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1619
,NOTE: '"With proper validation this form constitutes an CITY .OF LA QUINTA encroachment permit 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 III DATE: December 3, 1992 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Equipment Move Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Paver, 111 6" wide. 84,000 lbs, all else legal DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Haul Routes Fernando to Eisenhower to Washington to 52 and out of city limits. Haul Dates 12/3/92 APPROXIMATE TIME OF COMPLETION 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. Signature of Appl.ibant or Agent Cranite.COnstruction Company P.O. Box 9011 Palm Desert, CA 92255-9011 775-8302 Name of Applicant (please print) Business Address Telephone No. 7-1 Name of Contractor and Job Foreman Business Address Telephone No. On File Contractor's License No. On File City Business License No. On File On File Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 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 Date Recorded by PERMIT VALIDATION PERMIT NO. 1619. DATE APPROVED 11/3/92 EXPIRATION DATE 11/3/92 DATE ISSUED 11/3/92 By Administrative Authority TELEPHONE: (619).564-2246 ”=?" 18191 '7NS,'bW31 B1. "urs any "aaarew.,ov A$ 431 YJ.i+q ,M] Not ;»kif4X-3 t OIAOa44Vr 31dO N011dGilb'A liWh1�A a e7 aa "o u..,pJY s oV WdO&V 'VLDL °''"'011 0!.00 ve,�S n1oo1Q V `^ied JJ! �0!li fD tYl e!ry.Wt ©+ewe Al mem M+;Q%d12 fUVvQ*Uj@,,,,U CAM �p!LJ,IaltyOq D11!1l tie r0 y1d n,. tll atm w. uv.,o4 4"161-4-114-1017-- 4S ieowny .V„pd 331d 1 t 11,R!:pp� aN alue) t Oviu t.0 A;q 'ON n0448,01 aN slut"d i t ,aueitup0 veu,aad 40r Dud roue+lup0 ip nu. pg AJO wa N •+u+!vJ�i euo '*4 a� ew �• A v u.,.,.,,,,., ,, a ,ot �a Q e '?'� IN OMI i JN..A1 Ow f r01-Oti a� 04 1w eaa.� ueai aMat WI !a oa�ap M ,n 4-4 .e..wJ '"440"Of 4111 ag weANM M. V"al 1ei1 +narAJ.waJ u� 4 nl.,oanv r u,nay„yy IJt "'Jig ALO"L* 00 I 41+!sa.e 4 1 ewe L4`19 ,n OW VIPL* y A.* is re yry,y •,.w artwp t s I,r,,,,e>vr A. Ir�nl!t 0114e 1i,Ly 4p yMlM 'yyb!♦te0 PYO r+im..w4qy 'Iyy %L”AR,^WI We a,.+e xvi.ML4,y 951, 41 e d �.m � pW� •'r"w^Ma/ ;ai t:a.Ae A6ar7� dvo�,eae ap '=,us,ai Acp bo !IJ!1u� t1q Jv 1uone,Jp,lvad u R"w+�f+:gwr Ouaryeu ra�Lwp S1a,a�s� g,q,�y� Ovar.q pv1 uogaeQ aoe'e!t,;es�,•v bo !aowal. 9v;aravfP t LSO3 No=nvLSNQ3 Q310'W11SI T ii% w0fL 31"I4w0a 10 DW4 ?ftdVt xOdddVp 7 +Lf N1o30 TIV4 )tuo* N3►W1 3011 21 ,.pis i / (33033NJ$'NC'1YAV'?x3! 1 �t �% ` � ✓!r 1VAOrf30 do tllrttrl.;Nt iG NOISN3WfQ (a�fndpr IJ tiet19 val,tani�a) 171e N0 nmiSl+e q !l? NO+i 1„ ' O NOLL7ny.J+ryO�10 Mdllnd "ft -n Jig a��d UAUA& 4w1 Aulys NOlSOrttLLSNo:) 40 NOf1.d00'1 LwJr4 UiWMAo.,dw1 UQ#WAIp �.- - ; 31'0 >:NOilMIr1®� 03AOtId4V Rue 1kN31M03AoWdrfi dONtYtI W+v uoa�wvao m cul t aJ � L"" '"of NOV" 'tr!la,pp,o n-we�Qp 'uuw!, aAalt p!rQM 4111 1 :odso ove AON� O ` 4AR9 elerili0 i0 rht++@ +R uo'gngt„om evl ,p! OIL— _aimr—aEs BIN3WH-3voa3fv3► NOILonwsoo SXWOM 9nand IIAW34 and r:o1��114dd VINIno vj do A11:2 l'"`+a +-^.cram• o,ou, -4 -0