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0847NOTE: With proper validation this form constitutes an encroachment permit - .-- - - r - - - r r - r - r - - wW-I CITY OF LA QUINTA APPLICATION -FORPERMIT 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 connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 9/27/90 . Subdivision Improvement Permit —Class, I DATE: 4 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move. equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION' 824 C 13 `h, 1319" W Sketch (attach construction plans if appropriate) . 97,000 lbs DESCRIPTION OF CONSTRUCTION [ HAUL ROUTE c AIRPORT AND MADISON NORTH T0, Ave.. '54', W to JEFFERSON NORTH TO Ave.. 48 DIMENSION OF INSTALLATION OR REMOVAL Haul date: 9/28/90 SIZE OF EXCAVATION, IF NEEDED Pilot car required 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 (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 Apvicant�br Agent N»Pyn Rn cT i nrmari nrT 79—R1 1 (`niint-ry rl tah 11arntir1a l)imng IAC; -1 77A 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 f ile Applicant's Insurance Company.,', Policy Number FEES: Subdivision Improvement Permit —'Class 1.11 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: Receipt No. $ 10.00 $ 10.00 w Received by , Date Recorded'by 005182 10 7256 09--)7-•90 10 1.0 • CASI•I i TOTAL i i0,00 N2 0847 PERMIT VALIDATION PERMIT NO. 0.847 DATE APPROVED 9/27/90 EXPIRATION DATE 9/28/90 DATE ISSUED /9/27/90 By• Administrative Authority TELEPHONE: (619) 564-2246 . � • ;, ..,., • _ � . %, ` r-'a,n , . .. - EF'°� ?.;.T ., 1$Y. �t','1nIR6'nC�iClr+f*� s.vT ;T -7T x[t-cw i�"6 �. _ , . °' 9F4{,01 .roti.,Mi�aw-�a+...+�c�r►,rw:cw.r. wrrM•+aF++r+r� �...�..a r i. w e+ ......— — — — r — r — — — a — a — — — r ci+ — r — — r — — ...— — — — — — - — - NOTE: With proper validation 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 connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: 9/27/90 LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION 824. C 131h, 1319" W 9 i3OUO lbs DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) 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: HAUL ROUTE: AIRPORT AND MADISON NORTH TO Ave. 54, W to JEFFERSON NORTH TO Ave. 48 Haul date: 9/28/90 Pilot car required 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 Ntip.xrn 1�nrii_no-p-rina 79—RII 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 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 00 $ 10.00 Received by Date J 005182 10 7256 0p9 -w `7- 90 i0 J.0 CASH 1 T0TAL 1 10.00 PERMIT VALIDATION PERMIT NO. 0847 DATE APPROVED 9J27J90 EXPIRATION DATE 9/28/90 DATE ISSUED, .19/27/90 By ` ,r Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 (OTE: ,;, lith proper validation Ms form constitutes an ncroachment permit 0 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 Subdivision Improvement Permit — Class 111 DATE: � / ] -(� - J Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION iStreet address or Description of Location) PURPOSE OF CONSTRUCTION 0 1 nin0�1- Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION_ ani m .aeon DIMENSK i 7 1 ►TION 11 1 - SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK`WILL BEGIN _ ` I _38-90 A PROXIMATE TIME OFCOMPLETION P 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. f 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 end 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 all applicable City Ordinances, the terms and conditions of ;the permit and all applicable rules and regulations of the City of La fluinte and to pay for any additional replacement necessary as the result of this work. Signature of A ican or Agent Nuevo Engineering, Inc. 79-811 Country Club Bermuda Dunes 619-345-1778 ame of Applicant (please print) Business Address. Telephone No. of Contractor �land Job Foreman ractor s License No. ican s Insurance Company. Business Address EES: Subdivision Improvement Permit —Class III Public improvements: 390 of estimated construction costs Private. improvements: 3% of estimated construction costs Minor Improvement Permit = Class IV: See attached schedule spection Fee $ ; lermit Fee natty sh Deposit -Surety Bond required TOTAL: $ eceipt No. eceived by Date by Telephone No. City Business License No. n Policy Number NO PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE, DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 , ' r NOTE: „ i it With proper "validation a `• this form constitutes an ` CITY OF LA •QUINTA •` �, encroachment permit ' • APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)E' CFMOFO�S ONE TRIP..OVERSIZE ,LOAD PERMIT , For. the construction of public or private' curbs, driveways, pavements, sidewalks, parking lots, sewers; water mains r n f and otherlike public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 9 / 27 /90 }'• r • Subdivision Improvement Permit — Class III +r - t DATE: Minor Improvement Permit Class IV - LOCATION OF CONSTRUCTION' move` equipment's (Street address or Description of Location) -' 1 - r •' " 'r • " '9" w 13 ' h 1'-'' - - PURPOSE OF CONSTRUCTION 324 C.� Sketch (attach construction plans if appropriate). lbs s , ' . 97,000 . t DESCRIPTION OF CONSTRUCTION HAUL ROUTE: AIRPORT AND r ,. 4 MADISON NORTH TO Aveh. 54, W to JEFFERSON NORTH , TO Ave. 4-8 DIMENSION OF INSTALLATION OR REMOVAL Haul dater 9/28/90 SIZE OF EXCAVATION, IF NEEDED Pilot Car required 1 APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ r - (Including removal of all obstruction, materials, and debris, backfilling; com- `r paction and placing, permanent resurfacin)' and/or replacing improvements)^- In consideration of the granting of this, permit, the applicant hereby agrees to: -. . ` • , . ' lndemnify, 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 courtaction and arising out of any accident, loss or damage to persons or property r --` 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."- 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 Applicant or Agent r • Niipvn Rnqlnpprinj; 79-211 (-nttnt-r�i r111h Rarntirla niinoa ids -177R' r r' Name of Applicant (please print)r Business Address ' ' r Telephone'No. , = ' Name of Contractor and Job Foreman Business Address Telephone No. t on ,file- on 'file Contractor's License No. l City Business License No.' - h �.. J • on file',.. .. ,; k o Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III .: 005182 10'7256 09-27-90' 10 ' Public improvements: 3% of estimated construction costs .10 ' CASH i TOTAL 1 10.00 Private irnprovemente: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule ° N- 08 1"" . Inspection Feer $ r PERMIT VALIDATION. o 1:, 00 ` . Permit Fee PERMIT NO. 0847[ Penalty;A 9/27/90 , DATE APPROVED Cash Deposit -Surely Bond rr if required 1 EXPIRATION DATE '9/28/90 -10.00 TOTAL: $ , sr DATE ISSUED f 9.0 ;Receipt No. Byf • Received by—'bate f Administrative Authority , ' 'Recorded by TELEPHONE: (619) 564.2246 ,