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0882C �•J�"' °�+�+•J'`'.S'�,i::- ` .`" '••�'`i`'��''je. •r :•. ., '�;(u..,,-,��y-'b-•�V�iry.�".•,{is.u'`•�`a.:�•,��.��.•1wx�;.;:.A-'S1;;�.,5.:. .ac.n.•.:.r•Ta•e..c",_ ' . . ' ¢n.wr � .+ c+- � -.•+ +•��v p:..w. «+ .i.., yp ,s., w..i:-MJ� cw .. a, d w .. > n aa..-. ' • `C s- - ""' •.Y �- _F• a1• a ri,tn fix. (.r -'a{: Mi`.w eF rs w•.� �..w w ws w6'CT ka- si i+ ' NOTE:, ' tl r . .. With proper validation•, ' • r 4 2 ,this form constitutes ank i w encroachment permit' ' , CITY OF LA :QUINTA. '. v. ' r • APPLICATION F.OR '.PERMIT PUBLIC WORKS- CONSTRUCTION (ENCROACHMENT) ':I ' ONE nAY OvLRSIZE . LOAD PERMIT-, 0 I�9 * For the construction of public or- private curbs, driveways; pavements, sidewalks, parking lots, sewers, water mains, : z. and other'like public works improvements,in, connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS ,• - ' �•.• -'r, .w •� .Y w, -�,� '.� . •• •. ..•GYM ++ •' •r ` •i' � � •• t• ,_ SubdivisionLlmproveri-ient Permit — Class'III DATE: IQ -X25--90 ` ' ; �. Minor. ImprovementPermit Class IV LOCATION OF CONSTRUCTION ' 1 '' (Street address or Description,of Location) .• ' .• . `• � move et�xipmen�.. � < � � '• .• - PURPOSE OF•CONSTRUCT,ION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION' £itLipltlaSter� - . 'HAUS iZ0E1TE 'T • j ,' rjefer6©il £red. Waring': w/b to 6ity limits s DIMENSION'OF.INSTALLATIONOR REMOVAL- 48 EMOVAL •i L1 yj y, v�y' > 48' 1• 1'19 p 30.0. lbs:. c aL SIZE OF EXCAVATION,.IF:NEEDED ' APPROXIMATE TIME WHEN WORK WILL BEGIN D�ZQ - a.',,, , • .� , APPROXIMATE •TIME'OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal�of all obstruction,`materials, and debris;-backfilling,•com g !' paction,and placing ti ' = permanent resurfacing and/or replacing improvements) + •• In consideratioof the granting of n this permit, the applicant hereby agrees'to: " �, `. � s !Iridemnify,-defend and•saJe.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 lbe' started. .4 ' Comply with all;applic_able 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 Applicagr6r Agent `heriderson equipment; .8'2313-- kenner inaio ca 9220 Name of Applicant,(please print) , • :,Busin'ess Address Telephone No.. Name of Contractor arid Job Foreman Business Address - 'r x • Telephone No. ' • t _ , r - , 49956. 1:07V Contractor's�License No. + ' ;.,�• City Busiriess•License No: ' north emerichn insurance jfo gsp1;383145 ;;' Applicant's Insurance Company '+, ��,. s Policy.Number .. FEES:--+Subdivision'Improvement Permit - Class III Publicimprovernents: 3% of estimated construction costs, Private improvements: 3% of estimated construction costs R + Minor Improvement Permit - Class IV: See attached schedul Inspection Fee-.,,,$ ' Permit -Fee y y 101'0 0 0+00 ` Penalty . , i • .-. - , -. 'Cash Dep osit-Surety.Bond'. ' ,, ' -if-required'- 1' e ! TOTAL: $ 10.'0.0 Receipt No: Received by Date Recorded by • `U f82 pp8i� Q tt0�=2-�90� i0 AL 2� •. �' • i . 'PERMIT VALIDATION ,PERMITNO. 0882 ; DATE APPROVED 1111-75-40 EXPIRATION DATE 1.0-25-90' ► DATTE�E.ISSSUED 10'25-90 - t 'Admi6istrative Authority. TELEPHONE: (619) 564-2246- ; �.ra=wv'�}�('OK�$t"A+i ��� F� U � SY Y!� r s,�'�.Y� war L �. W W Y W' W iw � 1b ,Y O Y� R'�Y � �i .9 �,M r C^'� l� .w .P r s+ a� M w.�+� .. • � IM b Iii r �w .