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0909..:.i.e•...�aw�.w.a+�ta�w+.y+..r-....••c`R... ..���..�,Y: u4: -+` x — '�'•�f, "•�`ae^`c :s ^r...• .. .=. ,.-.�'=�-.rz..._. �p•-.��....>.�^�..:.,.��.�..3,.�:�a�,.,_?�. �...,r.^�^'_ 12 1 �. SIS' L � , � �,¢�'^!� ,.,N�„� X19 `. •' ♦ • NOTE: With proper validation • ' this form constitutes an " ,-CITY OF LA Q encroachment permit . UINTA, APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ,a a� ;•• :, `, . OF ONE '•TRIP "OVERSIZE ' LOAD PERMIT ��1TIiB�ti 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 >NoVember' 13,' 1990 Subdivision Improve ment'Permit-Class III' .DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move eauioment ► ' T (Street address or Description of Location)` PURPOSE"OF.CONSTRUCTION `x623 E. .Scraper Sketch,(attach construction plans if appropriate) DESCRIPTION'OF CONSTRUCTION • 11-10' wide, 73' ; loncfi : • ; •3 ax tractor, 2 `ax' trailer.... HAUL ROUTE: Avenida Fernandro ,,. to Eisenhower Drive, north on �'' DIMENSION OF INSTALLATION OR REMOVAL' * Washington to Hwy 111 4' Haul date:''11/14/90 SIZE OF EXCAVATION,- IF NEEDED, ,•' f, , _.. APPROXIMATE TIME WHEN WORK WILL BEGIN.- --APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- ''c .paction and placing permanent resurfacing and/or replacing improvements) _ In con -sideration -6f 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 p 1. ermit granted .Ouisuant to this application. Notify the Administrative Authority at leasi twenty-four (24) hour's 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 y , '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. Warner Rd. Chandler, AZ 602-899-0088 Name of Applicant,(please print) �Business Address Telephone No.' Narrie of Contractor and'Job Foreman `_' t' Business Address , Telephone No. on file'^ `� ; ' .. h on file , . Contractor's License Nos?s,. ' , - ' ," i r City Business License No. f on f i•1e Applicant's Insurance Company Policy Number ,. FEES: Subdivision Improvement Permit = Class I I I Public improvements: 3%- f esti mated. construction costs 0Q518'' "' 0 81-`� i 1-1 9--90 1U 'Private'impmvenients:.3% of estimated construction costs N2 090 . - A� 1 �TOTAL A 10.00 •Minor Improvement Permit — Class IV: See attached schedule`'' d�2 ® p $ PERMIT VALIDATION ' Ins ection Fee Permit Fee ', 10.00 0909 `+ PERMIT NO. Penalty + ' DATE APPROVED 11/13/90- • Cash Deposit -Surety Bond - " if required j EXPIRATION DATE 11/14/90 .TOTAL:$ 1 10.00 / /90 - - DATE ISSUED 7� 13 Receipt No.., By Received by Date > Administrative Authority Recorded by' ' TELEPHONE: (6191.564-2246 ��.-...,-�x'Q..wE`�.!�-✓E:.�!� y..�•iD�S' _..� 1:.:?.7'ir's- t:.. ,_ Y �s :u.._ ;, #.�bu=. i:.t °c��: 3.:.:�r.�' ....c-«�u.�{: .r t.i�: i y,e., - ,.st...,.�......::-«..s, .n .efa�.:. ..............n ,.,ate a�.r..,a...c......;...-„........!-s.-.:. lr����a..,�.-,k+...... +e...o,...�. �-.,..., ...-... �- ...w.....,.... en-.• 1 NOTE: With proper validation this form constitutes an4 encroachment permit 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 I and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: November 13, 1990 LOCATION OF CONSTRUCTION move eauioment (Street address or Description of Location) Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV PURPOSE -OF CONSTRUCTION 623 E. -Scraper DESr,RIPTION OF CONSTRUCTION 11-10” wide„ 73' lone{ 3 ax - tractor, 2 ax trailer 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 and placing permanent resurfacing and/or replacing improvements) Sketch (attach construction plans if appropriate) HAUL ROUTE: Avenida Fernandro to Eisenhower Drive, north on Washington to Hwy 111 Haul date: 11/14/90 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 thhe result -of,�t+�hiis� �w(/o`rk. //! �/j� "� Signature of Applicant or Agent Schwab Sales 195 E. Warner Rd. Chandler, AZ 602-899-0088 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 Penalty Cash Deposit -Surety Bond if required TOTAL: 10.00 $ 1 10.00 Receipt No. Received by Date nr8 N5 it-0-IVV V PERMIT VALIDATION PERMIT NO. 0909 DATE APPROVED 11/13/90 EXPIRATION DATE 11/14/90 1L/13/90 DATE ISSUED By -� Administrative Authority Recorded by. I` TELEPHONE: (619) 564-2246 4 NOTE: With proper validation this form constitutes an CITY OF LA QUINTA 'encroachment permit 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: ✓ `7 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street addressor Description of L tion) - EPURPOSE OF CONSTRUCTION ©/��'� S/ Sketch (attach construction plans if appropriate) - i DESCRIPTION OF CONSTRUCTION k / Lm• DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED / 6 APPROXIMATE'TIME WHEN WORK WILL BEGIN�s APPROXIMATE TIME OF.COMPLETION ' ESTIMATED CONSTRUCTION COST $ (Including removal of ail obstruction, materials, and debris, bac+ifilling, com- ` paction and placing permanent resurfacing and/or replacing improvements) I'. 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 '1 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 (241 -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 f' La Quinta and to pay for any additional replacement necessary as the iesult of his work. Signature of Applica t or jA'e, nt . r� E, Name of Applicant (please print) Business Address �/�''ZZJ`� Telephone No. �o07e Name of Contractor and Job Foreman Business Address Telephone No. ' Contractor's License No. r , City Business License No. Applicant's Insurance Company 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 Date Recorded by Policy Number PERMIT VALIDATION • PERMIT NO. a DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246