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2134NOTE: i With pAmer validation 2 tis 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 I II DATE: 4/13/94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Corner of Miles and Dune Palms (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Ettuipment Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Low Bed 14—G Blade H.W. lbR all legal DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL ROUTE: Jefferson to Mlles West to Dune Palms Haul Date: 4/13/94 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: NAPR13 1994 Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from andiagainst 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 a plicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result o this wdrk. Signature of Applicant or Agent My Cat Eattanent 2400 West Baseline, Sa Bernadino (909) 888-6332 Name of Applicant (please print) Business Address Telephone No. Century Homes Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I 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 10 ---- Received by Date 2134 PERMIT VALIDATION PERMIT NO. 134 DATE APPROVED EXPIRATION DATE 3 DATE ISSUED 3 By Qel eaz!!�r Recorded by 11 TELEPHONE: (619) 564-2246 4t ministrative Authority -..4 J A = NO= With proper validation this form commutes an encroachment Oermlt 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.eonnecpon with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: -- 7 1-3 — �y LOCATION OF CONSTRUCTION (Sum address or Oaenption of LocoWni %NPT_ Subdivision Improvement Permit — Clash 111 Minor Improvement Permit Class IV PURPOSE OF CONSTRUCTION Sketch (attach construction plants if appropriatal DESCRIPTION OF CONSTRUCTION �,r/ l� _5e�2Son Son. DIMENSION OF INSTALLATION OR REMOVAL 0 e SIZE OF EXCAVATION, IF NEEDED �! APPROXIMATE TIME WHEN WORK WILL BEGIN Cp APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST S (Inducting removal of all obstruction, materials, and debris, backfilling, com- Paetion and placing permanent resurfacing and/or replacing improvements) ,,07,4 /,V `5 In consideration of the granting of this permit, the applicant hereby agrees to: IndAmnity, defend and save the City. its Authorized agent•. ofiiem. represenutireA and employes, hartmleo from and penatues, lubdities o. loci resulting from cta'rs a court action and anis) against Any and all haMenmg or owumng o • oro='mete result of • ng out of any •cadent, toss or damage to persons or prppaity env work underuken under the permit granted Oursuant to this soplieaton. Notify the Administrative Authority At least twenty-four 1241 hour 3n advanp of the tlmw when work will be tuned. Comply with All apOlie•ble City Ordinances, the terms and any conditions of the penny And all ' La Ouinu And to pay for Additional reolscanw tt n retitilations of the qty of eotsAary As the result appla rules and o�this war t. Name of Applicant (Please p int) (S Name of Can Tactor and Job Foreman Contractors License No. Signature of Applicant or Agent I W „ I - - - Business Address Business Address Na Telephone Na City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class I11 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee S Permit Fee 3enalty ash Deposit -Surety Bond .f required TOTAL: S aeceipt No. ------------- leceived by Date lecorded by _ PERMIT VALIDATION PERMIT NO. DATE APPR(VED . EXPIflA ON DATE DATE LIED TELEPHONE: (619) 564-2246 Administrative Authority Z C i � l i T­,dy .4 4a Qumm 78-495 CALLE TAMPICO - LA OUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 March 23, 1994 Layne Arthur Planning and Development Assistant DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 Indio, Ca. 92201 Subject: Adams Street/Dune Palms Road Whitewater River Channel Crossing Improvements Re: Cooperative Agreement Dear Layne: Attached are three copies of the Cooperative Agreement for the above subject -project. Please execute and return all three copies of this Agreement back to me. Upon final execution by the City, a copy will be forwarded to your office. Thank you for your assistance. If you have any questions, please contact me at your earliest convenience. Sincerely, David M. Cosper Public Works Director /ld Attachments (3) cc: File MAILING ADDRESS - P.O. BOX 1504 C:\WP\COSPER\940323B - LA OUINTA, CALIFORNIA 92253 ���