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0846
.:.-...-..rte., ��-•..,...,t^�'-•.r�.•"�^^.••.T Y"`;^�",l' ^l'>^ s .i ' Fey—'� � • - NOTE: r' . r � With proper validation , ,. , _ • � - •� 2 • r` O this form constitutes an CITY .OF LA` QUINTA encroachment permit " APPLICATION:• FOR';PERMIT�.. ` t - ` I �. PUBLIC',WORKS CONSTRUCTION (ENCROACHMENT)' C ONE TRIP OVERSIZE LOAD PERMIT '�oF IRB9 For the construction 'of,public or' private curbs, driveways, -,pavements, • sidewalks, parking lots, ±sewers; =water mains ' and other Tike, public works improvements in'connection with MINOR IMPROVEMENTS a'n&APPROVED SUBDIVISIONS, Subdivision Improvement Permit — Class I I I . DATE'c :9/27/90, Minor Improvement Permit Class IV LOCATION'OF'CO+NSTRUCTION move ecfuiUment r(Street address or Description of Location) t'••nF, I n I h 1 1 1,n 0 ►�ra _ ..PURPOSE OF CONSTRUCTION,' n '�3•�Sketch (attach construction plans if appropriate) ". f i Q nnn DESCRIPTION OF'CONSTRUCTION ' HAUL, ROUTE:`-"TAMPTCO EAST TO • r ' , u i t ' ,-� WASHINGTON NORTH ' TO HWY X111' 151M ENSIONOF INSTALLATION OR REMOVAL WeSt�. to Palm Desert ;City -, IZE F EXCAVATION IF NEEDED - 'APPROXIMATE TIME WHENVWORK WELL BEGIN ' " •`� •*' • ' } _ APPROXIMATE TIME, .OF.,COMPLETION r •'F r f ' - ' ESTIMATED CONSTRUCTION COS T'$ ,. r (Including removal of all obstruction, materials, and"debhs;:backfinirg, com t 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 fPom claims or court aetion,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. 2 • Notify the Administrati4e.AuthoriEy at least twenty=four (24), Fiours in•advance*of the-time when work-wilLbe,startedr > t 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.Alp.plicant,_&'Agent . Nnexro'Endineerina' '79-811,Country Club-.Bermuda,Dunes .345=1778 Name of Applicant'(please•print) '+ ' ' Business Addre-ss �7` Telephone No. ' -y•... } ' Name of Contractor,and Job Foreman - Business Address, . v. :;'`. ' Telephone No.,,' on. ` i1e f �' .. , y on. file - Contractor's License'No. c r ,; . City Business License. No. on f i I ' • �, .,• Applicant's Insurance Company 7 Policy Number' - FEES: Subdivision Improvement Permit — Class.l 11 y , , 405;72iGTR�'17: 90'10.y0 AD Public,iniprovements:'3%'of estimated construction costs , y �. i0. BLAH i 7 "Private improvements: 3% of -estimated construction costs " Q , Minor Improvement Permit — Class IV: See attached schedule . �,�, + ! `I*;. ..• �- t Inspection Fee $ >s r' PERMIT ,VALIDATION _ Permit Fee .1 n -D'�PERMIT NO. 4 `0846t �f +i " _.. • , ,. r. Penalty ••/2.7'/90 r ' Cash Deposit-Surety Bond DATE, APPROVED 9 -if requiredY ' EXPIRATION DATE 9/28/.90 '• '. TOTAL: $ 1 n n n DATE ISSUED 91/219/90' . • Receipt No. r . By— Received by Date { t , Administrative Authority Recorded by TELEPHONE,(61.9) 564 2246 ~ ` '• 1. ;' yPS'�w+'•WMI�'4�-�`�!R"r�fF�,'V� �M .9 M M1+ �r a w•4 � v f� �e'NI' a Y M � � M. W W M Nom' �Y � M'I.W'r � � IY�r'r .� f� M Tl�eM'IM �i M NOTE: With proper validation F this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP 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 conriection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS • l Subdivision Improvement Permit — Class II I DATE: g�27�9© �'•` Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment AS' reet address or'Description of Location) i �. PURPOSE OF CONSTRUCTION nA 1 n # h, 1 1 # 1 a "ca . i 1 An nnA 11-,C!! DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) HAUL ROUTE: TAMPICO EAST TO WASHINGTON NORTH TO HWY 111 west to Palm Desert City 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 NUP-Vo Enaineerina 79-811 Country Club Bermuda Dunes 345-1778 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. on file 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: $_ 10,DD Receipt No. Received by Recorded by s Date 'W'8&RH 1 fQTALr17~g0 0.00i0 0846 PERMIT VALIDATION PERMIT NO. 0846 DATE APPROVED 9/27/90 EXPIRATION DATE •9/28/90 DATE ISSUED 9/28/90 Byl Administrative Authority TELEPHONE: (619) 564-2246 TOTE: Vith�proper validation his form constitutes an ncroachment permit • CITY OF LA QUINTA .APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR. IMPROVEMENTS and APPROVED SUBDIVISIONS Q Subdivision Improvement Permit - Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION I i Sketch (attach coristruction plans if appropriate$ I DESCRIPTION OF CONSTRUCTION G(MX r DIMENSION OF INSTgLLA ON OR _ OVAL SIZE OF EXCAVATION, IF NEEDED, APPROXIMATE TIME WHEN WORK WILL BEGIN n Q 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 resuit of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty -tour 1141 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 A"p icaM or Agent levo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778 of Applicant (please print) Business Address Telephone No. ame of Contra and Job Foreman Business Address Telephone No. ontractor's Lice No. City Business Lice N0. pplicant's Insurance Company Policy Number EES: 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 spection Fee ?rmit Fee malty ish Deposit -Surety Bond required TOTAL: eceipt No. eceived by by $ Date' N° PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246 -- — ,—y,--_— --__—_.------~_--___,.______j__ M-•�''"- :T NOTE: With proper validation this form constitutes an 04 encroachment permit } CITY OF LA QUINTA ' S ` APPLICATION FOR PERMIT. g PUBLIC WORKS CONSTRUCTION' (ENCROACHMENT)�rC t a; ONE TRIP OVERSIZE LOAD `PTP.MIT �yOFTfiE�� 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 + � 9/27/90 ` DATE: `' - Minor Improvement Permit Class IV • - LOCATION OF CONSTRUCTION move' equiptnent • • (Street address or Description of Location) PURPOSE OF CONSTRUCTION �6 .1 n' 1 1 1 0"W Sketch (attach construction plans if • ti , ' . appropriate) , r t ISo. n00 'l rid �d OF DESCRIPTION OF CONSTRUCTION HAUL ROUTE: TAMPICO•'EAST TO , WASHINGTON NORTH TO HWY 111 r west. to -Palm Desert City DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED -APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ' . ' ESTIMATED CONSTRUCTION COST $ • �_ y y • I Oncludin."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 saveahe 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. k Notify the;Administrative Authority at least twenty4our (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 andregulations of the City of . La Ouinta and to pay for any 'additional 'replacement necessary as the result of. this work. •�•I, �! ' i, t Signature of Applicant or Agent Nuevo Engineerin ' 79-831 Country Club Bermuda Dunes 345-1778 Name of Applicant (please print) •Business Address !! r Telephone No. . Y Name of Contractor and Job Foreman. ~Business Address ; Telephone No. E' on 'file '$ „ on .file f } Contractor's License No. ! City Business License No. on. -fi i'e i,Applicant's Insurance Company „ ' Policy Number . M FEES: Subdivision Improvement Permit Class III ,. 00518' 10 7257 09-27-90 SO Public improvements: 3% of estimated construction'costs 10 CASH .1 TOTAL 1 10.00 Private improvements: 3% of •estimated construction costs 't y Minor Improvement Permit - Class IV:.See attached scheduler ,•; t t,T Inspection Fee - , $ r ; + h PERMIT VALIDATION; t' Permit Fee 1 n _ nnr' • 0846 PERMIT NO. _ L Penalty,. . E A Cash Deposit-StiretyBond DATE APPROVED 9/27/90 if required 1 f " .1 EXPIRATION.DATE 9/28/90 m TOTAL: t $ 1 n on 'DATE ISSUED/90- .� k s Receipt No. 5�4 _, t By'. - <Received by Date 4- ' Administrative Authority F , Recorded by TELEPHONE: (619) 564.2246~"