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08567.isr. ._ .•3",ry,-.+�, ..,+:., ; •'.rri7-Y;''r,�•'':Y+:c"r.-+ .iiYQei �5i\=—!•^.Sar:k.kiS.:,'-.2:5:,;,:^,;wsl..am�F�4~.L.a.'�b `5i.+••�+i�•`,6�•.' i i - __ ae►,�..e•,�na..�9.kw++1•.•w•,M..•+w:r.,+wy.i...� ..a`� ... w.-.e.-:;..w�+,.r.Ra.l NOTE: �,- With proper validation'' 4• ' . ` 2 ' this foam constitutes an t ' CITY OF LA QUINTA- encroachment permit : - > ' APPLICATION FOR PERMIT • $ YPUBLIC WORKS', CONSTRUCTION (ENCROACHMENT) ' s ONE' TRIP OVERSIZE LOAD PERMIT �oFTI�� . i; For the' construction of public- or private curbs, driveways, pavements, sidewalks, parking lots; :sewers, water mains , . and other likepublic works improvement's in connection with°MINOR IMPROVEMENTS and. APPROVED SUBDIVISIONS ' Subdivision• improvement Permit (Class III :+ 'DATE: October2 19910 Minor Improvement Permit Class IV y `' '-..,,L_OCATION'OF,CONSTRUCTION _ =Hove' 6�i�Qn'� iFi. � • -►• �.�.' ,�•� - . ( ` [r ,. ,f S • • • '4 ,' • ' • .. r • •,'moi �1 ' -F ' � r ." � � ,(Street address or.oescription of Location) . E • ` - ' w'v PURPOSE OF.CONSTRUCTION'"-A'f'ae•,r'24401 Sketch'(attach.eonstruction plans if appropriate) f 11 .: fi �'ia-1 �.: ' .+ a ]. >anexth ` h- ' DESCRIPTIONiOF CONST,RUCTiIOW A:4,1_43 4•3rA11ovR6UTEr PROM` AVENIDA� .„ 1 r'ERIANDO =DL'EISENHOWER DRxVE" R !' TO.-WASHINGTON STREET 'NORTH TO 4,),-DIMENSION•OF;INSTALLATION ORREMOVAL-HIGHWAY 111 s '` • ,,, •, �. •_ Haul HeBieYg�ctober 3,'- 1990'` �',^SIZE OF,EXCAVATION; IF.NEE DED t ttt APPROXIMATE TIME,WHEN.WORK WILL BEGIN. .` "'� APPROXIMATE TIME'OF COMPLETION r , r ESTIMATED CONSTRUCTION,COST $' '(Including removal of all obstruction, materials; and debris, backfilling, com-'. ; `- .x ,• ,apaction and placing permanent resurfacing and/or, replacing improveme6ts) ' 1w, Inconsideration of',the grantmg`of this permit, -te applicant ,h6reby1 -ag•rees to: •F: '�; t+'}' Indemnify,•defend and,save:the City; its''uthorized agents, officers, representatives and employees, harmless'from and against'anyand all •, � "` penalties, liabilities or,loss.resulting from claims or court action'arising'out of any accident, loss`or damage to -persons or property ': t '• happening or; occurring,as`a=proximate'result'of any, work=undertaken under the permit granted pursuant+to this application. "i�: Notify the Administrative Authority,aat` least twentoourJ,(24)'hours in advance of the time when work will be started. ' tt •.Comply'with'all applicable.City Ordinances; the'terms and'conditions,_of the permit and all;applicable rules and regulations of the City,of 'La Quanta and to pay for any additional replacement necessary,as'the result of this work.'- •� . S M j _ �' Signature of.Applicant or Agent t•? r'w wetter bu ii lta6k r_ p Ram 23 :Ra de . CA 92502 +sal-�a�a'�. Name of Applicant (please°print) 'r' Business Address •t :Telephone No. ` Name of Contractor.and Job Foi-ernan. f,. Business Address „F - Telephone No.• µ Contractor's License No. y"�, t° `;� • �. CityBusiness License No'. a. �,< •, x. ,. �sApplicant's.lnsurance- Company r f;., Policy Numbe: Ok FEES: Subdivision Improvement Permit—,Class,I l l �' QQ oo �3 : •9Q i� ASI`! .f �i �' W.0 ASH Public improvements: 3°!° of estimated construction costs •�. ' . :�Private.improvements:'3%'of estimated construction'costs © 'Yr- ,Minor•,Improvement Permit.— Class IV: See attached schedule Inspection Fee 1 $ PERMIT VALIDATION j Permit Fee *; 10...QQ . 0856 , PERMIT NO. Penalty ' � • `DATE APPROVED 10/2`/4(1 ' Cash Deposit-Surety Bond , if, required ' ' ' t EXPIRATION DATE 10/3/90 i TOTAL: $ to on DATE ISSUED- .1410/2/90 Receipt No. . By ' Received by + Date �""-� " Administrative Authority Recorded by TELEPHONE: (619) 564-2246 ., {:��iT•:+:7`�c'rf.