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1504NOTE: With,proper validation •� his form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONS, TR1p oVff 1zE. LPAi> Pr -z"' j" 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 A 3 Subdivision Improvement Permit — Class III DATE: A89ust 5, '1992 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION MQVe equipment Sketch (attach construction plans if appropriate) DESCRIPTION OF'CONSTRUCTION CAT 633 Scraper= pry Riverside County line, , south•on Washington - east loaded on 9 axles QA Miles, south on Duna Palms DIMENSION OF INSTALLATION OR REMOVAL to Westward Ho, and return 13-9 Nide.-14-9 high, 99-10 overall, -gross wt. 218.581 uiiladQA. r SIZE OF EXCAVATION, IF NEEDED , 45t-VAM 14faT -P6-92 10.()014 APPROXIMATE TIME WHEN WORK WILL BEGIN* 8/8/92 APPROXIMATE TIME OF COMPLETION " ESTIMATED CONSTRUCTION COST $ (Including removals 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: i` Indemnify, -defend and save the City, its 'authorized agents, officers, representatives and employees, harmless from and against any and all r 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. s, 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 Quirita and to pay for any additional replacement necessary as the result of this work. Signature of74ppli nt o gent'. E.L. Yeager Couste.Co.. xnGi P.O. Box 87 Riverside. CA (800)222-5360 . Name of Applicant (please print) Business Address. Telephone No. Name of Contractor and Job•Foreman Business Address Telephone No. Contractor's License No. City Business License No. ' - r AmeAran "lnternatioual Co. 9B7702162 Applicant's Insurance Company Policy Number 4 FEES:' Subdivision Improvement Permit —Class III' Public improvements: 31/o of estimated, construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule1504 . Inspection Fee $ PERMIT VALIDATION Perm10,00it Fee ' Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No Received by Date Recorded by PERMIT NO. DATE APPROVED 1504 8/5/92 EXPIRATION DATE 8/8/92 DATE ISSUE 8 5/92 B 00 4M I 49 Administrative Authority TELEPHONE: (619) 564-2246 ..PUG -05—' 92 WED 1.1:20 ID: E. L. YEAGER TRANSP. TEL N0: 800-284-3101 0071 P02 - --•• - y NOTIt ' With propel velidatlon this form conetltum an CITY OF LA �t11NTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the eonstructlon of public or private curbs, tl►Ivawevt. pavemente, Ilidfrwalko, oarkinp late, sawore, water mains and other like public works Improvemante In connection w th MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATI: d o Jr /_q?— LOCATION OF CONSTRUCTION lstreet et wars of Deeertption e4 4oaetlonl Subdivision Improvement Permit — Class 1)I Minor Improvement Permit Clue IV PURPOSE OP CONBTAUCTION—114"JI N'V 3-3 SESSFE&O-611 (Attach conttruedon piano if aooroprlate) 0115CRII'TION OF CONSTRUCTION DI 6 SIONOFINV 4 ON RRIMOV SO. 0�1 WTtSWtiN^�.�Q� 4 y tL O*A ����s 1 -`so. ora bu+�•� SIZIOPEXCAVATION, IPNIEDED APPROXIMATE TIME w"CN WORX WILL BBOIN � ZF--V Vt'L" IjI4 t„ia. tli=—"- APPROXIMATE TIME OF COMPLETION — all 1157 12L ESTIMATED CONSTRUCTION COSTS (IndudInII romovat of all obstrtlotlon, materials, and dabrlt, backfilling, eem• 0aotl0n Intl placing pormanar►t rN01014 AlWor replacing Improlvementel In consideration of the grar>tlng of this permit, into epp@oant hereby agree, to: IA*MMffy,•d,fend etta says the City, Its ovincrit:ed aaems, affiliate, rapreeenatlws and smoloyses, harmieu Nan and atielfMt any and 61l Panel"", Ileblihles lir Joe rewritlna train olelms or court wtlon and erltin0 cut of any scoldent, leu or damem to eenons at proaarty heaeerllea lir osourtine 01 1 ereaimste reeuit of any work undertaken under ma patrnft granted raureuent to this spI"lwttee. Nati" ins Admintstrlttw Authority at last twenty4eur 11241 haute In edvanoa of Bur ting when wort will be sterad. cafnely voth all ttpelisebh City ordlnsnal, the terms And condi"one of the bennlf end all sepllmtE s runt end rquletfona of the City of Lo 4llnts and to WY lar ethr sdtlhbnel renfseerrtsnt nsseriry as the rssult it thiawtrik, n a A blanetura of Applidint or 'E.L.. ����K C,�.�s^c C®, iuc. 00 15360 Name of Applicant (please print) Busiruse Address rr Tdlel hone No, .. .. . ba 'Z 61- 315SE Name of I;ontreotor eAd Job Foreman Business Address Telephone No. Contraotorrl tisanes No. Clty t"ness Llan» No. ----§iL\Ui tier s�°��eat�Y�®>'rb -- - 8q-'1'10z,lla1. Applicant's Inturanee Company Policy Numrser FBI$: 84divleton ImImsfaw Permit —Clan III Publle Improve mento: 3% of unmated consiruotlon coats Prlvea Imeravementa: 3% of estin%jild Construction Neu Minor In+fxowmMt Hermit — C1sss I V: See attached Schedule inepeation Pee i I PIRMIT VAbIPATION Permit Fee —_ - if • 11 PERMIT NO, Penrlty Cash Dencelt-Sursty Bond If reoulred TOTAL: Reeelpt No. Revived by Data,.,.,,.�,�, Recorded by OATC APPROVED EXPIRATION DATE DATE ISSUED By Adminletritivo Authority TSLEPHONd: (010) 964.2240