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1647,'NOTE'. - With 'NOTE':With proper validation Q' this form constitutes an CITY OF LA QUINTA encroachment permit J 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 _t Subdivision I:Fnprovement Permit — Class I I I DATE: Minor Minor Improvement Permit Class IV Calls Tampico & Desert Club Drive LOCATION OF CONSTRUCTION (Street address or Description of Location) Lower Telephone cable to PaV,gSI ill&&0qJJJf CTION Sketch (attach construction plans if appropriate) . R I F CO�IlS� UCnTIO�V Trenchapprox toy See attached conditions ref D, WR !fid 4l��r Lo a ab a City Project No. 92-12 310 DIMENSION OF INSTALLATION OR REMOVAL x SIZE OF EXCAVATION, IF NEEDED • i APPROXIMATE TINE WHEN WORK WILL(AEGIN lJ "AP.PR.OXIMATE TIM OF COMPLETION ESTIMATED CONSTR CTION COST $A' (Including removal of al obstruction, materials, d debris, bi kfilling, co paction and placing perm nent res rfacing and/o replacing i rovement I'n'''consideration of the gr nting this pe it, th applicant reby ag ees to: I i Indemnify, defend and s ve the Ci y, its auth ized ents, officer repre entatives and employees, harmless from'and against any and all penalties, liabilities or Io resultin from claim or c urt action an ar' ing out of any accident, loss or damage to persons or property happening, or occurring as proxim to result of a y wo k undertaken' der the permit granted pursuant to this application. Notify the Administrative uthorit at least twent -four 4) hours in advance of the time when work will be started. ' r -Comply with all applicable pity Ord nances, the ter s and onditions of the permit and.aU,,applicable rules and regulations of the City of La., uinta and to pay for a y additi nal replacemen necessa as the result of this work. Signature of Applicant or Agent Hood'Communic' ions,.In .0. Box 376 Grand Terrace, Ca 92324 908-274-0577 Dme. e q& i nt (pl�as �intl F' Business Address Telephone No. ense Same Same Name: of Contractor and Job Fore an Business Address. Telephone No. 580721,' 2133 = Contractor's:License No. ' City Business License No. Joins! & Higgins of California -GL 7702316 ' ,• Applicant's Insurance Company Policy Number • _! {, ` �i+1 e + �y. .. ' w yt .!. i.. r. , it - ,_ .. FEES: 'Subdivision•.Improvemerit Permit — Class III' .!,Public improvements: 3°/a`of estimated construction costs ,Private raprovements: 3% of estimated construction costs- . Minor Improvement Permit - Class IV: See attached schedule , Inspection Fee "s U PERMIT VALIDATION n P F ermit ee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 0 Received by Date Recorded by r PERMIT NO. 1-8-93 DATE APPROVED EXPIRATION DATE 1-15-93 DATE ISSUED 1-8-93 By Administrative 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 Subdivision Improvement Permit— Class III DATE: 1-8-93 Minor Improvement Permit Class IV Calle Tampico & Desert Club Drive LOCATION OF CONSTRUCTION (Street address or Description of Location) PUIRPOSE OF CORSTFIUCTION Lower Telephone cable to clear storm drain DF�RI�TlgN OF CONJTRhUCTION Trench approximately p one - cab e DIMENSION OF INSTALLATION OR REMOVAL 1 x 8 SIZE OF EXCAVATION, IF NEEDED 1' x APPROXIMATE TIMIE WHEN WORK WILL UGIN APPROXIMATE TIM OF COMPLETION 1 ESTIMATED CONST_ CTION COST $ (Including removal of all obstruction, materials, paction and placing perm nent res facing and/( In consideration of the gr ting his pe it, Indemnify, defend and s e t e Ci , its autho penalties, liabilities or los resultin from claim happening or occurring as proxim to result of Notify the Administrative thority at least twi Comply with all applicable ity Ordi ances, the La�uinta and to pay for an additi nal replace Sketch (attach construction plans if appropriate) See attached conditions ref City Project No. 92-12 debris, b kfilling, com eplacing irovement applicant h re by ag es to: zed a ents, officers Veprentatives and employees, harmless from and against any and all or c rt action ang out of any accident, loss or damage to persons or property a y wo undertaker the permit granted pursuant to this application. nt four 4) hours in advance of the time when work will be started. ter s and ditions of the permit and all applicable rules and regulations of the City of ment necessa as the result of this work. Signature of Applicant or Agent Hood Communic ions, In \.O. Box 376 Grand Terrace, Ca 92324 908-274-0577 Name of Applicant (pleas rint) Business Address Telephone No. David D. Wensel Same Same Name of Contractor and Job Fore an Business Address Telephone No. 580721 2133 Contractor's License No. City Business License No. Johnson & Higgins of California GL 7702316 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 $ 0 