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2647
NOTE: ' Withjproper 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 66and APPROVED SUBDIVISIONS DATE: AuAunt 20. 1997 LOCATION OF CONSTRUCTION 52-225 (Street address or Description of Location) k PURPOSE OF CONSTRUCTION _ DESCRIPTION OF CONSTRUCTION Install RAO/main and 11�1fIl I!L � tir DIMENSION OF INSTALLATION OR REMOVAL Approx. 3' X 30' 8 36' deep SIZE OF EXCAVATION, IF NEEDED Approx. 3' X 30' 1 36" deep / APPROXIMATE TIME WHEN WORK WILL BEGIN 8/27/97 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV APPROXIMATE TIME OF COMPLETION 7 days J h ESTIMATED CONSTRUCTION COST $ 1,©00.00 f r ,(Including removal of all obstruction, materials, and debrisjbackfill ing, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this perm it,—the,applicant hereby agrees Indemnify, defend and save the City' its authorized agents;.officers, representatives"andd 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 an'y 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 David hose Miller 1119 . Tremont. S. Oaeansids. CA (619) 967-0069 Sketch (attackh construction plans if appropriate) SSE ATTACHB'0 CONDITIONS Name of Applicant (pleaseNpi Pacific Traded Name of Contractor and Job B425381 Contractor's License No. nt) J Business Address f .'Business Address Telephone No. Telephone No. City Business License No.-' Applicant's Insurance Company ` Policy Number FEES: Subdivision Improvement Permit i, Class Ill Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Impovement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 100.00 Penalty Cash Deposit -Surety Bond if rpnuirp i TOTAL: $ 100.00 pt No. ved by Date •ded by 841 PERMIT VALIDATION PERMIT NO. 2647 DATE APPROVED 8/21/97 EXPIRATION DATE 12/31/97 DATE ISSUED B/21/97 By Administrative Authority Telephone: (619) 777-7075 �r I r ' ' c• NOTE: •' With proper %Whorm constitutes an CITY OF LA QUINTA croachment permit APPLICATION FOR PERMIT V a �p�j1 �5 PUBLIC WORKS CONSTRUCTION (ENCROACHMENT For the construction of public or private curbs, driveways, pavements,. sidewalks, rking lots, sewers, water mains Q. v� and other like public works improvements in connection with MINOR IMPROVEMEN and APPROVED SUBDIVISIONS J� 4 5124q-) Subdivisio Improvement Permit —Class III DATE:inor Improvement Permit Class IV LOCATION OF CONSTRUCTION Z Z ZSR CIa L, ov-z, (Street address or Description of Location) PORP SE OF CONSTRUCTION N Sk4tch (a ch A�nsstptrucction plan if appr Hat D CRIPTION OF C STRUCTION, N Com- G��V N a IMENS ON OIJNS LLATION OR REMOV Xr, IZE OFVII�,TI IF NEEDED 51 YX J, Xj "Po 1 oS .APP OXIMATE TIME WHET /ORK WILL BEGIN 4 APPROXIMATE TIME OF COMP, ET ESTIMATED CONSTRUCTION CO , (Including removal of all obstr n, materials, an de is, backfilling, com- cD paction and placing permane resurfacing and/ replac g improvements) In consideration of the gran g of this perm' , the applic t hereby agrees to - Indemnity, -defend o:Indemnity,.defend and sav the City, its a thorized agents, o ices, representatives and employees, harmless from and against any and all penalties, liabilities or loss esulting fro claims or court acti n and arising out of. any accident, loss or damage to persons or property, happening or occurring es a roximate It of any work and rtaken under the permit granted pursuant to this application. Notify the Admi 'strative A ority t least twenty-four (24) rs in advance of the time when work will be started. Comply with all ap likable Ci O inances, the terms and co itionI thTe it and all applicable rules egulations of the City of Le Ouinte and to pa for any itional replacement necessa .as theTpw(sryOrk. Name of Applicant Q(4cNeic Name of Contractor R47� I, Contractor's I (4. (L. Applicant's ly 11\6t se rint)N F11- A S'fY1. chaLS Job Forema L peV o f* mean EN. LIA ILITy Signature d, Applicant or Agent Business Address FEES: 7ubdivision Improvement Permit —Class 111 Public improvements: 31of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit —Class IV: See attached schedule spection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required C;0 TOTAL: $ Receipt No. 3teceived by Date i a Recorded by Address 01.o-006 honNo t��lol�- _,I — 5b -I Telephone No. 5, City Business License No. Zz 00 010 