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1339---- - = -------------- 7 ----------------------------------------.....«:.----..,,,------------------- NCITE With proper validation / Q this form constitutes an CITY OF LA QUINTA encroachment permit' APPLICATION FOR PERMIT $ PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT)„ I• _�ww� 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 DATE: January 22s 1992 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Intersection Hwy 111 and Washington, on Washington St.•, La Quinta (Street address or Description of Location) PURPOSE OF CONSTRUCTION Enter manholes Sketch (attach construction plans. if appropriate)' Tra r c,contro to c ange DESCRIPTION OFC NSTRUCTION See attached sketch and traffic flows in manhokess, plan. DIMENSION OF INSTALLATION OR REMOVAL See attached conditions. SIZE OF EXCAVATION, IF,NEEDEb` APPROXIMATE TIME WHEN WORK WILL BEGIN 7000 AM to 11 PH. . APPROXIMATE TIME OF COMPLETIONII;QQ� ESTIMATED CONSTRUCTION COST (Including -removal of all obstruction, materials, and debris, backfilling, com; ' paction, and p)aci6g_permanent resurfacing and/or replacing improvements) In consideration of the granting of this 'permit sthe'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 work. Signature of. Applicant,"cir Agent Coachella Valley Water District 39$-2651 Name of Applicant (please print) Business Address Telephone No. Jose Q. Rodriguez #10 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 Improvement Permit —Class III Public improvements: 3% of estimated construction costs z• Private improvements: 3% of estimated construction costs 1 339 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Casli Deposit=Surety Bond if require } 4 TOTAL: $ �' Receipt Noo, Received by, Date Recorded by PERMIT VALIDATION PERMIT NO. 1339 1/2292 DATE APPROVED EXPIRATION DATE 1/30/92 DATE ISSUED 1/30992 By Adm' istrative Authority TELEPHONE: (619) 564-2246 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 2_ Subdivision Improvement Permit — Class I I I DATE: ^ 2 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION - 1 , / / f j/ /, <k,n4 11 46in 9'Dh �T—, �G to iri fiGL� (Street address or Description of Location) PURPOSE OF CONSTRUCTION - Fn-tGr- AV'4' 144114!-SSketch (attach constructionlans if appropriate) ppropriate) DESCRIPTIOJV,OF CONSTRUCT DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN -7,4V-W, 7`0 1 / In .,d APPROXIMATE TIME OF COMPLETION-- ESTIMATED OMPLETION-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 work. Name of Applicant (please 0�� moi/ eL SifiKature of Applicant or Agent Business Address -3 sk- Telephone No. 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 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 Penalty Cash Deposit -Surety Bond if required $ —_ e,_!;� TOTAL: $ - Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED - Z Z `" EXPIRATION DATE -JO — CtZ DATE ISSUED —2--2- —9 Z By Administrative Authority TELEPHONE: (619) 564-2246 1 NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit t, APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) C` OFo�s 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 • I Subdivision Improvement Permit - Class II I DATE: January 22, 1992 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION -Intersection Hwy 111 and Washington, on Washington St., La Quinta I5treet address or Description of Location) PURPOSE OF CONSTRUCTION Enter manholes DESCRIPTION OF CONSTRUCTION Traffic contro to change flows in manholes. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 2.00 AM to 11 PM., Sketch (attach construction plans if appropriate) See attached sketch-and"traffic plan. See attached conditions. APPROXIMATE TIME OF COMPLETION -1 1 -00 AN 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. z Comply with all applicable City Ordinances, the terms- and conditions of the permit and all applicable rules and regulations of the City of La Quinte and to pay for any additional replacement necessary as the result of this work. nature of Applican r Agent Coachella Valley Water District 398-2651 Name of Applicant (please print) Business Address Telephone No. Jose G. Rodriguez 1110 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 Improvement Permit - Class I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs 1309 Minor Improvement Permit - Class IV: See attached schedule Inspection Fee $ -0- PERMIT VALIDATION Permit Fee 1339 PERMIT N0. Penalty 1/2292 Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE 1/30/92 TOTAL: $ -0- 1/22%92 DATE ISSUED Receipt No. By - Received by Date Admi 'strative Authority Recorded.by TELEPHONE: (619) 564-2246: SPECIAL CONDITIONS --PERMIT NO. 1339. TRAFFIC CONTROL The following conditions shall be met to the satisfaction of the City Engineer. 1. Traffic control shall be as directed by and to the satisfaction of the city engineer. 2. One south bound lane closed. 3. One south bound,lane shall remain open.. 4. No encroachment shall be permitted on the northbound lanes. 5. The east entrance to the Vons shopping center shall remain open, (f lagger required) . 6. Shopping center entrance shall not be obstructed after 9OO AM 7: Work shall be week, no done earl in the w eek no work shall all be permitted on friday. ry) Sky -- -- -A - - IV � eta �+Ia /ya n�j i i r J r � ` •. i r � .. ti . - - .ice ., ` r � • �. t i n 1 � � � � .. t .+. _ � _ � � y