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1056NOTE: , ' • ' s• '� �. ',�:` .,:..� , ;Withproper validationb. ~'this form constitutes an �� j N• , �,�4~ encroachment permit CITY Or LA .TQUINTA ' APPLICATION FOR PERMIT' " -' ', �• PUBLIC WORKS CONSTRUCTION, (ENCROACHMENT) b OF N, For the construct on of public or private curbs; ,driveways, pavements, sidewalks, parking (lots, sewers, •water, mains f y`and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS , 'Subdivision Improvement Permit — Class III ' :4 -'1I -^g1 p DATE: • Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Ave 50W/0 Wd` Wlin#W } `' r (Street address or. Description of Location) ��**��hh at�tr • • y TO wWF`i' .. ` PURPOSE OF CONSTRUCTION Sketch (attach.construction.plans if appropriate) AND 'MM =XMI SIE CAM uDESCRIPTION.OF CONSTRUCTION =W=�co 'ri$fi fi ' > `PIS 7UMM BELS SEE AGTE, W.O. 543-711741 V ' DIMENSION'OF INSTALLATION OR REMOVAL 10JVWXWV rzawwi T #0914,0907- 11.6' ` 1x36"x270 TRWM 1 SPLICE P-& SIZE OF EXCAVATION, IF NEEDED PLMM'AMY' 'TO, MIS C�pLVD=1CINS ATMM P��,TE �00991.4. 0 0967 ,R APPROXIMATE TIME WHEN WORK WILL BEGIN 41 'APPROXIMATE TIME OF COMPLETION 'ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris; backfilling, com 4 paction and .placing permanent resurfacing and/or replacing improvements) r ,Inrconsideratiori of the granting of this permit, the applicant hereby agrees to: s 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 acciden"oss!or damage to persons or. property r v'happening or occurring as,a proximate result of any work undertaken under -the permit granted 'pursuant .6 thisapplication.: ' Notify the Administrative Authority at least twenty, -four (24) hours inadvanceof the time when wor I be`" tart d r T .., t�� l`3y � 6 ,7§4.04-i i 91 i 4 Comply with all applicable City Ordinances, the terms and conditions of -the permit and all applicable ru.IRs,ranid fagT1.V or,(s oithe Cit'44%.00 La :Quint-".and.to pay for any additional replacement necessary as the result of this work. '_ ' y Sigr atu of Applicant or Agent •' ;•' L1AVxA D ,1 1SSG 21496 ISN f3T ' GM TEra= CA 710 274-0577 " Name of Applicant (please print) Business Address +f , `',f' Telephone No. ` yHOM C 00WINXCATICKS n 31496 MAV --62 GXUM,'I DACE CA' } Name of Contractor and Job Foreman " Business Address Telephone No. { 880721 11$2 t• Contractor's License No. V City Business License No. ` ARI Ii OYDS LCAn 22614300000 04001 4J "Y',: ° F • '� Applicant's Insurance Company ' Policy Number *= .I , FEES: Subdivision Improvement Permit "!Class I I I y ' • sr : r._ " Public,improvements:,3%of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 4 0" Inspection Fee $ 160000 a' . i PERMIT VALIDATION PermitIFee }f, ` 1056 ± * . i f PERMIT NO. ` Penalty , - DATE APPROVED' •4=•11-91 Cash Deposit -Surety Bond if required EXPIRATION DATE 12-31-91 } TOTAL: $ '160.00 Receipt No. Received by Recorded by Date DATE SSU 4-11-91 By—/`= - Administrative Authority TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an encroachment permit CITY 00 LA QUINTA APPLICATION FOR PERMIT - i PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) �w. 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 4-11-91 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Ave 50W/o Waa dJxJbm (Street address or Description of Location) PURPOSE OF CONSTRUCTION TO ABANDW MANHO E AND FILA>iiE ZNUME E CAALS DESCRIPTION OF CONSTRUCTION COVER TrTM PLACE TELEPH= BABLE DIMENSION OF INSTALLATION OR REMOVAL 1016"x5'x6'6" 1x36'x270 TREK 3 1 SPLICE P.& SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) 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: SEE GTE W.O. 543-711741 PERNSIT #0914 0907 �'N 9f•� i 1• i �.1 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 o wx l b st rt d (%��it3 S s� 2N 04--11-91 14 Comply with all applicable City Ordinances, the terms and conditions of the permit and all applip9ble Q$e aWcl &eggffio(js o'rthe Cify6f•p© La Quinta and to pay for any additional replacement necessary as the result of this work. r Signaturd of Appl icanflor Agent t DAVID D AENSEL 21496 MAIN ST GRAN TERRACE CA 716 274-0577 Name of Applicant (please print) Business Address I/ Telephone No. HOOD OONJ CNICATICKS = 31496 MAIN ST, 4.AND TEMVkd CA Name of Contractor and Job Foreman Business Address Telephone No. ' 880721 1182 R isid a a Contractor's License No. City Business License No. C�IDF.Tdn�tITF�ZS AM LLOYDS IANDM 22614300000 00001 W Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I 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 $ 160000 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ 16?.00 Receipt No. Received by Date Recorded by 1056 PERMIT VALIDATION PERMIT NO DATE APPROVED 1056 4-11-91 12-31-91 EXPIRATION DATE DATE ISSU�D/ 4-11-91 By Administrative Authority TELEPHONE: (619) 564-2246 p _ r Wiz- x• ' NOTE:. • r ' With proper validation � t this form constitutes an CITY LA QUINTA r encroachment permit . c - • T ;APPLICATION FOR PERMIT -. PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT) � _ - For the construction of public or private curbs; driveways, pavements,'sidewalks, parking lots, sewers, water, mains r and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS • 'i Subdivision Improvement Permit — Class I II '4-11-91 ; , r d ° DATE:i 4� Minor Improvement Permit Class IV Ave 50W/o' Washington t, LOCATION OF CONSTRUCTION j , 4• (Street addressor Description of Location) •ri :• TO ABANDON MANHOLE. ' '• ' P]�U��rR\P}O��SE��O,FyC�ON�SrTy�R�/Uy�C,�T�ION Sketch (attach .construction plans if appropriate) ` • , �' ., AND'PLBCE "T LilJPHCNE CARTE - .'• - r* DESCRIPTION OF CONST. R94M MR2RING COVER TRIIdC'fi 4.' RUCTION PLACE TELEPHONE CABLE SEE GTE,W.O. 543-711741 • DIMENSION OF INSTALLATION OR REMOVAL 10'6"X5'x6'6" PERMIT: #0914 0907r } 1x36"x270 TRENCH 1 .,SPLICE P.& SIZE OF EXCAVATION; IF NEEDED 'PLEASE APPLY 'TO THIS CCNDITIONS ATTACH PERMIT 0914 # 0907 f •''.� • `- t PPLYRTO. LL .THIS PERMIT• A ' APPROXIMATE TIME WHEN WORK WILL BEGIN, " SHA _ r APPROXIMATE TIME OF COMPLETION '. K ESTIMATED CONSTRUCTION COST $: - (Including removal of all obstruction, materials, and debris, backfilling, com• y 5y ,p g permanent resurfacing and/or replacing improvements) ' paction and lacin ' In consideration of the granting of permit; the applicant hereby' agrees to; -this' _ t 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. •?1' s. ' Notify the Administrative Authority at least twenty-four 1241 hours in advance of the,time when I1404114 O(95ki '0441-91 -14� ;,. . ' - , e Comply with all applicable City, Ordinances, the terms and conditions of the -permit end all appfJc�ble rt��Id �eg51��iIs o1 the Ci.00 . , ; - •a..Quinto and to pay for any additional replacement' necessary as the result of this work. -� Ir r`tt Signatu of Applicant or Agent' * DAVID.D AENSEL, 21496 MAIN :ST GRAN TERRACE:CA ^x.