Policy Number PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE G� DATE ISSUED ` By Administrative Authority TELEPHONE: (619) 777 -?075 -j NOTE: With proper validation 2 this form constitutes an CITY OF LA. QUINTA encroachment permit APPLICATION FOR PERMIT -- PUBLIC WORKS CONSTRUCTION, (ENCROACHME•NT��Sw�� For the construction of public or private curbs, driveways, pavements, sidewalks, p king lots; sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS nd APPROVED SUBDIVISIONS r Subdivision I provement Permit — Class III DATE: August 20; 1997 Mi r Improvement Permit Class IV LOCATION OF CONSTRUCTION 52-225 Avenida- Alvarado (Street address or Description of Location) PURPOSE OF CONSTRUCTION Provide gas servie. DESCRIPTION OF CONSTRUCTION Install Ras/main ar service. DIMENSION OF INSTALLATION OR REMOVAL Approx. 3' X 30' X 36' deep I ketchh\ d' SEE ATT construction plans if appropriate) r iE CONDITIONS.• SIZE.OF EXCAVATION, IF NEEDED' ;Approx. 3' X 30' X 36" dee APPROXIMATE TIME WHEN WORK WILL BEGI 8127IJ7 APPROXIMATE TIME OF COMPLETION 7 days -ESTIMATED CONSTRUCTION COST $ 1,000.00 (Including removal of all obstruction, materials, and debris, ackfi g, com- e ' paction and placing permanent. resurfacing and/or replac' g improvnts) In consideration of the granting of this permit, licant hereby agr to: F ,.Indemnify, defend and save the Cit ,its authorized ents, fficers; representatives d mployees, harmless from and against any and all penalties, liabilities 'or loss resulting from claims or court ac - n and arising 'out of an ccident, loss or damage to persons or property happening or occurring as a proximate result of a work uncle taken under the permit granted pursuant to this application. Notify the Administrative Auth rity at least tw ty-four (24). ho s in advance of the time when work will be started. Comply with all applicable Cit Ordinances; t e terms and conclitio s.,of the permit and all applicable rules" and regulations of the City of . La Quinta and to pay for any dditional rep cement necessary as t e result of this work. gnature of Applicant or Agent David Ross Mil r. 171 S. Tremont S. 0 eanside CA 619 967=0069 Name of Applicant (please rint) Bu iness Address Telephone No. Pacific Trades Name of Contractor and Job F e an Business Address Telephone No. B425381' Contractor's License No. City Business License No. Applicant's Insurance Com any Policy Number FEES: . Subdivision Im rovement Permit, Class II I Pukilic im ovements: 3% of esti ated,construction costs - Priv rovements: 3% of esti ted construction costs ' Minor, Im rovemen mit — Class IV. See attached schedule -26 4 7 Inspection Fee PERMIT VALIDATION J 100,00 , Permit Fee PERMIT NO. 2647 ' Penalty 8/21/97 Cash Dep it Surety Bond DATE APPROVED if requir EXPIRATION DATE 12/31/97• TOTAL: $ 100.00 DATE ISSUED 8/21/97 _ Rec pt No. By R eived,by Date Administrative Authority ecorded by Telephone: (619) 777-7075 - w x - i NOTE�`an��ey r With per validation'. this,form'constitutes an CITY •OF :LA QUINTA encroachment permit APPLICATION FOR PERMIT t ri. PUBLIC WORKS 'CONSTRUCTION '(ENCROACHMENT�� OF For 'the construction of public or ' p private curbs; driveways, pavements, sidewalks,,: pa king' lots, sewers, water � mains, and other like public works improvements in connection with-M-INOR IMPROVEMENTS nd APPROVED SUBDIVISIONS Subdivision I pro'vement Permit — Class I I I . DATE':_ Au u�it'•20 .'1997. E �`+, Min Improvement Permit Class IV. LOCATION OF CONSTRUCTION 52-225 Avenida Alvarado..".`w ` (Street address or.Description of Location) Provide Rads sere-4�` ' PURPOSE'O.F CONSTRUCTION ketch (atta h construction plans if appropriate), DESCRIPTION OF.CONSTRUCTION Install sas✓md t anis, ' >aertiice-�.. � \ SEE ATTACH CONDITIONS N DIMENSION OF INSTALLATION OR REMOVAL 4 Aopiox:, 3' X 3A! .X 36' diifeio' r .. �l: •;SIZE OF EXCAVATION, IF NEEDED AA lox. 3' X'30', X-16" deep APPROXIMATE TIME -WHEN WORK WILL BEG�I'N 8 27 7 APPROXIMATE TIME OF COMPLETION 7 days ESTIMATED CONSTRUCTION COST'$kt (Including removal of•all obstruction, materials,•and debris, ack`filli,�g, coin f paction and placing permanent resurfacing and/or replac%mg,improve nntts) In consideration of the granting of this permit'the:a.pplicanthereby.agres to: Indemnify, defend and