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0980,A NOTE: .• �'k�- - _ e. . ' i With proper validation.`, t y 2 this form constitutes an i -, - .. 'CITY OF LA- QUINTA . F encroachment, permit °; T' +APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) '' sw��• 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 SUBDIVISIONSs Subdivision Improvement Permit -Class III DATE: January• 10.., 1991. Minor Improvement Permit`Class I.V LOCATION OF CONSTRUCTION TR 94208' Dune Pa1'rhs & Fred Waring Cactus Flower South .� + ' • \ (Street address or Descriptiori'of Location) PURPOSE OF CONSTRUCTION new development Sketch (attach construction plans if,appropriate), DESCRIPTION OF CONSTRUCTION ,`ac payementi including ` R curbs,,"gtitters; sidewalks per approved plans on file - DIMENSION OF INSTALLATION OR REMOVAL a SIZE OF EXCAVATION, IF•NEEDED APPROXIMATE TIME -WHEN WORK WILL BEGIN- -1/14/91 APPROXIMATE TIME OF COMPLETION 9 /91 ` a ES TIMATED,CONSTRUCTION COST $ 311.500:00 z ' (Including removal of all obstruction, materials; and debris, backfilling; com paction and, placing permanent resurfacing and/or replacing improvements), ln,conside'ration,of�t[W rantin of this.. ermit„thea applicant hereb a rees to: 9 9 P PP y. g Indemnify,:,defend and saverthe City, its;authoriied agents, officers, representatives and employees, harmless from and against any and all penalties,;liabilities or loss resulting frorn,claims or court; action and arising. out 'of 'any accident, lossror'damage to persons or property” - ihappening 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 jc pay for any additional replacement necessary as the result o ythis work. ELL �t, Signature of Applicant or Agent Williams Development.Corp' 426'00,Cook Street Palm Deserti.CA.`92260 '345-7541. Name of'Applicant+(please print) "s " ' l Business Address': Telephone No. .' Sbuthwest.Construction Co..'3ic: 29G9 Rainbow Valley:Elvd:, Falibrook;_CA Name of Contractor and Job. Foreman- y. ! Business Address 920.2,8" Telephone No. 728-4460 .631 . Contractor's Licenie No.' 4' ` ;� . - City- Business License No. H ahiands Ins. B -BA 771845; Applicant's Insurance Company''` 4 _Policy Number FEES: Subdivision Improvement Permit - Class`I l l t Public improvements: 3% of estimated construction costs Ot)54$'' 9'_3`' 1 9i Q' 4t. iff = `GASH ROTAI:. 1 � 760.Pb ' i,, Private improvements: 3% of estimated construction costs 'Minor Improvement Permit —'Class IV:ISee attached schedule T •� Inspection Fee.. $' :7615.00 ` PERMIT'VALIDATION Permit Fee:y #' - r 0980 PERMIT I. Penalty". : � .: � } •I i I �i'F�Q Cash Deposit -Surety Bond - , a, DATE APPROVED if required' EX RATION D,TEZ2 TOTAL: $ 7615. 00 DATESSU'E.D Receipt No. .. e ' By v Received .by Date",`: vAdministratiVe Authority Recorded by TELEPHONE: (619) 564-2246 'Y1�7N`➢.K}.p„�jl+Cl.'Ki`N cs .fs 6 ice' M �� i w w r•. M ti+�1Y M !,'-i tl� � hV � � M �1 T�-R+ 4.� k'a� !r 6>a. !� !R �i �W /I} M /y w•iw 1� r !? w �►. !►P M .ry "t NOTE: With proper validation`-_ this form constitutes an T11 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: January 10., 1991 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Tit A4208 Dune Palms & Prod %arms Cactus Flowar South (Street address or Description of Location) PURPOSE OF CONSTRUCTION new development Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION ac pavement, including curb3, gutters, sidewalks per approved plans on file DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1/14/91 APPROXIMATE TIME OF COMPLETION 9/91 - ESTIMATED /91ESTIMATED CONSTRUCTION COST $ 311 .500.00 (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 off this work. Signature of Applicant or Agent t-Jilliams Develonment Corp 42600 Cook Street Palm Desert, CA 92260 345-7541 Name of Applicant (please print) Business Address Telephone No. S©utl.west Construction Co. Inc. 29G9 Rain�ow Valley :tivd., I'allbroo}�., CA Name of Contractor and Job Foreman Business Address 92028 Telephone No. 72.03-4460 4G5118 Contractor's License No. C: J �• City Business License No. Hic�hla.nds ins. BBA 771845 Appticant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class] 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 . $ 7615.00 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No Received by $ 761 a..CV Date Q�4 aSIR` AA 7T133N V"'760.0V PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE, DATE ISSUE Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 . ' NOTE: R � • , • ,. % • . I , • , With proper validation this form- constitutes an CITY OF LA _ QUINTA r �" encroachent permit - 5 - 'APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION- (ENCROACHMENT) For the constriction 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 I I DATE: ` January 10'.