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0951� rr+b.�vr+�....rw•ew wr+....,. � .., w .-:� .w .`..�..... � ... w ..;...►++..r. ..+ w,.....w ..-.:..,�- r...�.,,........+r!.-:.,«.-. ► «...w.,.�r...-. .�. 'w�. �..� .. ...........� a .,. 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. DATE: 12-C-90 LOCATION OF CONSTRUCTION ['7,017 16° THRE (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 1 r_ Vrn Tn7 rnr.1L'i VATS ".r_1'C1 SIZE OF EXCAVATION, IF NEEDED Subdivision Improvement Permit — Class 1II- Minor Improvement Permit Class IV Sketch (attach construction.plans if appropriate) 52 TO �JASHINGT4N TO rREDTIARING OVERSIZE LOAD SIGNS 2 PZLOY CT4RS 2 FLAG TIER APPROXIMATE. TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION � _ _ ��uE��✓ G�r�9 �, A 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: 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. �HzC SH [h [hALo1_>ao io:00� Signature of Applicant or Agent T.'(1fiT '.T?TitidT+' 91-71;0 i ?PPO'R'T PT,17n 10n_n0t1 ) 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 muV TPAUP C! TWnT.MWrTrPV rQ OV TT,T,--V,T—CAn�l27T11 -A-1—RR 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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ 100®Q Date ICY, PERMIT VALIDATION PERMIT NO. 0931 DATE APPROVED 1•1_r-_qo EXPIRATION DATE 12-7-90 DATE By ONE: (61 0 ministrative Authority 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 III DATE: 12-6-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION k .0V1_ 16 ° THE (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 1 C Vfn 1C7 T M,%TI T\T.T. T�T.0,'O, T.T.'r_AT. SIZE OF EXCAVATION, IF NEEDED Sketch (attach construction plans if appropriate) 52 1'0 �3ASHIECTON- TO FRED11ARING OVERSIZE LOAD SIONS 2 PLLOT CAMS 2 FLAG MEN APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION r �� `��" ' ''� ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) �����'� -S-e,�� ��' 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. y � 00F 6" 10 Signature of Applicant or Agent F0grP'Y!RTT1T47T 21-71;n kTRPO T DLVD 199—'0049 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. TRY' TRAVF..R3 ! TRi'nVTj�3TTY (_O 07' TLL—U"—�:AP-19770113-1-38 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: 10.00 $ 10©00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. I DATE APPROVED 12—F-5110 EXPIRATION DATE DATE ISSUED;%' f By.. TELEPHONE: (619)' ministrative Authority •+WPI.�h�IF2��d',rNVt�#,ir.�e%p+r�t A:•e�.-.rr P qs• �w R1� �e. M�1w .rte. n...� a Ml .Y �+a..R-lam I..- w. +s �...lx�!+ 1M C� .--%�-� .:Y �"�. �w •r.tl. w •,w...n.-..l .ems rr �. +r..0 w .w. w r- w. rr w w. w 0 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 III DATE: 12-6-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION k .0V1_ 16 ° THE (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 1 C Vfn 1C7 T M,%TI T\T.T. T�T.0,'O, T.T.'r_AT. SIZE OF EXCAVATION, IF NEEDED Sketch (attach construction plans if appropriate) 52 1'0 �3ASHIECTON- TO FRED11ARING OVERSIZE LOAD SIONS 2 PLLOT CAMS 2 FLAG MEN APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION r �� `��" ' ''� ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) �����'� -S-e,�� ��' 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. y � 00F 6" 10 Signature of Applicant or Agent F0grP'Y!RTT1T47T 21-71;n kTRPO T DLVD 199—'0049 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. TRY' TRAVF..R3 ! TRi'nVTj�3TTY (_O 07' TLL—U"—�:AP-19770113-1-38 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: 10.00 $ 10©00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. I DATE APPROVED 12—F-5110 EXPIRATION DATE DATE ISSUED;%' f By.. TELEPHONE: (619)' ministrative Authority NOTE: With proper:va)idetion- this form constitutes an eneroachment'vermit CITY OF LA QUINTA* ' APPLICATION FOR':'PERMIT - PUBLIC WORKS CONSTRUCTION (04CROACHMENT) For the construction of public.. or private. curbs,. driveways, pavements, sidewalks, parking lots, sewers, watef°'-mabW___ and other'like public works�improvemertts in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS �1 Subdivision Improvement Permit — Class III DATE: ��`� U Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ' (Street sodna or Desertabon of Location) PURPOSE OF CONSTRUCTION b 1*lrzcl Sketch (attach construction plans if approprietal, DESCRIPTION OF CONSTRUCTION l - DIMENSION OF INSTALLATION OR REMOVALS Tb SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN r,J/q R_)N62 L o.4 A S J G.vl FGX g 19Ild APPROXIMATE TIME OF COMPLETION/ �/�1 1f ESTIMATED CONSTRUCTION COST S -67 (Including removal of all obstruction, materials, and debris, banicfiiling, corn• paction and placing permanent resurfacing and/or replacing improvemenI J� 14-D/V t In consideration of the granting of this permit, the applicant hereby agrees to: t a..AT10 Indemnify, defend and saw the City, its authori2ad agents. officers, representatives and employees, harmless from and eganet alty end ell penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persona or property. happening or occurring as a proximate result of env work undertaken under the permit granted pursuant to this. applicatton. Notify the Administrative Authority at least. twenty-four 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 of la Quints and to ow for any additional.repla ememt necassary as the " It of this work. G/aN7������ /��7��. Name of Aopticant (please print) Signature of Applicant or Agent P-/-75 3 419 PGS Business Address Z_ l/�) g -O od 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 Imorovement Permit —Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs NO Minor Imorovement Permit — Class IV: See attached schedule inspection Fee S I PERMIT VALIDATION Permit Fee PERMIT ti0. Penalty i DATE APPROVED Cash Deposit -Surety Bond if required i EXPIRATION DATE TOTAL: $ I DATE ISSUED Receipt No. By -Received by Date Administrative Authority Recorded by - TELEPHONE: f619) 664-2246 Eric Schmidt Purchasing/Administration FOSTEO TUOF 81-750 Airport Blvd., Thermal, CA 92274 TEL. (619) 399-0049 FAX (619) 399-1974 MOB. (619) 774-1279 A Division of Landmark Land Company of California, Inc.