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1136NOTE: With proper validation 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, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 6125/91 Subdivision Improvement Permit — Class III DATE. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION __ 53-810 CARRANZA LA QUINTA, CA (Street address or Description of Location) PURPOSE OF CONSTRUCTION DRIVEWAY APPROACH Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION NO DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6/26/91 PER RIVERSIDE COUNTY STD. NO. 207 (ATTACHED) 10 Q51ORSH4i 2TQTA16-25-9!34.40 14 APPROXIMATE TIME OF COMPLETION 7/5/91 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 re It this Signa tur of Applicant or Agent G. J. MURPHY CONSTRUCTION P.O. BOX 1124 PALM DESERT 340-9423 Name of Applicant (please print) Business Address Telephone No. G. J. MURPHY CONST. (JIM PURCELL) P.O. BOX 1124 PALM MESERT SAME Name of Contractor and Job Foreman Business Address Telephone No. 327235 1760 Contractor's License No. City Business License No. STATE COMPENSATION INSURANCE FUND 768947 Applicant's Insurance Company • Policy Number FEES: Subdivision Improvement Permit —Class Ill Public improvements: 3% of estimated construction costs 1136 Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee 30.00 113 ( PERMIT NO. Y� Penalty/ 6 Cash Deposit -Surety Bond DATE APPROVED 25/91 if required EXPIRATION DATE 715191 TOTAL: $ 30.00 DATE ISS E 6/25/91 Receipt No. - By ]%aA1 ZZ�J�� Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 •Y - NOTE: With proper validation this form constitutes an encroachment permit CITY OF APPLICATION LA QUINTA FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 1' 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 Improvem&nt Permit — Class I I I DATE: 6/25/91 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION _ 53-810 CARRANZA LA QUINTA, CA (Street address or Description of Location) PURPOSE OF CONSTRUCTION DRIVEWAY APPROACH Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION , NO DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6/26/91 APPROXIMATE TIME OF COMPLETION 7/5/91 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: PER RIVERSIDE COUNTY STD. NO. 207 (ATTACHED) 1405igg ii ggpp f` CASH0i2WA10.6125�9130.00 i4 Indemnify, defend and save the City, its, authorized agents, officers, representatives and employees, harmless from and against any and all e 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 re It this wof . Signatur of Applicant or Agent N G. J. MURPHY CONSTRUCTION P.O. BOX 1124 PALM DESERT 340-9423 Name of Applicant (please print) Business Address Telephone No. G. J. MURPHY CONST., (JIM PURCELL) P.O. BOX 1124 PALMMDESERT SAME Name of Contractor and Job Foreman Business Address Telephone No. 327,235 1760 Contractor's License No. City Business License No. STATE COMPENSATION INSURANCE FUND 768947 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II / 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 30.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 30.00 Receipt No. Received by Date Recorded by y 1136' PERMIT VALIDATION PERMIT NO. Ll3(iq DATE APPROVED 6/25/91 EXPIRATION DATE 7/5/91 6/25/91 DATE ISSUED r By Administrative Authority TELEPHONE: (619) 564-2246 a NOTE:' With -proper validation this form constitutes an - CITY OF LA QUINTA encroachment permit _ APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)cg For the 'construction of public or .. private curbs, driveways, pavements, sidewalks; parking lots, sewers, water mains and other like public works•improyements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS JUNE 25, 19 91 Subdivision Improvement Permit — Class 111 DATE:Minor Improvement Permit Class IV' LOCATION OF CONSTRUCTION 53-810 Carranza La 2uinta, CA (Street addreis or Description of Locat' n) PURPOSE,OF CONSTRUCTION y Sketch (attach construction plans if appropriate) r ' 1 DESCRIPTION OF CONSTRUCTION r DIMENSION OF,INSTALLATION OR.REMOVAL Kj SIZE, 0F 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 placi6g;permanent_resurfacing anaier:.reFiacir,3:mpccvemerts►, 3 In consideration -of the lgraniing,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 ermit and all app ca le rules and regulations,of the City of La Quinta and to pay for any additional replacement necessary 'as �the e I f his work. —Signature of Applican or Agent . ` G. J. Murphy Construction-. P.O. Box 1124, Palm rt, 340-9423. ` Name of Applicant (please print) Business Address '. Telephone No. G. J. Murphy Const. (Jim Purcell), P:O. Box 112.4, Palm Desert -340-9423 Name of Contractor and Job Foreman Business Address , Telephone No. - 327235 1760 Contractor's License No. City Business License No. State Compensation Insurance Fund 768947... 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 VALIDATION Permit Fee PERMIT NO. Penalty DATE APPROVED Cash Deposit-Suiety Bond / if required' EXPIRATIONYDATE TOTAL: $ 0 ` op o - DATE ISSUED lQ Receipt No. By 4 Received by Date +• Administrative Authority Recorded by TELEPHONE:�(61911•564-22461