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $, 0 Date 164` PERMIT VALIDATION 1-647 PERMIT NO DATE APPROVED 1-8-93 EXPIRATION DATE 1-15-93 DATE ISSUED 1-8-93 By TELEPHONE: (619) 564-2246 Administrative Authority r M. NOTE: ' With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT .r 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 I Subdivision Improvement Permit — Class II I DATE: 1-8-93 . Minors Improvement Permit Class IV Calle Tampico & Desert Club Drive,; LOCATION OF CONSTRUCTION (Street address or Description of Location) PU P S F CO ST UCTION Lower Telephone cable to Sketch (attach construction plans if appropriate) . cl�aQr Es�orm �ra�n DWRIfSIINWOF C�NJTRhUCTION Trenchapprox matey See attached conditions ref 0 er a ep o one cable City Project No. 92-12 DIMENSION OF INSTALLATION OR REMOVAL 11 x 80 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIDE WHEN WORK WILl &EGIN 1 8-93 'APPROXIMATE TIM OF COMPLETION L -0-7J ESTIMATED CONST R CTION COST $ / ' (Including removal of al obstruction, materials, a d debris, b kfilling, com paction and placing perm nent res rfacing and/o replacing i rovement In consideration of the gr nting this pe it, th applicant h reby ag ees to: Indemnify, -defend and s ve t e Ci y, its auth ized ents, officers repre entatives and employees, harmless from and against any and all penalties, liabilities or to resultin• from claim or c urt action an ari ing out of any accident, loss or damage to persons or property 'happening or occurring as proxim to result of a y wo k undertaken der the permit granted pursuant to this application. Notify the Administrative uthority at least twent our 4) hours in advance of the time when work will be started. Comply with all applicable ity Ord nances, the ter s and nditions of the permit and �all,applicable rules and regulations of the City of 'Ui Lanta and to pay fora additi nal replacemen necessa as the result of this work. Hood Name of Applicant (pl David 6. Wense nt) Name of.Contractor and Job Fo 580721 Signature of Applicant or Agent .0. Box 376 Grand Terrace. Ca 92324 Business Address Same Business Address t 2133 1 908-274-0577 Telephone No. Same Telephone No. Contractor's License No. r City Business License No. Johnson & Higgins of California GL 7702316 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private i%provements: 3% of estimated construction costs i Minor Improvement Permit — Class IV: See attached schedule Inspection Fee �` $ 0 Permit Fee Penalty Cash Deposit -Surety Bond if required 0 TOTAL: Receipt No. Received by Date Recorded by 1647 PERMIT VALIDATION 164/ PERMIT NO. 1-8-93 DATE APPROVED EXPIRATION DATE 1-15-93 DATE ISSUED 1-8-93 By TELEPHONE: (619) 564-2246 Administrative Authority .A `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 1-8-93 Subdivision Improvement Permit — Class III DATE: nor Improvement Permit Class IV Calle Tampico & Desert Club Drive LOCATION OF CONSTRUCTION (Street address or Description of Location) Lower Telephone cable to P&jFLflj.OSF0Q&CQ0 � Taj CTION Sketch (attach construction plans if appropriate) a c a y See attached conditions ref D RILPaI�dt�FrCQ��.?p�i�utTr10&b tV City Project tato. 92-1.2 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 1 APPROXIMATE TIME WHEN WORK WILL BEGIN i ;t APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ j (Including removal of all'oobstruction, materials, and debris, backfilling, com paction and placing permnent resurfacing and/oreplacing i provements) In consideration of the granting ofthispermit, the applicant hereby agJrees to: Indemnify, -defend and save the City, its authorized a ents, office repres ntatives and employees, harmless from and against any and all e penalties, liabilities or loss resulting from claim's or c 4urt action and arising out of any accident, loss or damage to persons or property happening or occurring as., proximate result of an work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority' ,at least twenty-four , 4) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms andNonditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement, necessaT`y as the result of this work. t � � 1 t Signature of Applicant or Agent Hood Cotamunic tions, Ing P.O. Box 2376 Grand Terrace, Ca 92324 NAT�_AaAjqeli Namee©o7 Contractor and Job Fore , an 5821 Contractor's License No. . Johnson & Higgins of California SBse ss Address 908-274-0577 Telepphho@ a No. Business Address Telephone No. 2133 City Business License No. GL 7702316 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 TOTAL: Receipt No. Received by Recorded by 0 $ Date tI%RJ17 VALIDATION PERMIT NO. —6-93 DATE APPROVED 1-15-93 EXPIRATION DATE 1-8-93 DATE ISSUED By TELEPHONE: (619) 564-2246 Administrative Authority