contractor and Job Foreman Lf9�;S� --�Lt Contractor's License No App ant's insurance Company Signature of Appliont or Agent —till Country Club Business Address Business Address FEES: Subdivision Improvement Permit —Class iII Public: improvements: 3% of estimated construction costs la_ Dunes 619-345-1778 Telephone No. ITelephone No. ty Business License No. Poticy Number S E7e- O&CxIA)H L- �2 �SSIGN�� -4,2M. / % AGI L. 4D M'%/E