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0969
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A NOTE: • With prope'rIvalidatio'n this form :constitutes an CITY` OF LA-QUINTA` encroachment permit 10 .1"4 APPLICATION" FOR PERMIT L4., PUBLIC WORKS 'CONSTRUCTION (ENCROACHMENT) 0 For, the 'construction 'of' public or private curbs,, drivevuiYs; pavements, sidewalks',parking Ylots,' sewers, water' mains and other like public 'w6rk;'irripro V*ements in 'connection with, MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS `Subdivision I mprovjment Permit - Class I I I 12' 28L90 DATE:,.Minor* Improvement Permit.06'1v, 4 i piim LOCATION OF CONSTRUCTION Y10VE,,EQU 7 (Street, address or Description of Location) AL, 8 PURPOSE OF CONSTRUCTION Sketch�(attach construction plans if appropriate) # HAUL -R0='J'TASH1NGTCN MM F?ZED VAPJNG bESCRIPTION,OF.CONSTRUCTION r7i,14' I Ar- 'h'I ;4AM - So= Tor 52,MEST.-TO `BMVDAS SOUTH' TO NO 1 f1 9 t 'wi N,n,, 1 r, 1, 4 r -4i CIA InOn TPQ - NOCAU�S. ♦y Y `j 4 rY , DIMENSION OF.INSTALLATION'OR*REMbVAL. f DATE 12-28-0Ma ' S12E OF EXCAVATION,,IF NEEDED, 4 'APPROXIMATE TIME WHEN WORKWILL BEGIN.' APPROXIMATE TIME OF -COMPLETION', ESTIMATED -CONSTRUCTION COST (Including removal of 611 obstruction: materials; and debris; backf illi,ng, corii-:, 'paction'and placing, permanent, resurfacing and/or replacing improvements) In coniideratidn of the granting, of, this permit, the applicant hereby agrees to, Indemnify, defend and save the City, its authorized agents, officers, repr69dritative's and employees,. harmless from and against any and all' 40 . . L or .- I s, liabiliti6*s,or- loss, re'iulting ificim*claims."or'court action' and arising cut.of any accident, loss or amage to persons or.'property p6naltie d happening or occurring as a proximate,resuli of any' work. uncle�iaken under the'13ermit ,granted pursuant to this ;pplication., Notify the Admin strative A6th&ity at 'leait twenty-four (24) hours. in advance'of th6. time when. 'work Will be'started.' Comply with,all applicable'City Orcliriin*ces, the terms and co4tiiins of the'permit and.all. applicable rulei and regulations of the'City of La Quinta and t6'pay for'any,aciclitional'P. epla.cement necessary as'the result ofthis work. - to z Signatdre'of Applicant or Agent' TARMAC MA.C;.,-,FY 5;AND .,RA( -K V 0;. TAX'14050 Name of Applicant Business Address 'Telephone No. {and Name of C6n'tractor Job'Foreman- 2 Pusiness Address, Telephoni�No. (W F TT Rt , ON FTT_,-F Contractor's License'No. Buii6ess Lic6nse No. ►City ON F T.TF Applicant's -insurance Compan'Yi Policy Number '-FEES: S6ba ivisio'n) mprovemeriit -Permit - Class,111 Public improvemii'rfts:,3% of estimated construction costs Private�improverfients: 3% of estimated construction costs 00, CCS dIasi1V'.- N2 'Minor pro�emeni.Perrnit-_ m See -attached schedule Inspection Fee :PERMIT VALIDATION' Permit Fee ins1111. PERMIT NO.',—10969 S .'Pena Ity -12-28-90' Cash Deposit-Surety'B ond if;requir`ed,., *DATE APPROVED, 12-29-90 EX,,0IRATIdN DATE TOTAL: 0 . 00 I . 2=28_90/ DATE/ISSUED Retceipt No. Received by Date, -Administrative"Authority.7 Recorded by ",TELEPHONE: (619) 564-2246 J is 4, � „��. F,.3.i�v��. _1�,� .. Y'„:�-^,.'.�X:.- . ^:�s sl. �M ,,.,.. �'Y �.� x��' .A �`*L�"Rai r^`��� �; r,.a.'4 ,. {� u•;�, 'rok4i •:s�.r --:' s.: `: x ., i �..: � ;,M1 ,r , Y ,. .'"{w.ti ,i,; T” r 't�'r�>� �+-��a-y�w��r�� p�.iq�.+��11Y.IWr'y.'�'�i .W iii Y !� r �. r M �-1►•i��i►.ilw. w�.'(►�i. !!_w L�C�IW Y�I�IYL o�.4- 1�Ri�6..J�i+M� � 1.��1�. /.Yn M. r!w� IF../+� Y K 1�w a w.,.1.�4+aYn.1. i►�J _ 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 12-28-90F LOCATION OF CONSTRUCTION YKNL;l FQUIPZ1T Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) HAUL POUTR F\1ASR1N`GTM AND FRED WMUNG DESCRIPTION OF CONSTRUCTION rAT 1AC 1,1nA. SOUTH '10 52 tv7EST TO BERMUDAS SOUTH TO NO 1n1r,t1 c.iiA,o 1clhimh Q4 nM TP.0 NOGAT_S DIMENSION OF INSTALLATION OR REMOVAL DA'I'S 12-28-90 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) 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 iAuthority 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_. 