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1670N©Tft�ti t� - -,- --• 1 i With proper validation '"— this form constitutes an CITY -30F LA QUINTA encroachment permit .. APPLICATION FOR PERMIT ,. PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)c OF PFS 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 Subdivision Improvement Permit— Class III DATE: 2/10/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION T111TICO/BERMUDAS (Street address or Description of Location) ' � f PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION MVE RELCAiMBR/GR=EN 8,Q001b , 816"R, 2811" W EAST ON TAMFICQ TO WASHINGTON, N0. ON WASHINGTON TO CITY LIMITS. DIMENSION OF INSTALLATION OR REMOVAL y , r ONE DAY I ov?. SIZE OF EXCAVATION, IF NEEDED • tit• --- `APPROXIMATE TIME WHEN WORK WILL BEGIN ' 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'ai 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. t Signature of Applicant or Agent O)1A ITZ CONSTRUCTION 9OX .9011 Pfit DESERT, CA 92255 619) 360-4100 Name of Applicant (please print) Business Address Telephone No. 01 VILZ .Name of, Contractor and Job Foreman Business Address Telephone No. ON. PI%H 014 &ILR . 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 TOTAL: Receipt No. Received by $ 10.00 Date • 1 PERMIT VALIDATION PERMIT N0. 1670 DATE APPROVED 2/10/93 EXPIRATION DATE2/12/93 DATE ISSUED 2/10/93 By Administrative Authority Recorded by TELEPHONE: (619) 564-2246 FEE — 1 0— 9 3 W E D 1 3 3 19 7 A P M A C C A P R O D O F F NOTL: With proper velidatlon this form sonstltutea an CIN OF LA QUINTA enorad,na.nt Oattnit APPLICATION FOR PERMIT. -PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the aommuatlon of public or prime curbs, drivowAYs, pavements, sldewelka, puking lots, w ors, ,nater mains and txhar llko publla worts lmpraveMonta In connection with MINOR IMPROVEMENTS and APPROVED $001V ISIONS SubdIvIllon Improvement Permit — Claso III DATti�,��n■r i Or �rrn.■..�.... _ Millar IIHQrovernint Permit oleo IV LOCATION OF CONSTRUCTION (Svret "grin w 15"Pvtdon of ko"Vonl PURPOSE OF CONSTRUCTION (.t) D ►�tl Sketch donttrvatian pions if opvropritta) Disc RIPTION OP CON AUCTION e oS"�" ©Y1 a icy chlw- - L DIMENSION OF INSTALLATION OR REMOVAL W SIZQ OF EXCAVATION, IF NEEDED APPROXIMATE TIME WMEN WORK WILL 8EGIN APPROXIMATE TIME AF COMPLETION f$11MATBD CON8TRUCTI0N COST 10 (Ir4luding removal of all obatrumlon, rtlateriale, and debris, backfiltinq, Wfn. peetiori and placing permanent resurfacing and/or raplecing Irnorovemantt) In contldon stlon of the granting of thill permit, tiro applicant hereby egroee to: Initemn,ty, da" end awe the Clty. Its iutfiorlr#d oaoM1, atim i, .%m mutivio ad of vieveef, honri- from and elwri any ehd all Ixwnim dlooigtiu Or toe+ rowlting from mount or court action and amine out et any w0,dont, low or damage %a phoria of DnmerrY ho wua} of =wmn¢ a. a pr01111110te nmol% Of cry amore unoirrrakan YXW the pem1K tnnt+d Wwont to Balt a11e1104h, AfetlM 1M AdrnlMirimil to Authwity at 1041% "no-foyt t211 hours In drenee Of ih! IW4 whin War% "Il ba turfed. tdfl ov IWA idi 40 own elw emih4mw, the ta,„w ane aondltl*no of the oww„ t end di aval"131e rutty aM rpulet4004 aA 00 CYV of W Cu1601 IM to ser far any ecidkronri MVIO l MM niCPMrO eo IAa tMit of 11111 *00k- w of Applicant S1Qnature of A ROY, Ouslntu Addrwu j AaasS t I q 5,1-0 �Sz� N9. Name of Contractor 11Job Foreman au%inew Morita Talepltania No. .�...e. &-Yk--� Cnntractor't Llaet►sa kb. CltV awnissULkanim No. Applicint's IMSVMn94 Conloeny Policy Numoer Fitft Suod(v{don lmnrotement Permit —Claw (If Public Imtlrov111 Mnte: 2% Of Wiffaatid construction Casa f4MIIA improvIrMAIII: 3% of aetlmated tonatruoslon coats Minor Itnorovoment Permit Class IV.' Seo aictachad schedule Impaction FIM 3 PERMIT VALIDATION Permit Fee P&RMIT NO, ihnelty ) ■,.. Cash Doposit-Surety Bond P, DATE APPI10GO If faauired EXPIRATION DATE ., ,■�.� a� TOTAL: DATE ISSUE® Av P 0 1 h: ---- i' --------------- NOTE: With proper validation this form constitutes an CITY OF -LA LA QUINTA encroachment permit � APPLICATION , FOR PERMIT !� PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) � `'�10F T1i69` 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: 2/10/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION TAMPICO/BERMUDAS (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION MOVE RELCAIMER/GRINDER 38,000lbs, 8'6"H, 28'1" W DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) EAST ON TAMPICO TO WASHINGTON, NO. ON WASHINGTON TO CITY LIMITS. ONE DAY MOVE 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 anyaccident, 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 Ouinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent GRANITE CONSTRUCTION•BOX 9011 PALM DESER Name of Applicant (please print) Business Address Telephone No. ON FILE Name of Contractor and Job Foreman Business Address Telephone No. ON FILE ON FTT.F. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 'II I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 161 0 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by Date PERMIT VALIDATION PERMIT N0. 1670 DATE APPROVED 2/10/93 EXPIRATION DATE2/12/93 DATE ISSUED 2/10/93 By �102A Administrative Authority TELEPHONE: (619) 564.2246