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1048Applicant's Insurance Company ` . Policy Number FEES: Subdivision Improvement Permit - Class III ` p f o p i062 -9f• i0 0Atf f 4':00 Public improvements: 3% of estimated construction costs ' Private improvements: 3% of estimated construction costs U8 8 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ II 0.00 Permit Fee Penalty Cash Deposit -Surety Bond if.required TOTAL: $ D. Receipt No. Received by Recorded by Date PERMIT VALIDATION PERMIT NO. 1D 46 DATE APPROVED -4-2 -91- EXPIRATION DATE DATE ISSUED 4 Z' q By Administrative Authority TELEPHONE: (619) 564-2246 .114-1 4 - NOTE: NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit # APPLICATION FOR PERMIT, r.m.d ' PUBLIC WORKS, CONSTRUCTION (ENCROACHMENT) ,r•��� OIV `iR1P OUE GIZ. _ LOAD PI�..EKIT . oFT�� For the construction of public 'or private cubs, driveways; pavements, sidewalks, par',king lots, sewers,, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS , ' Subdivision Improvement Permit '=.Class .IIl- 4-.Z + q DATE: : _I. - Minor -Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION AAbU'F— ED UIP _" ' w = Sketch (attach construction plans if appropriate) ' DESCRIPTION OF CONSTRUCTION- 16 63-^* 4AUt 'ZOU*FF_ .' 1 LU 91 1-4 I N G70Q '5T 11 iG 1" �. � �`D w AR I IV GU TO ` 4 IV V 1 1 I DIMENSION OF INSTALLATION OR REMOVAL IDI 1A_) M)500 - LP35 } 'SIZE OF EXCAVATION, IF•NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN. APPROXIMATE -TIME -OF COMPLETION..DAT: ESTIMATED CONSTRUCTION COST $ om (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) paction 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,iout any accident, loss or damage to persons or property. , 'of happening or occurring as, a proximate result 'of any work undertaken under the, permit granted pursuant to this applications 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 ofthe 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 thistwork ,• Signature of Applicant o Agent UUEVO EIVC1IkJEERtI NLS 7q- 911 CDIANTV CLIAW B.D. Name of Applicant (please print) Business Address Telephone No.'' Name of Contractor and Job Foreman Business Address ' f Telephone No.- o.DN 0"FILE. `' Q F I'LE. .40 , Contractor's License No. City Business, License No. G9N F1LV_ yN 1L Applicant's Insurance Company ` . Policy Number FEES: Subdivision Improvement Permit - Class III ` p f o p i062 -9f• i0 0Atf f 4':00 Public improvements: 3% of estimated construction costs ' Private improvements: 3% of estimated construction costs U8 8 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ II 0.00 Permit Fee Penalty Cash Deposit -Surety Bond if.required TOTAL: $ D. Receipt No. Received by Recorded by Date PERMIT VALIDATION PERMIT NO. 1D 46 DATE APPROVED -4-2 -91- EXPIRATION DATE DATE ISSUED 4 Z' q By Administrative Authority TELEPHONE: (619) 564-2246 � �T��. � '`Tr • ' A � 7 _, �'ti y4�.it i .r , � � ..4.y. .. .. �.F �;�' +w,'V, ,.p .1... .^w. •.. �; .. � . _ � f .M. .. ,. ,; I 1 1 .... '� ' • ' ' ' � } � � i - _' r _ � . .. . NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) QME. `TlZ1P OUER-SIM LOAD PEEMIT 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 4 -Z -q i LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV ' (Street address or Description of Location) PURPOSE OF CONSTRUCTION KANE. E®UIP Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 160 G 14AUL IZOUTE. Uj A4514 1 ti cYT O" 5� DIMENSION OF INSTALLATION OR REMOVAL »�� f�Z D %i21 TO 011 111 IWife Lt.) WS. S 00 LP -55 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION A&V L DATE. 1-7--011 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 Signature of Applicant o Agent (UUEVD-EMGIIUEEIZI IU L7 7q- 811 CDUNTU CL141Y b.1D. 34s-- Ma Name of Applicant (please print) Business Address Telephone No. i. Name of Contractor and Job Foreman Business Address �` ; Telephone No. „ ,O Q FILE Contractor's License No. City Business License No. C9N F i U. \, t� 0 F I 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 10.00 Penalty Cash Deposit -Surety Bond if.required TOTAL: $ it) ' 0 Receipt No. Received by Date _^ Recorded by 'F� $FAAHT V L Oil=9i 1048 PERMIT VALIDATION PERMIT NO. IO DATE APPROVED 4-Z - 91 EXPIRATION DATE DATE ISSUED 4- Z-91 By Administrative Authority TELEPHONE: (619) 564-2246 NOTE: With proper validation this tbt m'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 Subdivision Improvement Permit —class III DATE: / - Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Sheet address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if a rT -- PPropriate) DESCRIPTION OF CONSTRUCTION ' / �Ol'i DIMENSION OF�INISTAL �ATION81'RE OVAL i c SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN n, AR -1 0G �.V) 1� I Ill. APPROXIMATE TIME OF COMPLETION 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 end -employees, harmless from and against any and all penalties, liabilities or toss 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 1241 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 Quints and to pay for any additional replacement necessary as the result.of this work. Signature of Ap I can r Agent Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778 Name of Applicant (please print) Business Address Telephone No. NameofCon77 nd Job Foreman Business Address Telephone No.' Contractor's Licen^No. City Business License -,NO. icant's Insurance Company ES: Subdivision Improvement Permit — Class 111 Public improvements- 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Onspection Fee $ Fee ,natty Ish'Deposit-Surety Bond required TOTAL: $ No. by ecorded by Date Policy Number N° 96 PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246