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1144.J U L— 1 5— 9 1 MON 15:21 ALLIED HEAVY MOVING �1 r NATE: With proper validation this form constitutes an CITY OF LA QUiNTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) P . 03 S-617 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 I I OATfE: 7�g/91 Minor Improvement Permit Class IV ,..� LOCATION OF CONSTRUCTION fStreat address or pesc►IptlOn of LoCationl OVERSIZE LOAD PERMIT PURPOSE OF CONSTRUCTION Sketch (attach construction plans If appropriate) DES�U'1O�Ui�,DISTpN CO�SE MOVINGEDOL CE PCJTrLxNG DIMENSION OF INSTALLATION OR REMOVAL, SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1 APPROXIMATE TIME OF COMPLETION 71117 § 1 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: HAUL ROUTE FROM PALM DESERT TO INDIO WEST TO EAST ON FRED WARING. PILOT CAR FRONT AND REAR. SEE ATTACHED CONDITIONS.' MOVE AFTER 2 A.M. AND BEFORE 4 A.M. Indemnify, defend and save the City, Its authorized agents, officers, reprooentatives and employees, harmless from end against any and all penalties, Ilebllitles or Ions resulting from claims or court action and &rising out of any accident, lose 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 Adminlstrative Authorlty as, least twanty•four 1124) hours In advance of the time when work will be started. Comply with all applicable City 04n&nces, the terms and conditions of the permit and all applicable rules and regulations 1� GIUINT La Quinta and to pay for any additional replacement necess&ry as the result of this work. h a Signature of Applica t or Agent 4G ALLIED HEAVY MOVING INC. 2678 SO LILACONIUMN 714-877-9393 Name of Applicant (please print) Business Address Telephone N`PHANK YOU BILL FOREMAN SAME AS ABOVE Name of Contractor and .lob Foreman Business Address Telephone No, C494960 Contractor's License No. TRAVELERS INS CO City Business License No, 660 712JO40-8 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs 1 Private Improvements: 3% of estimated construction costs Minor Improvement Permit — Class IVi See attached schedule 11 ,NOTE:: 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 Subdivision Improvement Permit —Class II I 1 DATE 7/9/91 Minor Improvement Permit Class IV s LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION OVERSIZE LOAD PERMIT Sketch (attach constructionlant if appropriate) ppropriate) I DES�&TI N pF CpNg U T pN E TRUCK -PULLING Q6LOBUILDINGTONCHOifSE MOVING DOLLIES ROUTE: DIMENSI N•OF�INSTALLATION OR REMOVAL -30Zed y 7Y X FROM PALM DESERT TO IG. WEST TO EAST ON FRED WAKING. /� IN . SIZE OF EXCAVATION, IF NEEDED PILOT 'CAR FRONT AND REAR. ` - SEE ATTACHED CONDITIONS. APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 7/12/91 MOVE AFTER 2 A.M.• AND BEFORE 4 A.M. s ESTIMATED CONSTRUCTION COST (Including'removal of all -obstruction, materials, and debris,,backfilling, com- paction and placing permanent resurfacing and/or replacing improvements)1 In consideration -of the granting of this ,permit, the applicant he agrees to: Y •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 n h G y dfA QUINTA La Quinta and to pay" for any additional replacement necessary.as the''result of this work. CtI� g Signature of Applica t or Agent ALLIED HEAVY MOVING, INC.z, 2678 SO LILAC, BLOOMINGTON 714-877=9393' Name of Applicant (please print) Business Address Telephone NPNW • YOU BILL FOREMAN: SAME AS ABOVE. t Name of Contractor and Job Foreman Business;Address Telephone No. 