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R},• T�'�+"!r- Y MI Q 1fa-w4� NOTE: With proper validation this form constitutes an encroachment permit 5 CITY OF LA QUINTA 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 Subdivision Improvement Permit — Class II I DATE: November 8. 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move .eciuipment I (Street address or Description of Location) PURPOSE OF CONSTRUCTION 980 loader Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION _1S111_ 1.1 1 A "W legal'length,weight Haul route:..,Avenida Feraando.to Eisenhower Drive to Washington DIMENSION OF INSTALLATION OR REMOVAL north to Hwy 111; Haul date: .11/8/90 SIZE OF EXCAVATION; IF NEEDED APPROXIMATE TIME.WHEN WORK WILL BEGIN �� p iBAs $O TOTAL. 0890 i4.0`1~ APPROXIMATE -TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ . (Including removal of all.obstrruction, 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 Schwab Sales 195 E: Warn,.Chandler AZ 85225 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman, Business Address Telephone No. on file r on file Contractor's License No. City Business License No. on file' Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I 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 Received by Date 990 PERMIT VALIDATION PERMIT NO. 0904 t DATE APPROVED r 11/8/90 EXPIRATION DATE 11/8/90 DATE ISSUED? 11/8/90 Administrative Authority Recorded by II TELEPHONE: (619) 564-2246 n�=�. t'-4,�''�{ ; ,fir` --t. � .,e,va "��iiis,�...�i,`-,'��.'�"`% '°5 -� "',�`,✓cY�r"4-+�3"y+Y•A""� �r�':.. 1� ��iM�.,,sS,�'.._a.M--t•�k•.i.---.^�;-',f"•....um 4j�b �+...r+�.:..t?.' .'�i � •+moo � 1�� d; •-" �, �yypl. T'1. M�.O"�—y��w1. MRw� M fFi.•�.qtr.—�-�•e-.14...P�'Z'�1�-�.-��h IIW. {yiiL�!(a�•riY.l}�►•lrt fit. 4'?-�•R�h.�rw. � R,. �T .�V -Y•T'.M..,R•!, NOTE: With proper validation Q' this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT ffl 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 Subdivision Improvement Permit — Class I I I DATE: November 8, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move .ecruipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION 980 loader Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 1 9 r h. 7 1 1 6 "w� 'legal length,.weight Haul route: Avenida Feraando to Eisenhower Drive to Washington DIMENSION OF INSTALLATION OR REMOVAL north to Hwy 111 Haul date:.11/8/90 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- pactlon and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: i)i(15181AaH 8©f OOI��i 018-••90 i4. Vv � 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 Schwab Sales 195 E. :yarn, Chandler AZ 85225 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 II I 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 II Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00, Receipt No. Received by Date Recorded by NTI 9 9, 0A PERMIT VALIDATION PERMIT NO. 0904 DATE APPROVED 11/8/90 EXPIRATION DATE 11/8/90 DATE ISSUED 11/8/90 - I Administrative Authority TELEPHONE: (619) 564-2246 NOTE: .. With proper validation this form constitutes an CITY. OF LA QUINTA ; encroachment permit 3.. APPLICATION FOR- PERMIT. PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, "sidewalks, parking lots, sewer's, water mains and'other.like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS' / Subdivision Improvement Permit —Class III _�O -DATE: • O c� •, 3 � Minor Improvement Permit Class IV ___�•_ LOCATION OF CONSTRUCTION ` �- ,a J) (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach, construction plans if appropriate) DESCR�PTIONPF.JONSTRUCTIPN,, n rA r ■ DIMENSION. OF INSTALLATION OR REMOVAL " SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including•removal,of'all obstruction, materials,'and debris, backfilling, com- paction placing `permanent resurfacing, and/or replacing improvements) ` . In' consideration of the granting, of this permit,, the applicant hereby agrees,to:: x 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 ofany accident, loss or damage to persons or property } happening or occurring as a proximate result, of any.: work.,undertake 6.under the permit granted pursuant to this application. ' Notify"the Administrative Authority at.least twenty -fou r'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 Quinta and to pay for any additional replacement necessary -as the result .of this work Signature of Applicant or Agent. _ Y SSC r3 S E Lt S iG ,�� E z , Z _ �S Name of Applicant (please print) / L s Hess Address Telephone No. L ANA s Name of Contractor and .lob Foreman. " ' Business Address Telephone No. Contractor's License No. r. City Business License No. 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 O Minor Improvement Permit — Class I.V:,See attached schedule 4 Inspection Fee $ I PERMIT VALIDATION Permit Fee. PERMIT N0: Penalty DATE APPROVED t • Cash Deposit -Surety Bond if required - EXPIRATION DATE TOTAL: $ DATE ISSUED Receipt'No. r By Received by Date Administrative Authority Recorded by f TELEPHONE: (619) 564-2246