2499NOTE. i
;,Wi'fFiproper 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, sewer , water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED UBDIVISIONS
8/14/96 Subdivision Improvement Pe it— Class III
DATE: Minor Improveme Permit Class.IV
LOCATION OF CONSTRUCTION Avenida Buena Ventura N/0 Avenida La Fonda
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Buried telephone cable to
clear R/W for parking lot for City of La Qu nta.
DESCRIPTION OF CONSTRUCTION Buried cable in street
of right of way.
Z
DIMENSION OF INSTALLATION OR REMOVAL
x' trenc
Excavate across Avenida Buena Ventura
I
SIZE OF EXCAVATION, IF NEEDED 119 x2 3 trench
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/19/96
Sketch (atVch construction plans if appropriate)
SEE ATTACHED CONDITIONS.
SEE ATTACHED DRAWING.
0
APPROXIMATE, TIME OF COMPLETION 10/31/96
ESTIMATED CONSTRUCTION COST $ 5,000.00
(Including removal of all obstruction, materials, and debris, backfil ng, com-
paction and placing permanent resurfacing and/or replacing imp ovements) r
In consideration of the granting of this permit, the applicant ereby agrees to:
Indemnify, defend and save the City, its authorized agents, ficers, representatives and employees, harmless from and again�si any and all
penalties, liabilities or loss resulting from claims or court -tion and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any wor undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty -fou (24) hours in advance of the time whenRwork will be started.
Comply with all applicable City Ordinances, the term and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replaceme necessary as the result of this work.
,i
Signature of Applicant or Agent
GTE California, Inc. 45—/90 Jackson Street, Indio, CA 92201 (619) 342-0526
Name of Applicant (please print) / Business Address Telephone No.
Same
Name of Contractor and Job Foreman / - Business Address Telephone No.
Contractor's License No.
City Business License No.
Applicant's Insurance CompaPolicy Number
FEES: Subdivision Im
Public impn
Private iIve Minor Imo r
fiement Permit — Class 111
�jements: 3% of estimated construction costs
ovements: 3% of estimated construction costs
ment Permit — Class IV: See attached schedule
E
n Fee $eeo it -Surety Bond
TOTAL: $ —0—
o.by Date
by
PER�IT NO. �I
DATE APPROVE,
JE
EXPIRATION DA
DATEIISSUED _
79\
MIT VALI ATIO
2499
8/14 96
10/31/96
8/14/
TELEPHONE: (619 664-2246
ministrative Authority
NOT�y�
-a!i4TS pr per validation
this foam 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, se
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVE
Y +
a 3�
DATE: 8/14/96
LOCATION OF CONSTRUCTION
Subdivision Improvement
Minor Improveme
Avenida Buena Venture N/0 Avenida La Fonda
(Street address or Description of Location)
PURPOSEFCONSTRUCTION Buried telephone cable to
clear R9W for parking lot tor City of La u nta.
DESCRIPTION OF CONSTRUCTION Buried cable In street
of right of way.
DIMENSION OF INSTALLATION OR REMOVAL Z x3 franc
Excavate across Avenida Buena Ventura
SIZE OF EXCAVATION, IF NEEDED
i
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE,TIME OF COMPLETION - 10/31/96
ESTIMATED CONSTRUCTION COST $ 5, OO.UO
water mains
BDIVISIONS
'epmit — Class I I I
rt Permit Classl'V
Sketch (attach construction plans if appropriate)
SEE ATTACHED CONDITIONS.
SEE ATTACHED DRAWING.
,
i
r
f
(Including removal of all obstruction, materials, and d/backfil ng, com-
paction and placing permanent resurfacing and/or remp ovements) k
In consideration of the granting of this permit, the t ereby agrees to:
Indemnify,. defend and save the City, its authorized aficers, representatives and employees, harmless from and againstany and all
penalties, liabilities or loss resulting from clims or on and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any ertaken under the permit granted pursuant to this application.
Notify the Administrative/Authority at least twenty-fhours in advance ofthe time when=work will be started.
Comply with all applicable City Ordinances, the termnditions of the permit and all applicable rules and regulations of the�City of
La Quinta and to pay for any additional replacemer necessary as the result of this work.
Signature of Applicant or Agent N
GTE California, Inc. 45- 90 Jackson Street, Indio, CA 92201 (619) 3420526
Name of Applicant (please print) Business.Addres.s Telephone No.
s
Same
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
`was,
City Business License No.
Applicant's Insurance Company/ Policy Number
.q
FEES: Subdivision Impirg4ment Permit —Class III
Public improvements: 3% of estimated construction costs
Private im��pfovements: 3% of estimated construction costs
Minor imp, vement Permit — Class IV: See attached schedule
Z
Inspection Fee $ _0_ PERMIT VALI'DAT10
V,
Permit Fee —Or t 2499' -.
PERMIT NO.