'C494960 h. Contractor'slicense No.,, City •Business License No. TRAVELERS INS CO 660 712JO40-8 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements:, 3% of estimated construction costs i Private improvements: 3% of estimated construction costs 1 14'4 Minor -improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 10.00 Penalty ' • Cash Deposit -Surety Bond if. required TOTAL: $ 10:00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED 7/9/91 EXPIRATION DATE 7/12/91 D SSUED 7/9/91 By Administrative Authority TELEPHONE: (619) 564-2246 y„•��s7-yr�F.--.•�..t...!?'."`�5� .+.. Vis. ae+r �.- +..eCst. 1 " ,.. r. is ad3 -As�.l:�.gYa 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 II I 1 DATE 7/9/91 Minor Improvement Permit Class IV s LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION OVERSIZE LOAD PERMIT Sketch (attach constructionlant if appropriate) ppropriate) I DES�&TI N pF CpNg U T pN E TRUCK -PULLING Q6LOBUILDINGTONCHOifSE MOVING DOLLIES ROUTE: DIMENSI N•OF�INSTALLATION OR REMOVAL -30Zed y 7Y X FROM PALM DESERT TO IG. WEST TO EAST ON FRED WAKING. /� IN . SIZE OF EXCAVATION, IF NEEDED PILOT 'CAR FRONT AND REAR. ` - SEE ATTACHED CONDITIONS. APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 7/12/91 MOVE AFTER 2 A.M.• AND BEFORE 4 A.M. s ESTIMATED CONSTRUCTION COST (Including'removal of all -obstruction, materials, and debris,,backfilling, com- paction and placing permanent resurfacing and/or replacing improvements)1 In consideration -of the granting of this ,permit, the applicant he agrees to: Y •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 n h G y dfA QUINTA La Quinta and to pay" for any additional replacement necessary.as the''result of this work. CtI� g Signature of Applica t or Agent ALLIED HEAVY MOVING, INC.z, 2678 SO LILAC, BLOOMINGTON 714-877=9393' Name of Applicant (please print) Business Address Telephone NPNW • YOU BILL FOREMAN: SAME AS ABOVE. t Name of Contractor and Job Foreman Business;Address Telephone No. 'C494960 h. Contractor'slicense No.,, City •Business License No. TRAVELERS INS CO 660 712JO40-8 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements:, 3% of estimated construction costs i Private improvements: 3% of estimated construction costs 1 14'4 Minor -improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 10.00 Penalty ' • Cash Deposit -Surety Bond if. required TOTAL: $ 10:00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED 7/9/91 EXPIRATION DATE 7/12/91 D SSUED 7/9/91 By Administrative Authority TELEPHONE: (619) 564-2246 I - } NOTE: J 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 DATE: 7/9/91 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION OVERSIZE LOAD PERMIT DEbGG'HO6LO BUILDINGTON H6USEMOVINGEOL IK PULLING ES DIMENSI N OF INSTALLATION OR REMOVAL J& 0y SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 7/12/91 Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) HAUL ROUTE: FROM PALM DESERT TO INDIO WEST TO EAST ON FRED WARING. PILOT CAR FRONT AND BEAR. SEE ATTACHED CONDITIONS. MOVE AFTER '),IrAND BEFORE APPROXIMATE TIME OF COMPLETION 7/12/91 4 A.M. 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 4 e n• ofA QUINTF La Quinta and to ,pay for any additional replacement necessary as the result of this work. Signature of Applica t or Agent 7 ALLIED HEAVY MOVING, INC. 2678 SO LILAC, BLOOMINGTON' 714-877-9393 ` Name of Applicant (please print) Business Address Telephone N01 HANK YOU . BILL -FOREMAN SAME AS ABOVE Name of Contractor and Job Foreman Business Address Telephone No. C494960 Contractor's License No City Business License No. TRAVELERS INS_CQ 660 712JO40-8 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class Ill 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: $ 10.00 Receipt No. Received by Recorded by Date r� 1144 PERMIT VALIDATION PERMIT NO DATE APPROVED EXPIRATION DATE 7/9/91 DA -TISSUED Byr 0 t.•a k"• Administrative Authority 7/9/91 7/12/91 TELEPHONE: (619) 564-2246