•.,716 274-.0577. - Name of Applicant (Please print)- ct Business Address' ' ' Telephone No. ' ' HOOD .CU.ZWICATIONS INC .31496 MAIN ST GRAND . TERRACE CA r Name of Contractor and Job Foreman Business Address .• Telephone No. • 580721 ' �, w " t 1182 Contractor's License No." , •, ,: ` City Business License No.. ^ UNDERWRITERS AT-.LLOYDS'LONDON 22614300000 00001 4J .' - Applicant's Insurance Company Policy Number. ' ' FEES: ` Subdivision Improvement Permit —Class III t r a ' Public improvements: 3% of estimated construction costs r. 10 5, 6 'Private *10-5 improvements: 3% of estimated construction costs t E Minor Improvement Permit — Class IV: See attached -schedule u Z, t Inspection Fee $ .1%.'00..: r ;PERMIT VALIDATION . ' - ' l' Permit Fee ' e PERMIT N0. w� 1056 * *� Penalty • • �'^f 14-11-91 DATE APPROVED -Cash Deposit -Surety Bond 12-31-91 t if required'EXPIRATION DATE TOTAL $ .16P.'00 DA 4-11-91 E SU r , . Receipt No. a - + BY` a • Administrative Authority '1 'Received by Date f •1 Y .,y N _ 1' " .- Recorded by f TELEPHONE: (619) 564-2246" r _ ", t NOTE: With proper validation - ' this form constitutes an encroachment permit CITY, 00 -CA QUINTA i v APPLICATION FOR- PERMIT ' PUBLIC: WORKS CONSTRUCTION (ENCROACHMENT) • f . .. • , .' r • ' r . ti /moi �� • t ,, i .. { � Ire _ ' • 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 Im v _ • Improvement Permit' Class III ` DATE: y 9- 9 A Minor Improvement Permit Class IV LOCATION'OF CONSTRUCTION ALLE SD+ ''- lA/s�� zwf _ mo r/- (Street address or Description of Location) PURPOSE OF CONSTRUCTION 1 o A3,661002& ir?.4,U/�ol ' SY "Sketch (attach construction plans if a' �. DESCRIPTION OF CONSTRUCTION 5 o `' /0 w•0- SY3 7/ 711X , ' Cn, u.� ae � TaPR.iic•t� � PLA�,� Ti�1 "��ifN,� ' /_'7dg� "•• . . . DIMENS)ON OF INSTALLATION OR REMOVAL in ' tP" X4- s'/ / - - T�/�ii3G /9 / - .S®!/mss O 7 .• '' SIZE OF EXCAVATION, IF NEEDED x APPROXIMATE TIME WHEN WORK WILL BEGIN'/� g �. APPROXIMATE TIME OF COMPLETION = ESTIMATED CONSTRUCTION COST $ '. .(Including removal of all obstruction, materials, and deur:s, backfilling; com- paction and placing permanent resurfacing and/or' -;replacing improvements) In consideration of the granting of this permit, the applicant hereby. agrees tto: ` 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 grantedpursuant 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 Ciuinta and to pay for any additional replacement necessary as the result of'this work. { ` Signature of Applicant or Agent ; 4__- `2)+9 11&ZA.) bsi. r.,"W.17 7 ffea 3Cx- Ca 7ry-97'/^0577 Name of Applicant (please print) Business Address 9237•` Telephone No. 646WC Z32=.Qi t C'//% 7/ 9 27V - 195.72 Nam_ a of Contractor and Job Foreman ` Business Address 9�,3Z� Telephone No. 62 -- Contractor's License No. l City Business License No.-, `l/�I111j's2u��PiT.�IQs srT L1-t7YIJs�,Cniuy6w 22//s,� pp Q®66 'Applicant's Insuiance'Company Policy Number FEES: Subdivision Improvement Permit = Class III " ' Public improvements: 3% of estimated itonstruction costs' Private'improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule,, Inspection. Fee $ _ PERMIT VALIDATION Permit Fee PERMIT NO. Penalty 'DATE APPROVED 'Cash Deposit_ -Surety Bond if required_ EXPIRATION DATE TOTAL: $ .. • - , - DATE ISSUED - Receipt No, r 'BY -Received by Date'- Administrative Authority Recorded by r TELEPHONE: (619) 564-2246 .