Penalty DATE APPROVED
if required 8/14/96
Cash Deposit -Surety Bond 10//96
EXPIRATION DATE
TOTAL: $ —�� 8/14/96
DATEISSUED
Receipt No. t /
Received by Date Administrative Authority
Recorded by TELEPHONE: (619)?64-22446
c�
1
NOTA
eWrth 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
8/14/96 Subdivision Improvement Permit —Class 1.11
DATE: Minor Improvement Permit Class:IV
LOCATION OF CONSTRUCTION Avenida Buena Ventura N/0 Avenida La Fonda
(Street address or Description of Location)
PURPOSEF CONSTRUJTION Buried telephone cable to Sketch (attach construction plans if appropriate)
clear R%W for par ing lot.tor City of La u nta.
DESCRIPTION OF CONSTRUCTION Burled cable in street
of right of vay.
DIMENSION OF INSTALLATION OR REM VAL Zlix� rent
Excavate across Avenida Buena �entura
SIZE OF EXCAVATION, IF NEEDED y trent
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION LU/31/90
ESTIMATED CONSTRUCTION COST $ "�' U
(Including removal of all obstruction, materials, and debris, backfi
paction and placing permanent resurfacing and/or replacing imp
In consideration of the granting of this permit, the applicant/hhe
ng, com-
,ements)
agrees to:
SEE ATTACHED CONDITIONS.
SEE ATTACHED DRAWING.
Indemnify, defend and save the City, its authorized agents, o ficers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court /tiand 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 -fou (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the term? /and conditions of the permit and all applicable rules and regulations of the,City of
r La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
GTE California, Inc. 45490 Jackson Street, Indio, CA 92201 (619) 342-0526
Name of Applicant (please print) / Business Address Telephone No.
Same /J
Name of Contractor and Job Foreman
Contractor's License No.
Applicant's Insurance Compan
FEES: Subdivision Improvement Permit — Class I I I
Business Address
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 , ~O
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
—0 -
Received by Date
Telephone No.
City Business License No.
Policy Number
T
PERMIT VALIDATI(
249
PERMIT NO, r
1 8/14196
DATE APPROVED +
j 10/31 96
EXPIRATION DATE,
DATE ISSUED y`'"""$/i4/96
i .1100
110,
Recorded byI TELEPHONE: (619),464-2246
Administrative Authority
`i
NOTA: `
- 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: 8/14/96 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenida Buena Ventura N/0 Avenida La Fonda
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Buried telephone cable to Sketch (attach construction plans if appropriate)
clear R/W for parking lot for City of La Quinta.
DESCRIPTION OF CONSTRUCTION Buried cable in street
of right of way.
DIMENSION OF INSTALLATION OR REMOVAL 2'x3' trench
Excavate across Avenida Buena Ventura
SIZE OF EXCAVATION, IF NEEDED 119'x2 3 trench
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/19/96*
APPROXIMATE TIME OF COMPLETION 10/31/96
ESTIMATED CONSTRUCTION COST $ 5,000.00
(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:
SEE ATTACHED CONDITIONS.
SEE ATTACHED DRAWING.
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 Applicant or Agent
GTE California, Inc. 45-590 Jackson Street, Indio, CA 92201 , (619) 342-0526
Name of Applicant (please print)
Same
Name of Contractor and Job Foreman
Contractor's License No.
Business Address
Telephone No.
Business Address Telephone No.
City Business License No. l7
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
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 —0— JIJI
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ —0—
Receipt No.
Received by Date
PER IT NO.
DA E APPROV
EXPI ATION DA
DAT ISSUED _
Recorded by TELEPHONE: (61
49
MIT VANPAN
249� �\ I/ �/00
8/1 /96
10/ /96
8/14/9
Administrative Authority
6;64-'2'246
��
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.. , .
r � ti
r,
r `` ; ��.
/�
� f
' � �
'I NOTES;-:
F.,., a'.,.-..
dllVK proper validation
i 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
8/14/96 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenida Buena Ventura N/0 Avenida La Fonda
(Street address or Description of Location)
Buried telephone cable to appropriate)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if a
clear R/W for parking lot for City o La Qu nta.
DESCRIPTION OF CONSTRUCTION Buried .ca a in street
of right of way.
DIMENSION OF INSTALLATION OR REMOVAL Z x trench
Excavate across Avenida Buena Ventura SEE ATTACHED CONDITIONS.
SEE ATTACHED DRAWING.
SIZE OF EXCAVATION, IF NEEDED 119 x2 3' trench
is„
Ii
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/19/96
APPROXIMATEITIME OF COMPLETION 10/31/96
ESTIMATED••CONSTRUCTION COST
5,000.00
I”
(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:
'i Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and"against.any and all r
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.
h
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
' f ; La Quinta and to pay for. any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
i,
GTE California, Inc. �`, 4,5—,590 Jackson Street, Indio, CA 92201 (619) 342-0526
r Name of Applicant (please print) °, Business Address Telephone No.
.,
Same
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Numbe�
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 $
�/419.
ATIO
Permit Fee '0'� 2499
PER IT NO.
�4. Penalty � � _-
DA E APPROV 8/14/96
Cash Deposit Surety Bond 10/3 /96
if required EXPI ATION DA
TOTAL: $ —0— 8/14/9
DATE ISSUED
Receipt No.
B
`= Received by Date Administrative Authority
Recorded by 'TELEPHONE: (61964-2246
iSa'd'-,:,�.�i+ri'x+r-- d✓�Zl.M,w:'?f.iw:h".""..�. •S