� e NOTE: ' With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE DAY 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 Subdivision Improvement Permit — Class III DATE: 10-25-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street addrets or Description of Location) PURPOSE OF CONSTRUCTION move equipment DESCRIPTION OF CONSTRUCTION Otupmaster DIMENSION OF INSTALLATION OR REMOVAL 4e' 1 119,300 lbs SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) APPROXIMATE TIME'OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of a I I '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; Jefferson & 111 n/b tp Fred Waring w/b to city limits 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 Aor ppiicantAgent henderson equipment 82313 kenner indio ca 92201 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 499568 1073 Contractor's License No. City Business License No. north american insurance jfo gsp138349 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 Received by 10.00 Date ftr,02Q 700,' Q-25-90 io 3 0.TOTAL i io r o0 iv` PERMIT VALIDATION PERMIT NO. 0882 DATE APPROVED k2fffi 10-25-90 EXPIRATION DATE 10-25-90 DATE ISSUED 10-25^90 �A C1 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 NOTE: With proper vaiidsticn= this formconstitutes.an _ CITY. OF LA QUINTA, encroachment permit' • 'APPWCAT-ION FOR- PERMIT N T PUBLIC WORKS, CONSTRUCTION' (ENCROACHMENTI, • For the construction of public or private Jcurbs.,i driveways,, pavements, sidewa)ks, parking, lots, sewers water =hW_' ' and other. like public works-improvernents in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS" • Subdivision Improvement Permit %_ Class 111 • DATE: s % q �/�- Minor Improvement Permit Class iV' t LOCATION OF CONSTRUCTION" , (Street address or oasenption of Location)., - PURPOSE OF ocation) ; PURPOSEOF CONSTRUCTION Sketch (attach coristruction pians if appropriateIl . DESCRIPTION OF CONSTRUCTION , DIMENSION OF INSTALLATION OR REMOVAL ' /ISI, ?i90 SIZE OF EXCAVATION, IF NEEDED r APPROXIMATE TIME WHEN -WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION - ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, ba kfilling, corn- , t • paction and placing permanent resurfacing and/or replacing• improvements) - In consideration of the granting of this permit, the applicant.herebv agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees: harmless from and against anti sad alt penalties• liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or propeRy happening or occurring as'a proxintate•remit of any work undertakerrurider, the permit granted pursuant to this application.4 Notify the Administrative Authority at leash twenty-four QQ hour lin 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 Ouinta and to pay for any additional replacement neoneuv its the result of this work. Signa ure of Applicant or.Agent Name of Aopucant tplease. orintl. Business Address Tele hone No. Name of Contractor, ano/YJ]o�b Foreman Business Address Telephone No. Contractor's License No. City Business License No. Ala 7 Applicant's Insurance Company, Policy Number FEES: Subdivision Imorovement Permit —'Class 111' t Public improvements: 39'0 of estimated construction costs" Private improvements: 3% of estimated construction costs *TO . Minor Imorovement Permit — Class`IV:- See attached schedule 1V 'insoectuon Fee S PERMIT'VALIOATION P-nmit Fee f b I9I) ' ?ERMIT ?;0. Penalty I DATE APPROVED. Cash Deoosit•Surety Bond ; . " , if required t ' '' EXPIRATION DATE TOTAL: $ DATE ISSUED y Receipt Na. 8V Received by Date Administrative Authority Recorded by TELEPHONE: (6191664.2246'