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09133.'•,;¢!S',.+5.-H"`.+',q+''.''M�r•":iL`.,�,ij,�il''�6w'7.C' h'«'yP+t�',•+.`,+�cV-••t^....i'.'-,',ryq�,Qy'�^,,,w.:ay:'StiwS y. r 20" NOTE: - `i - - . .With proper. validation ' � �� ��'-t this form,' constitutes an » CITY OF L, .QUINTA o S encroachment permit APPLICATION FOR PERMIT: PUBLIC 'WORKS . CONSTRUCTION (ENCROACHMENT) , �'c rSw4� .19 " V For `the construction of ,public or .private curbs, 'driveways, pavements, sidewalks, parking' lots, .sewers, water `mains; •'y > and .other like public works improvements.in connection with MINOR IMPROVEMENTS'and APPROVED SUBDIVISIONS . . a Subdivision Improvement Permit — Class.11l ' DATE: November 15, 1990 J`' Minor Improverhont Permit Class'IV'- + . ,LOCATION.OF CONSTRUCTION driveway approach t; •'53665.. Avenida rVal.lejo and, 53635 ' Avenida Vallejo , (Street'address or Description of Location) PURPOSE OF'CONSTRUCTION F Sketch (attach' construction plans if appropriate) DESCRIPTION`OFCONSTRUCTION " c; 0Z �' v 9n ti t-h; r-le - per Riverside`Co. Std`, #-207, see attached 'DIMENSION OF INSTALLATION OR REMOVAL_ 1-Tod-17- w rn" of, SIZE OF EXCAVATION, IF NEEDED } ' RAPPROXIMATE TIME WHEN,WORK WILL BEGIN asap APPROXIMATE TIME OF COMPLETION - ESTIMATED CONSTRUCTION COST.$ ^i '(Including 'reriioval 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;lits authorized'agents,-officers, representatives'and employees; harmless from and against any and all ' penalties, liabilities or loss resulting frorri claims or court action and arising out of any accident, los's or damage.to persons or. property happening or occurring as a'proximate result ofany 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 �pePmit 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(�/4% 6 �. RphPr•t-' r..h'aimlPv c)wnr--r/hiii I r �%/ �.dL1.F'•' l'!dM'f'l.114 C/iRL BA'i`� CA- ' ' Name of,Applicanv(please print) Business Address Telephone No. , Name of Contractor and Job Foreman. Business Address '• Telephone No-. 'j, Contractor's Li'cense'No. ' • City Business License No. ''. `�• "` Applicant's Insurance Company Policy Number ` FEES: Subdivision Improvement Permit ' Class-III `y Public improvemenW 3% of estimated construction costs A FOi i ` OTFI[ 6-9U gp, 00.,v Private improvements:. 3% of estimated construction costs , a' ' Minor. Improvement Permit = Class IV: See attached schedule Inspection Fee $ ' }. ` PERMIT VALIDATION r Permit Fee •1 n- nn PERMIT NO. ' 0913 Penalty' f `.'_, � 11%15/90 . Cash Deposit-Surety Bond DATE APPROVED ' if required EXPIRATION DATE o 1 1' / Li'l/9n• TOTAL: $ i n nn'11/15/90, Receipt No. Received by Date ' + -,F Administrative Authority. Recorded by h TELEPHONE: (619) 564-2246 K , ��/!4!�M�R3Y` !R:!1"-�cr,-w. M � M .: oia Oi, �.i-r. w !` M RW'.1y'.lb a!•�F �I!i.�A•Yw.2.slw.. YL wf•y� R+`�+M--Qt'pA+w�M w�•�l�.gb-w, .v'rR. �� � t-wy .► w- w:.i R s 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 III DATE: Novel ber 15, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION driveway approach 5366.5 Avenida Vallejo and 53635 Avenida Vallejo (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION 53'62 X 9Q' ti" think DIMENSION OF INSTALLATION OR REMOVAL ramntrg, ti" of A i r i - 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 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: per Riverside Co. Std, ## 207 see attached. 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 Applicarrt or Agent �� jcf) �. 76 S-8 Robert Chamlev miner/builder V// �'r� u r 't -Am I L►A CAR LS SAI. - Cao Name.& Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I 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 _10-0t) Penalty Cash Deposit -Surety Bond if required TOTAL: $ 1 n —()n Receipt No. Received by Date ?95'8 AN i2TWIT_9Q 0.0010 N. PERMIT NO. NOTE: " With proper validation DATE.APPROVED this form constitutes an EXPIRATION DATE 11/30/90 encroachment permit 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 III DATE: Novel ber 15, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION driveway approach 5366.5 Avenida Vallejo and 53635 Avenida Vallejo (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION 53'62 X 9Q' ti" think DIMENSION OF INSTALLATION OR REMOVAL ramntrg, ti" of A i r i - 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 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: per Riverside Co. Std, ## 207 see attached. 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 Applicarrt or Agent �� jcf) �. 76 S-8 Robert Chamlev miner/builder V// �'r� u r 't -Am I L►A CAR LS SAI. - Cao Name.& Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I 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 _10-0t) Penalty Cash Deposit -Surety Bond if required TOTAL: $ 1 n —()n Receipt No. Received by Date ?95'8 AN i2TWIT_9Q 0.0010 Recorded by 11 TELEPHONE: (619) 564-2246 PERMIT VALIDATION PERMIT NO. 0913 ll/15/90 DATE.APPROVED EXPIRATION DATE 11/30/90 DATE�IS/SU,EED X11/15/90 t� Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 Inn �� -� ��� ♦ ��� �� -� i�! ri r -i ice.! �rara� i.�ta �• i �• i.-l��= . } r NOTE: With propwvallidatbnY: this form constitutes an encroachment permit a CITY OF LA OUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) '✓•meq, ���`�`I'F + " i`'oi publicx'or private curbs, driveways., pavements: sidewalks; parking lots, sewers, We ma works irn'4' o, rnents in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS -- 4 1 ! „*�; 3 `_ I Subdivision Improvement Permit — Class III DATE: Y 1 Minor•improvement Permit Clan IV LOCATION OF'CONSTRU,CTION )Street address or Description of Laeaaonl- , PURPOSE OF CONSTRUCTION �� U Fir -79'C l ! Sketch lattach construction plans if agxgxiataF^. DES RIPTION QQF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL S;6,X . O --- r1 X K SIZE OF EXCAVATION, IF NEEDED (I27, r— UP Tj l R 1 APPROXIMATE TIME WHEN WORK WILL BEGIN IS A APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST S /00 (Including removal of all obstruction, materials, and debris, ba*filling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnity, defend and saw the City, its authorized agents, officers, representatives and emolovees. harmless from and against any and all penalties. Viabilities or toss resulting from claims or court action and arising out of any acc+dent, loss or damage -to persons or preperty- happening or occurring as a proximats., it of any- work, undertakewunder'the permit granted pursuant to this application. ' Notify the Administrative Authority at least twenty -Four 1241 hours in advance of the time when work will be started. Comely with all applicable City Ordinances, the terms and conditions of the permit and all appik able rules and regulations of the City of La Ouinta ano to oay for any additional replecernant necessary as the result of this work. R`. • ,7 / Signature of Applicant or Agent U 0'.t K I Lt,'n-fic.tY Name of Aopiicant (please print) Business Address Telephone No. 2viLll�i2 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. 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 Minor Imorovement Permit — Class IV: See attached schedule insnectlon l=ee S Permit Fee Penalty Cash Deposit -Surety Bond if reouired TOTAL: Receipt No. $ Received by Date Recorded by h N° PERMIT VALIDATION PE9MIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 664-2246 da�j oc i I ' ....... NOTE: With Propeuvshdstilonl this form consti Utes 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 rMiW. and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS'' . `�1 Subdivisiom Improvement Permit,.— Class 111 GATE: G l lJ _ Minor Improvement Permit Class -1 C ( LOCATION OF, CONSTRUCTION 5 ` J14 C Lf T© (Street addresror Dast duan of Loeaponl- p�x 0,4c/ -/Sketch (attach construction plans. if a PURPOSE OF CONSTRUCTION y ppribPri+nlw DESCRIPTIA 0� CONSTRUCTION— i q y c I r� DIMENSION OF INSTALLATION`OR REIWOYAL < • �' k ? O X SIZE OF EXCAVATION, IF NEEDEDrn ay� APPROXIMATE TIME WHEN WORK WILL BEGIN Ell • APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ t9� (Including removal of all obstruction, materials, and debris, badifilling, com- , paetion and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit,.the applicant hereby agrees to: Indemnify, defend and saw the City, its authorized, agents. officers. representatives and.emoloyees, harmless from and agamst.env end all 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 ss a proftintate result of any work undertaken unlder the permit grentad 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 this permit and all applicable rules and regulations of the City of La Ouinta and to pay, for any additional replacement necessery as the result of this work. Signature of Applicant or Agent Name of Aopucant (please print) Business Address Telephone No. Vwti 2.. vit_J7�2 Name of Contractor and .lob Foreman, Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision improvement' Permit —Class 111 Public improvements: 3% of estimated construction costs Privite improvements: 3% of estimated construction costs N0 Minor Imorovement Permit — Class IV: See attached schedule Insoectuon Fee S I PERMIT VALIDATION Permit'Fee Penalty Cash Deposit-Surety.Bond if required TOTAL: Receipt No. Received by Date Recorded by - , RMIT N'0. DATE APPROVED EXPIRATION DATE DATE ISSUED ' BY Administrative Authority TELEPHONE: (6191664.2246