-1 1991 Minor Improvement Permit lClass IV -LOCATION OF CONSTRUCTION - TR 24208 Dune Palms & Fred' Warincr Cactus Flower South (Street address or Description of Location) ' hew development , PURPOSE OF.CONSTRUCTION Sketch (attach construction plans„if appropriate) DESCRIPTION OF CONSTRUCTION ac. -pavement i,including y ` curbs,*gutters;�sidewalks per approved plans on file DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION; IF NEEDED 2 APPROXIMATE TIME WHEN WORK WILL BEGIN 1/14/91 APPROXIMATE TIME OF COMPLETION 9/91 ' ESTIMATED CONSTRUCTION COST $ ' 311, 500, 00. s- (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: s Indemnify, defend and save theCity, 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 •t - happenin .ag-or occurring as a proximate resultof 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. ` a t rK,q Signature of Applicant or Agent Williams.Development Corp-. 42600 Cook'Street Palm Desert; CA 92260 '345-7541_ Name of Applicant (please print)' ”, Business Address' ' Telephone No. ' Southwest Construction Co.' Inc. 2909 Rainbow 'Valley'Bl,vd;, Falibrook,•CA Name of Contractor and 'Job Foreman Business Address 92028 Telephone No.,728-4460 465118 6 31" , t Contractor's License No. City Business License No. Highlands -Ins. BBA 771845 - Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit- Class III ii Public improvements: 3% of estimated construction costs - s 010618ATH 93�� i�i-93?6i5.000 M1 Private improvements: 3% of estimated construction costs0 Irl Minor Improvement Permit - Class IV: See attached schedule Inspection Fee $ 7615.00 PERMITW VALIDATION Permit Fee - PERMIT N0. 0980 Penalty f 1 ui DATE APPROVED ' ' Cesh, Deposit -Surety Bond � .. . if required )C IRATION' T r vr' / r TOTAL: $ 7615.00 SDA - S i } t Receipt No. - Received by Date'-' Administrative Authority - • `Recorded by TELEPHONE: (619) 564.2246 r• • ,SPECIAL -CONDITIONS --PERMIT NO. 0980 TRACT 24208 Cactus Flower South The following conditions shall be'met to the 'satisfaction of the City Engineer,. 1. Permittee shall be -responsible for dust and erosion control. 2'. Streets shall be kept clean..They shall'be be completely. . cleaned'at the end of the working day and more frequently if required. 3. Contractor shall.comply with•the local noise ordinance.and construction operations -and maintenance of equipment within one half mile of human occupancy shall be -,performed only during•the.time periods as follows: October'lst to April -30:' Monday -Friday 7:00a'.m.-5::30p.m.. Saturday 8:00a.m.-5:00p.m. May 1st ­to September 30: Monday -Friday 6:00a.m.-7:00p.m. Saturday 8:00a.m.-5:00p.m. Work. shall be 'prohibited anytime on, Sunday and Federal holidays. 4 Permittee shall assume responsibility' for repair of existing pavement breakdown at the. haul road access to any public or private street. and for. any damage to other:, City streets or, facilities. 5. Any on-site haul road shall be effectively destroyed at the conclusion,of the work to prevent use•by unauthorized vehicles. 6. Construction `traffic shall be' permitted ..access from Dunes 'Palms. Road only. Permittee shall -furnish, install, and maintain stop signs at each, access to any, public; street to stop construction traffic.. Advancewarning and traffic control' shall be installed and maintained in accordance with Cal Trans Standards and -subject to the approval of the City Engineer. 7. Permittee shall notify the City at 564-2246 at least 24 hours in advance of starting construction. 8. All improvements shall, be constructed as per approved plans. NOTE: With propervsl1idatWk_- this form const>ttstasan CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewaiks, parking lots, sewers, watts mabha : and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class 111 DATE: 9 _ Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Strest awron or oaaeption of Location) PURPOSE OF DESCRIPTION OF CONSTRUCTION 4."�r g , l�/t?-YiX✓2�- s^ DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN / .a- 9/ Sketch (attach construction pians if apWoMils I APPROXIMATE TIME OF COMPLETION / ESTIMATED CONSTRUCTION COST S (Including removal of all obstruction. materials, and debris, bad*filling, cam- 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 save the City, its authorized agents, officers, representatives and employees, harmless from and against env and all penalties, liabilities: or Ion resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proxanea result of any wart undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four 1241 hours in advance of this time when work will be started. Comply with all applicable City Ordinances. the tenor and conditions of the permit and ail applicable rules and requlatiorn of the City of 1, ouinve and to pay for any additlono MoMeWneM neaaery as the result of this want. j Signature of Applicant or Agent r ��r.cs. i i� ms �zor. Gd�.