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2239NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) MAT STREET �B CALLS ESTADO STREET CLOSURE 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 II I —DATE:. 9-28-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Calle Estado between Avenida Bermudas and Desert Club Drive (Street address or Description of Location) PURPOSE OF CONSTRUCTION Conduct Mainstreet Marketplace Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Close Calle Estado for the Street Bair on 9-30-94 from approx. 5 pa — 10 pm DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 5 pa 9-30-94 APPROXIMATE TIME OF COMPLETION 10 pm 9-30-94 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 thi ework. , CSL � Gam. Signature of Applicant or Agent La Quinta Chamber of Commerce 51-351 Avenida Bermudas La Quinta, CA 92253 564-3199 Name of Applicant (please print) Business Address Telephone No. same as above Y.O. Boa 255 La Quinta, CA 92253 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 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 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date Recorded by PERMIT NO. 2239 PERMIT VALIDATION 2239 DATE APPROVED 9-28-94 EXPIRATION DATE 9-30-94 DATE ISSUED ,0 By-2d4!� Administrative Authority TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an eneroacnment oermrt CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: - g I Z o q 1 LOCATION OF CONSTRUCTION CI+LL, IQvwt aooress or Description of Location) PURPOSE OF CONSTRUCTION Subdivision Improvement Permit — Clan III Minor Improvement Permit Class IV c.a , 14v F� 1 a A- M L4 D.4 -s s` 6 D oz— IVB � n/ sTrz�T � ►�+tr✓� OESCRIPTION OF CONSTRUCTION C -L-0s C, Ga-t�E S'L (LAO T o DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION �`�� 30 9 y ESTIMATED CONSTRUCTION COST S (Including removal of all obstruction, materials, and debris, backfilling, com. Pachon and placing permanent resurfacing and/or replacing improvements► Sketch (attach construction plans if appropriate) In consideration of the granting of this permit, the applicant hereby agrees to: Indarnnov. defend and save the City. Its authorized eY from and agents, oHieers, reoresentatives and emoloVeee, harml penalties, liabilities or Iota resulting from claims or court action and arising out of any accident. lois l against any and all happening or occurring as a oro=inmil result of any work underpermit granted pursuant to this etaken under the �+� p or proOeRy oplicetgn. Notify the Administrative Authority at least twenty-four 124) hours in advance of the time when work will be started. Comply "nth all appliable City Ordinances. the terms and conditions of the permit and all aoplinbla rules and reguistioro of the City of La Quints and to pay for any additional reolaament necsaary as the result of this work. Lo &Al -m -r4 C� , (3�2 p Sl9naturs of Appiiant or Agent � � — Avg J) Q- 51FN q 2Z 53 Name of Applicant (please print) Business Address Telephone No. C 9ry►8i:iz ©� God k�+'� d. $ox ,5-6 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: Subolvlslon 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 Inspection Fee Permit Fee Penalty Cash Oeposit-Surety Bond If required TOTAL: Receipt No. . - O - Received by Date PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE -5:P DATE DATE ISSUED By r Administrative Auth -iecorded by orlty TELEPHONE: (619) 564-2246