{�,��'t.i",�•x. . F�-_..f•xrq;,r�r,�A-i'. •/��•�'�3.I ''"a�w..••.lt.rl• �`+%v"�i"„� "�+�s'.r"�ai�,r+'1,�`.%�7..Aa ��iYt-+�si.ln Y•' r' "J''••aprw,7n•!M+Y�/• �!' N GyVaar `w"r' � i. M Vr� •i"EY 6-Y •09 .0> QY! r-!• M .0 v:. w`r a� •., e.. Iw•+••• s. •r r-rya.w� w:'M...�+."••. w r'.q.r.•..a,�;-w-w NOTE:. / r ,With proper validation "O this form constitutes anCITY OF -LA QUINTA -' z, encroachment �pe�rmit. r- . _ _ • - - t _ -APPLICATION FOR, PERMIT PUBLIC' WORKS CONSTRUCTION (ENCROACHMENT)'OF 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_ • . R. ... t'w ! r'v.s-,.:'r�. 'Ya. •.r'SR ♦• ^:,f; ,i.�3 r4 ;. rr', , i - Subdivision Improvement Permit - Class I I I ' DATE: October 2,- -1990 - r. Minor Improvement Permit Class IV. •LOCATION.OF CONSTRUCTION move ,equipment t ' (Street addressor Description of Location) :4, ' s. .^ PURPOSE OF CONSTRUC_ TION 'Qat' 621 -R`3r.rAnPr` ' Sketch (attach construction plans'if appropriate) h 14'6". -W-12' "-'DESCRIPTION OF CONSTRUCTION 2 'axle `t ra'i'l er 1TAUV ROUTE: FROM AVENIDA 'FERNANDO X]§DEEISENHOWER,DRIVE ' r TO WASHINGTON STREET NORTH TO +. DIMENSION OF INSTALLATION OR REMOVAL' HIGHtaAY 111 } r Haul' ftt #!e,- Qctober 3, 1990 aSIZE OF E' XCAVAT10N,'IF NEEDED APPROXIMATE,TIME WHEN WORK.Wl,LI: BEGIN { APPROXIMATE,TIME OF COMPLETION' • w ` ESTIMATED"CONSTRUCTION COST (lncluding,removal'of'all obstruction, materials; and debris, backfilling, com- paction om paction and placings permanent resurfacing and/or, replacing improverrients) Inconsideration 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'ancl against any and all ,, %t�" penalties;' liabilities .or,'loss resulting from claims or court -action and arising out of any accident, loss -or damage to +persons or property ' i ;happening or occurring as`a proximate' result'of any work undertaken under the permit granted pursuant to•this application. ' f, 'Notify the.Aclminiitrative Authority at least twenty-four,(24) hours in.advance of the .time whewwork will be started. Comply'with,all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the.CityFof ' " ''• i La Quints and to pay for any additional.replacement necessary as the.result'of this work.` ~ , Signature cf Applicant or Agent •. idintertpn Trucking• I'O Box T1'123' Rb i side,.CA 92502} 74/683--'4917-' 4 1 ,. T f: `Name of Applicant.(please print)',.` a Business Address Telephone No. Vit•' ,' f.' '1 'i, •y_ •. .. ..4. - - "�, 1 .. Name & Corifractor and'Job Foreman tx• ` Business Address r Telephone No. F 'I' �ti . �-' rr.! t 2 �� 7''r I f ..� '- I' •rY - •.. �� ; .. ' - Contractor's License No: ' ` :r : ' r City Business License No'. Applicant's lnsurance'Company ; , af`' " . Policy i _ ^ FEES Subdivision lmprovemeri't Permit �— Class I I I _` ' K'v ' Public improvements: 3% of estimated construction costs ASH' '!' i 40., 00 Private improvements 3% of estimated°constructiorr costs' 0856 Minor ImprovemMo ent Permit'— Class IV: -See attached schedule i r Inspection'Fee' $ PERMIT VALIDATION Permit Fee. ' 10.00.+" 0856 PERMIT NO. Penalty 10/2/90 Cash Deposit -Surety Bond .;1 DATE APPROVED if required EXPIRAT ONDA TE 10/3/90 w' TOTAL: $ 10 00 'Receipt No. Received by' Date Recorded by I 16/2/90, DATE ISSUE_ D— Administrative Authority TELEPHONE: (619) 564-2246. RCV.BY:Xerox Telecopi,er 7020 10-- 2-90 2:11PM <'• '•^ 17.14818162.4 564561741, . .. !� .t - 1 . a. ` t .. i� ' � ' ,•, . - < ��r' a .. , JUSIT r /ILI ��+.. .. .,>�Rn>x� ;W><xxUTO TR c�tt�� 3.. VAS d.7a�) '��i a1ie2 r�o►' Rot 1129' RUB aB'Ina® CAa {. 683-4917` x(71'4) r ' • J pp ,•*,_ ."1 • a a gyp{ NUMBER,. 07 PA018 tA a 'Api�N1aBfTe9. ,, q 4 OT aj } I� TMYB i4p�E8Mi6sSA� ._®� ILLS BL T