� � �2-G©o /��odse �• � �, 34 t = 7 �� / Name of Amicant (please print) Business Address Telephone No. CC,(�3 Cc)- sic_n_ (0m Name of Contractor and .fob Foreman Business Address Ca•lk')o,-�3 Telephone No. K Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision lmorovemem Permit —Class Ill a Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated constriction costs . Minor Imorovement Permit — Class IV: See attached schedule Insoectlon l=ee S %6 % 15 Permit Fee Penalty Cash Deposit -Surety Bond if required - TOTAL. S Receipt No. Received by Date ' Recorded by -_ No PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246"• NOTE - With proper-valkh iw- 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, watWrrnaim_ and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS J 4 Subdivision Improvement Permit — Class 111 DATE: �'� Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 71, 1 !i , (Street aodron or Desenpbon of Location) PURPOSE OF CONSTRUCTION 0 "o Al e,) 0 DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 7 "� 9 7 Sketch (attach construction plans if appropr;ilia) APPROXIMATE TIME OF COMPLETION 7 ESTIMATED CONSTRUCTION COST $ 3 (Including removal of all obstruction, materials, and debris, ba-kfilling, com- piction 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 employees, harmless from and against 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 property, happening or occurring as a proximiste result of any work undertaken under 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. Comply vmth all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and reputations of the City of I, Quints and to pay for any additional revisosment neonsery as the result of this work. Signature of Applicant or Agent Name of Aoplicant (please print) Business Address Telephone No. ., ^C' sJC'_.. • k���rq 0.A��1(�,n�,J �4>1 ��'� 0.1 11(1_ � � 1� �"7� — 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 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 S� t S' 0_0 ' 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: (6191584-2248 The following General and Special Provisions are attached to and made a part of Permit No. 6lr� GENERAL PROVISIONS ' The following shall always apply' ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints rightof way ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permittedto operate on any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, City of La Quints shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above. PROTECTION OF TRAFFIC:,AII excavations and work areas shall be properly lighted and barricaded as deemed necessaryby the City Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained forthe duration of the project. The City shall be notified 24 Hrs. in advance of any traffic detours or delineations. _CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes necessary to remove or cut existing drainage structures, City of La .Quinta shall tie notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required, to sprinkle -the job site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quints roads, it shall be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. CLOSING STREETS: No street shall be closed. A minimum of'one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the, permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The follwing shall apply ONLY when indicated: ;•� R1 ;NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. �2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amountof not less than $ shall be furnished in the name of City of La Quints to cover all work involved in the restoration of the various La Quints roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be posted prior to commencement of any work on this project. +R3 UTILITY CLEARANCE: (Substructures) Prior to making any excavationwithiri the City of La Quints right of way authorized by permit, the permittee.shall contact all concerned utility companies relative to the iocation of existing substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permittee. - R4 U)ILITY CLEARANCE:•(Surface structures) No work