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0932L . NOTE: With proper validation this form constitutes an encroachment permit f CITY OF LA QUINTA APPLICATION . FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) CaMZ * TRIP 6VE-51ZE LORD PEP -MIT) 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 DATE /1-2& - 90 LOCA710N OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE E.G611 P. DESCRIPTION OF CONSTRUCTION & Z 3 1 DIMENSION OF' INSTALLATION OR REMOVAL.) TH 1 D' W 110.1000 LBS SIZE OF EXCAVATION, IF NEEDED . Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) HAUL ROta T'E : FRED WARI N G ; ,TEFFERSMJ S/B TO 5 Z APPROXIMATE TIME WHEN WORK WILL BEGIN 1I -Z7-90 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ ANAL DATE: 11-7,3 `90 (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. 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 Afflilcant or Agent MuEVD EIVEtiUEER1NG q) 3y5 -117B Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ,OAs FILE ON FILE Contractor's License No. - City Business License No. . L1A1 PA E OAl FI L E Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II 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. /0-00 Received by Date 005i8 CASHi �4TOTAL4i`90 i0<000 IN° 09319, PERMIT VALIDATION 3Z. PERMIT"NO. i Z �y q • DATE APPROVED EXPIRATION DATE )1_Z17_ 9 0 DATE ISSUED 11 - ZG _1 O *f By .(/ lh,6/ Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 . ��1tt'w Fir F �Y L.r r r. i� •► !►�'w Y w," .t�." r. -.e. wr s.F :y � �Y•��it. w war r M � w� r r r� r r .M r. r- w w Irc i r � •Av H• J� r* NOTE: With proper validation this form constitutes an encroachment permit J CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) (hUC TKIP OVOZ51ZE LOAD PEOM17) 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 /1-2& '_2& _ 130 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE EaTti F. DESCRIPTION OF CONSTRUCTION (V Z 3 E3 DIMENSION OF INSTALLATION OR REMOVAL W N 10'W 1100000 LBS SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN //—Z7-90 Sketch (attach construction plans if appropriate) HALAL ROLATE. FKF-P WAKING 17 TEFFEKSW _/B 71) APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ �IAIJt _ DATE : 1) - 1-7 -90 (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. 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. 1 Signature of Applicant or Agent I UEVO E.MC-rWEERIM(i !ms -)178 Name of Applicant (please print) Business Address Telephone No. Vif01\j1 "T rz,0CKImc, Name of Contractor and Job Foreman Business Address Telephone No. oti F 1LE ON FI LE Contractor's License No. City Business License No. ,0AJ r7__) L [- GAJ F)LE. 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 /0-00 $ 10. 010 Date PERMIT NO O(MB2 i0 B348 iii -26-9.0 io ; 40TE: Nith proper validation :his form constitutes an CITY OF LA QUINTA encroachment permit" APPLICATION FOR PERMIT_ •PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 0 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 11) DATE:--11.440-Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Oescription of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL _ SIZE OF EXCAVATION, IF NEEDED Sketch (attach construction plans 0 appropriate) .yam ,� , M (�w ��OA - L i 4S APPROXIMATE TIME WHEN WORK WILL BEGIN. APPROXIMATE TIME OF COMPLETION )110-7190 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and deb:. -is; 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.regulstions of the City of La Quints and to pay for any additional replacement necessary as the result of this work. .00 Signature of Ap I cant r Agent Nuevo Engineering, Inc. 79-811 Country Club,- Bermuda Dunes 619-34571778' Name of Applicant (please print) Business Address Telephone No. of Contrac;or)and Job Foreman Dr's Licen No. is Insurance Company Business Address Telephone No. 4�City Business License Oc, ES: 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 $ rmit Fee malty ish Deposit -Surety Bond, required TOTAL: $ eceipt No. by Date ecorded by ' Policy Number T N° PERMIT VALIDATION PERMIT NO. - , DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246