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159211 NOTE: !- \]Vith proper „validation' this form consfit tes,,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 11-3-92 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) - PURPOSE OF CONSTRUCTION i0 move Equipment Sketch (attach construction tans if a ro riate) ~* • DESCRIPTION OF CONSTRUCTION ug terrain crane I FfV I OF I TA ATI NOR EMOV L Loaded on 5 oael,e S oN N§ LL O R q high. ly wtde, legal length, 121,225 gross.fat. SIZE OF EXCAVATION, IF NEEDED From Riverside Cnty. line, south on Washington, Ease on Miles, SOUth on Dune Palms to Westward Ho i 11 APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 11— —9 ESTIMATED CONSTRUCTION COST $ " (Including removal of all obstruction, materials, and debris,'backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) ,j 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, joss 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. ' x e 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. C. Y Signature of ApplcantArgent / E. L. Yeager Construction Co. P.O. Box 81 Riverside CaiiEorriia (800) 225-5360 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. American International, ISE 7702162 .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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No.p �� .4'sC1 2" Received by 1 Date Recorded by PERMIT VALIDATION PERMIT NO: 1592 DATE APPROVED 11-3-92 11-4-92 EXPIRATION DATE 11-4-92 DATE ISSUED � By �I I i I�i1� aA/AM. Administrative Authority TELEPHONE: (619) 564-2246 NOV-03-'92 TUE 11:05 ID:E.L.. YEAGER TRANSP. TEL NO:900-284-3101 #365 P01 (A0 ?, r a,,:; N0161 With proper validltipn tniD brm aonalelitao an �ITy OF LA QUiNTA onaroaenmant parntlt APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OWE -TlZlp 0VIt(LS1We L0,40 PEZKIT Q0 For the construction o! public or private curb&, tirlyawave, pavamente, sidewalks, parking late, sewers, watt! maim and other Ilk$ public works improvements in eonnsation whA MINOR IMPROVEMENTS and APPROV90 SUYOIVISIONS e$ .� Subdivision Improvement Permit Claes Ili DATE: �..� Minor Improvement Permit Class IV _..._� LOCATION OF CONSTRUCTION IAlem stand at G000rlisdan of I cortion) PURPOSE OF CONSTRUCTION ---. 6 'J6 Sketch (attach cenetruction plane N appropriate) DESCRIPTION OF CONSTRUCTION t;3 ctsv &4�1 b ii,4 ue , --- •.—..�tG4w14Ee �®q't'y 191\1 �1�AS4at1.t�.`1'tiW � �4SY of s ON cl: I A T o R AEYOVM% s a S I 5;bo'r!1 C til bU sis SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WI I.L BUNN APPROXIMATE TIME OF COMPLETION @ETIMATIO CONSTRUCTION COSTS (IroludIme rtmoval of ell obatruation, Moorish, and debris, backfilling, tom• xWon and plaoing perffonint roturfaoirlp and/or replacing Improvements) In wisidaretlon of the yrantl!tii of this permit, the appiiant hereby egreee to: indomm"v,•drrane end wit the OY•y. IN outherlaed of M_ afflaers, npree chose and amployaw, hamllall from slid "aim any aha III Penalties. 11011111116 or fon riisulttrg Para els;ms or tout gallon anal arllirle rat of env scalatnt, leu or damp to flnans or prwerty holowlif at o"WetIm as a gran;rWe refult of Any week undeatsktn untie? IRs permit omnted eurevsm to this "IsotlM. N.dfv the Administrative Aulhority at lost twenty.14uf (&41 he'" in aetvanca of the eine mhos work Wil be moved. Carnaly with all tpell"Isle City ordingnMt, the tame and conditions of theormlt 0111 all apPlleaCna le�rmiss and roQulatlaof Ina City of Lo guinea and to pay far any sodltlanai roatacrmsnt nnnury u the recant f f erns Vey t� s T\ 1� Signature of Applicant or t � = k�,.w� \:�% �M A , • i T�� r ,lar ♦ . ® . 160-t w� �� I� t M F t Vw'• .ter Name of Applicant (please print) Euelran AddressTdiep lie No. 806 xxtrS3 too NARK at Contraelor end Job Foreman livainca Address Telephone No, Contractor's License No, City Auslness License No. INK M�vj Vy 11 1b bA Ilk, 16 Applicant's Insurance Companv Polley Number Pigs. Subdivision improvement Pa►m!t -Cleat 161 Pubtla Improvel Is I : 3% of aeimsta l construotlon coats Privet$ ImWevemenal 4% of satlrmTed construatlon aceta - F� Minor Improvement Parfait- class IV: 5e,5attachod achaduie Ina"ation Pee L I PRRMIT VA61CATION Permit Foe -,.. 1®- b ® S q PERMIT rv0. �..rr��, Calh 0 Z. Cath epeeis•Suraty gond DATE APPROVED� Ir raaylred EXPIRATION DATE «'+ y w 9 Z. TOTAL: • �,.-®� DATE ISSUtsO Roaelpt No, I By fleeelved by Dot* Admintstrative Authority Recorded by �`�- - TELEPHONE: (010) 564.2240