shall be done under this permit until all utilities are clear of the t proposed work site. The permittee shall notify all concerned utility companies of the proposed work. R5P VEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with inches of A.C. paving placed on inches of class aggregate subbase course having an "R"valueof not less than and in conformancewith City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. ' R6 PARKWAY GRADING: Area between the property line and top of the.proposed concrete curb shall be graded to a slope of 1/4 inch to one foot (1'). dR7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter nstruction. R$ ADE CHECKING: City of La Quinta shall check grades upon receipt of plan and pFofile and/or grades as established by . a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet)shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway' approach shall be constructed in conformance with City of La Quinta Standard #207. R10 DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be 2-1/2 inches of A.C. paving placed on ( ") of class aggregate base. Driveway construction shall conform to attached drawing. R 11 CULVERTS: A inch diameter ( ) culvert shall be installed with the invert approximately 1-1 /2. --inches below and in line with.the existing flow line. Culvert installation shall conform to the attached drawing. R12 IGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained. 3 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the manufacturer's specifications. 14 OORDINATE WORK: The proposed work shall be subordinated to any operation which the State ,of California or City of La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or itv of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. R15 {�VEY MONUMENTS: Prior to excavation or beginning of construction, all survey_ monuments which exist on the centerline of all streets or property lines when involved shall be completely tied out so they may be readily and correctly be replaced by a licerised civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the . ties to these monuments shall.be furnished to the City Engineer prior to the removal of any monuments. This off ice shall be notified upon completion.,of.replacement°of all -survey monuments•forproperrprojecublearance._ NOTE: With prow valid bWr_-_ , this form conssrum an CITY OF LA� au1NTA encroachment permit 'APPLICATION. FOR PERMIT PUBLIC WORKS CONSTRUCTION I ENCROACHMENT) - For the construction of public or private curbs, drivewevs, ' pavements, sidewalks, parking • lots, iewers, w' nw n aina-, and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS' Subdivision Improvement Permit — Class III DATE: ! 9 1 L,:?:! Minor improvement Permit Clan IV ...........,. LOCATION OF CONSTRUCTION - • . �J�-e P7�S /—�' B W c i2 � J �'�[/ f • � ��� D r 1 � , �.1 4 . )Street aadrsss w Oascnptioh at Loatlopl l PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropp,) — � A/ DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE.TiME WHEN WORK WILL BEGIN. APPROXIMATE TIME OF COMPLETION / ESTIMATED CONSTRUCTION COSTS (Including removal of ail obstruction, materials, and debris, bacltfilling, 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 autnorized agents, officers, representatives end emplavees, harmless from and against am and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to versaor property happening or occurring as a proximate result of ally work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four 1241 hours in advance of the time when work viii be started. Comaiv with all a0aimble City Crdinanns. the terms and conditions of the pntnit and all appliawa rules and regulations of the CIN of V Quinta and to pay for any -edditki so replacement neCaYlry as the result of this wWkr' �r j Signature of Applicant or Agent �✓Y�^ Name of Aoplscant Iplease print) Business Address Telepnone No. SOv'T�wt co 63 Co z sic %SN- C'Itt,J %Lv j)_ C) . Name of Contractor and Job Foreman, °Business Address q.f LL' • (, C«.4XD8 Telephone No. x�c� \\g _ ' • _ x x,31 _ Contractor's License No. City Business License No. ' X _Rr\)C& rt �� G� k %R FR )s5 CA Aoplicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class 111 Public improvementsi 3% of estimated construction costs - Private improvements: 3% of estimated construction costs _ Miner I rnni nvpmont Permit — Clatt 1 V- Aee arratkted tNOrhadnim a Insoection Fee Permit Fee Penatty Cash Deposit -Surety Bond , if required TOTAL: S + Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By { - Administrative Authority TELEPHONE: 1619) 684,2248,--