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0918x. rw,t.,,a,a�.yt+,+.e.•s..�rar...a+.,o-.,o-..,.�,,.Z✓- r'.`�'�^-�^��-,; '-*-+ '-v�-.r-E••--...�.. ""7 NOTE: ; ,With proper validation / Q •'`� s'form.constitutes'an, r+ CITY -OF L'A. •encroachment permit OUINTA " APPLICATION FOR PERMIT �. PUBLIC,WORKS CONSTRUCTION (ENCROACHMENT) z ,• 0 TH$9wS' 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: •11-16-90 r Minor'.l'mprovement Permit Class IV LOCATION OF;CONSTRUCTION '(Street address or Description of Location) ¢ ' PURPOSE OF CONSTRUCTION Sketch (attach constru'c'tion plans if appropriate) DESCRIPTION OF CONSTRUCTION ' •: AVE FERNANDO TO'EISENHOWER TO DIMENSION OF INSTALLATION OR REMOVAL WASHINGTON TO' `111' SIZE OF EXCAVATIONJF NEEDED 1_l i."R"• W -VA" 7.1! H HAUL,DATE: 11-19-90. APPROXIMATE TIME WHEN WORK -WILL BEGIN. - --r • . i. 11=19—�3t1 ONE,. OVERSIZE TRIP .ONLY APPROXIMATE TIME OF..COMPLETION ESTIMATED'CONSTRUCTION COST $; DO' NOT - MOVE BEFORE 7 : 00AH t(Including,removal of all obstruction,` materials, and debris, backfilling, 4 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 authorizedagents, 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 ."� - a 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. t Comply with all applicable City, Ordinances, the terms and conditions 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. r • ��, ,. $ignatu`re of Applicant or Agerit�7 SCHWAB SALES,: Name of Applicant (please print) BusinessAddressV Telephone No... Name of Contractor and'Job Foreman Business Address r Telephone No. ON .FILE y .. .. ON OFILE ' Contractor's License,No_. r "CityBusi6ess License -No. Applicant's Insurance Company. *. Policy Number' FEES: Subdiyision'improyement Permit = Class III Public mproverrients: 3% of estirnated construction,costsv + • *Private improvements: 3% of estimated construction costs �` Minor;lmprovement Permit - Class IV:See attached schedule lei` w 9 ? : Inspection Fee $ , ' y. PERMIT VALIDATION - Permit Fee --in-nn PERMIT NO. 0918 ; ' Penalty Cash. Deposit Surety Bond • DATE APPROVED._' 11-16-90 if required• EXPIRATfON"DATE` � 1 .1—,)A—art TOTAL: $ .10.00. l' ' _ V v _ . DATE ISSUD /1 1(11 r,—Qn Receipt No. T. R%/ Received by Date i f �`'�Ad`ministrative Authority , • Recorded by TELEPHONE: (6 19) 564-2246 ry F y '� • � . •-•ti;-s» .--« w^4 -%•W r�-. .. . ,�x>• ��. i3-'••- ro - � ✓-_.�=:.,-,,,,, . f`G->y'.:'��` ;� 'S%ji'' ..i-�i�,,.a. .�w;,-+- Vis" "moi. .+i:.. - '-,' _.,:.:.s.�•.... i •' t ...•;.,,. �a .�.•y*+t.r;i ,.: CBir �.: -, .'.:�.•�:p.. +u: �: '. _.,�., e. -✓YMNY�•!►`M�^N�i'1'Y"w�•114'��..M.w'4'W'fig`.r�irr'f'tl,�r..M•!A-we.r�.�m. 1!1. 41+,PY: s:}•!'•.•m .ai+., ..a.�M1-t9•NA�!.�w•�.w.w.�7'w'�r M..�w���. f.'1w w.. lw 1!w'•'w• BIZ .b NOTE: With proper validation 4 2 this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT s;Q 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: 11-16-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION q2Q,jj—t6-90 14 (Street address or Description of Location) PURPOSE OF CONSTRUCTION. DESCRIPTION OF CONSTRUCTION ' DIMENSION OF INSTALLATION OR REMOVAL -691. fi('RAPF.R Sketch (attach construction plans if appropriate) AVE FERNANDO TO EISENHOWER TO WASHINGTON TO 111 SIZE OF EXCAVATION, IF NEEDED 11,12811 W 14121 H 871 T, HAUL, DATE: 11-19-90 APPROXIMATE TIME WHEN WORK WILL BEGIN 11-1.9-90 ONE OVERSIZE TRIP ONLY APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ DO NOT MOVE BEFORE 7: OOAE (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: 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. NotifNthe 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 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. 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 costs09 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required NOTAL' $ 10.00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 0910 DATE APPROVED 11-16-9.0 EXPIRATION -DATE i fin—aA DATE ISSUED e 1 90 » Administrative Authority TELEPHONE: (619) 564-2246 ` NOTE: With proper validation this form constitutes an CITY OF LA QUINTA ✓y encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) f pp O 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: 11-16=90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION " _90 14 A TTIS 10.00 (Street address or Description of Location) . PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION AVE.FERNANDO TO EISENHOWER TO DIMENSION OF INSTALLATION OR -REMOVAL WASHINGTON TO 111 9171 RCRAPRR SIZE OF EXCAVATION, IF NEEDED 11'82 W 1411211 R ` R71 T. - HAUL DATE: 11-19-90 APPROXIMATE TIME WHEN WORK WILL BEGIN 11 -i9 -9n ONE OVERSIZE TRIP.ONLY APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ DO NOT MOVE -BEFORE 7 : OOAM (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: 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 andarisingout 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. r Notify the Administrative Authority at least 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 La Quinta and to pay for any additional replacement necessary as the result of this work. • nature of Applicant or, Agent SCHWAB'SALES Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. r)N FILE - ON FILE Contract is License No. City Business License No. f Y App f�c fit'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 t�aii 4 1V2 0 ,Minor Improvement. Permit — Class IV: See attached schedule . Inspection Fee $ PERMIT VALIDATION Permit Fee 10 (`0 PERMIT NO. 0918 Penalty Cash Deposit -Surety Bond DATE APPROVED 11-16-90 if required EXPIR ATE TOTAL: $ 10.00 DATE ISS D Receipt No. 13y Received by Date . Administrative Authority Recorded by TELEPHONE: (619) 564.2246 :J r NOTE: With proper validation this form constitutes an 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 J Subdivision Improvement Permit Class III DATE: ` / o. ^ �v Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction /�y� plans if appropriate) DESCRIPTION OF CONSTRUCTIONv/ O I :tea `T, , i 9- P T" 4 DIMENSION OF INSTALLATION OR REMOVAL W A-S4bnl -6.-7—.0 jj SIZE OF EXCAVATI�)N IF NEEDED • a APPROXIMATE TIMWH N WORK WILL BEGIN 2= G 7v APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ pricludina removal of al '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, 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. thepermit 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 /V S CIS Name of 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 III Public improvements: '3% of estimated construction costs Private improvements: 3% of estimated construction costs NO 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 PERMIT .VALIDATION- PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority, TELEPHONE: (619) 564.2246