611,z Name of Applicant (please print) Signature of Applicant or Agent Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ni-i FTT;p ON FII Contractor's License No. City Business License No. CAV FTS 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. 1n nn $ 10.00 Received by Date Recorded by Z::I,- 1�0 PERMIT VALIDATION PERMIT NO. 0969 ].2-28-90 DATE APPROVED EXPIRATION DATE 12-29-90 DATE'ISSUED ,/12-28-90� By Administrative Authority TELEPHONE: (619) 564-2246 '.r NOTE: With proper validation this form constitutes an r`" CITY OF LA QUINTA •• Y#� encroachment permit .- APPLICATION FOR PERMIT >$ + .; ,,PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) Y 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 I II ' 12-28-90 ` - DATE: , Minor Improvement Permit Class IV ' LOCATION OF CONSTRUCTION. MWE EQUIPV2712 t , (Street address or,Description of Location) ' PURPOSE OF CONSTRUCTION ' Sketch (attach construction plans if appropriate) "* HAUL Fp[PiE - m1SHIL7 ilii xm FRED vaRiNG DESCRIPTION OF CONSTRUCTION CAT � rhadp SOU11•TO.52 WEST TO BERMUDAS SOUTH TO 10''o" ' - r tidr1ij 15_high 96.nod rB-q NOGALES, DIMENSION OF INSTALLATION OR REMOVAL ? DATE 12-28-90 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE.TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ r (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) 0. ,In consideration, of -the granting.of this permit, the �licant hereby agrees', to: ' ^ Indemnify,.defend and save the City, its authorizedag� officers, representatives and employees, harmless from and against any and all . • - r penalties, liabilities'or-loss resulting from claims or court action and arising out of any accident, loss'or damage to persons or property t happening •or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.. F`, - - • •Notify the Administrative Authority at_least twenty-four (24) hours in advance of the time when work will be started. a _ 't,- 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 f this work. Signature of Applicant or Agent , TAR,1AC kViSSEY SAND RACK P-0 BOX 14050 Name of Applicant (please print) ` .,Business Address 'Telephone No. Name of Contractor and Job Foreman Business Telephone No. t ; ON FTLE ON FTTR Contractor's License No. City Business License No. CN FILE Applicant's Insurance Company t Policy Number , FEES: Subdivision Improvement Permit — Class III'' Public improvements: 3% of estimated construction costs • Private improvements: 396 of estimated construction costs n NMinor Improvement Permit - Class IV: See attached schedule �l Inspection Fee $ • PERMIT VALIDATION Permit Fee 0 cc . PERMIT NO. t 0969 Penalty_ t .. 12-28-90 , Cash Deposit•Surety Bond yt,` DATE APPROVED 2-29— y if required 12-29- E IRATIO DATE' -10. TOTAL: $ •10.00 2-2 90 AT SUE Receipt No. Received by Date ` Administrative Authority Recorded by TELEPHONE: (619) 564.2246 ` ' 7 NOTE: MIH pF806F Valldailan , `j. 1 . . this form constitutes an CITY OF LA''CIUINTA encroachment permit APPLICATION FAR, 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: -- ,,41 /0 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION LIX15Wif (Street address or Description of Location) PURPOSE OF CONSTRUCTION .'Sketch (attach construction plans if appropriate) DESCRIPTION OF CO STRUCTION 737 1 1 %Gl J/ Aell� L AL �d'Cl�l2 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED .S 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) 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 (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 La Quinta and to pay for any additional replacement necessary as the result of. this work. / Signat a of Applicant or A ant Name of Applicant (please print) Business Address,aIlk e5 0T. I',P r(tton .0�i� Name of Contractor and Job Foreman Business Address Telephony No. /I/ Ile 10A Contractor's License No. City Business License No. lJ ti r le Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements; 33'0 of vulmated construction costll :. No Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Pee PERMIT N0. Nnalty Cash Deposit -Surety Bond . v :. DATE "APPROVED if required '. EXPIRATION DATE TOTA1.1©AT6 I63AD Ncelpt No.. pia&68 bj! Data f AdMIMIstrativa Autnfarlty Recorded by -- -=-,. TEIsEFHQN; (019) 664246