save the Cit 'authorized y, �y, genus, officers, representatives, d employees, harmless from and against any and all . penalties,'liabilities or, loss result" g from claims or court action and arising out of a�ny�accident, loss.or damage to persons or. property happening or:occurring'as a pro imate result of a y�work undtaken under the per granted pursuant to this application. Notify the Administrative Authdrity at IeasL twefity-four (24p ho�l(s •in advance of the time when work will be started. . : Comply with all applicable Cit Ordinances, tba terms and conditions of the permit and all applicable rules and regulations of the City of La. Quinta and to pay for any additional rep cement necessary as .t�e resuIt, of this work. Signature of Applicant or Agent David Ross Milfer 171 S. Tremont S. Odeanside•. CA (619) 967.-0069 Name of Applicant. (please rint) Pacif ic. Trades Name of Contractor and Job Fo ernan „x B425381 '-Contractor's License No. Applicant's,Insurance Company , Bu iness Address Telephone No. Business Address Telephone No. r City Business License No. Policy Number k FEES: Subdivision 'Im"rovement Permit Class III Public imp ovements: 3% of esti ated construction costs. PvartE-i , provements; 3% of estimated constructioncosts Minor Imrovement�Pe mit'— Class IV. See attached schedule ,. •InspectionFee $ Permit Fee 100.00 ` Penalty Cash Dep9 it -Surety Bond if requir �I TOTAL: $ 100.00 R ipt No. R ceived by Date corded by PERMIT. VALIDATION " PERMIT NO. 2647 DATE APPROVED 8/21./97 EXPIRATION'DATE 12/31/97 DATE ISSUED 8/21/97 By Administrative Authority "'' "•T616phone: (619) 777-7075 •NOTE.:+ . . With"proper validation �thisInrm constitutes an encroachment permit . CITY OF LA QUINTA• f� APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT i For'' the construction of public or privatecurbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: - ,AuguRt 20. •1997 LOCATION OF CONSTRUCTION 52-225 %oireet aaaress or uescnpnon or Locailonl II PURPOSE OF CONSTRUCTION _ Subdivision Improvement Permit — Class I I I Mor Improvement Permit Class IV tide Al-yrttido esrvia DESCRIPTION OF CONSTRUCTION Install Ran/main And service s - DIMENSION OF INSTALLATION OR REMOVAL- e..a,,.,a. 'It v '1111 v 341 a.. .: k tc S e (attach construction plans If appropriate) SEE ATTACH CONDITIONS . r f i SIZE OF EXCAVATION, IF NEEDED Au rox,. ' 3' X 301 X 36" de1.n APPROXIMATE TIME WHEN WORK WILL BEG'I'N 8/27 7 APPROXIMATE TIME OF COMPLETION 7 days ESTIMATED CONSTRUCTION COST $ 1.000.00 `� \ (Including removal .of all obstruction, materials, and debris/,backfilling,ncom- paction and placing permanent resurfacingand/or replaXcant'hereby •fig improveMe,nts) In consideration. of the granting of this Aper f iit; the apagrees to: Indemnify, -defend and save the Ci�its authorized gents, officers, representativland 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 tw/enty-four 1241 hours in advance of the time when work will be started. Comply with all applicable City Ordinances, t/yi,�e terms and conditi`o'ns of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional repYacement necessary as the result of this work. Signature of Applicant or Agent David Ross HiINr 17113.S. Tremont S. Odeanside. CA (619) 967-0.069 Name of Applicant (please rint) / Business Address Telephone No. Pacifid Trades Name of Contractor and Job Fo an �`voBusiness Address Telephone No. •R425381 Contractor's License No. \ City Business License No. Applicant's Insurance Company FEES: Subdivision Im / rovement Permit`s Class 111' Public imp(ovements: 3% of estimated construction'costs / `` Private>ir�nprovements: 3%- of estirriatedconstruction costs Minor Impr'ov`e a t.RermiitC.lass IVB: See attached schedule Inspection Fee $ A Permit Fee 100.00 Penalty Cash Deposit -Surety Bond if requir /d TOTAL: $ 100.00 Receipt No. Re/eived by Date. Recorded by Policy Number' PERMIT VALIDATION PERMIT NO. 2647 DATE APPROVED. 8/21/97 EXPIRATION DATE 12/31/97 DATE ISSUED 8/21/97 By Administrative Authority Telephone: (619) 777-7075 �y ONOTE: 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, and other like public works improvements in corinection with MINOR IMPROVEMENT DATE: Auaunt 20. 1997 LOCATION OF CONSTRUCTION 52-225 ing lots, sewers, water mains APPROVED SUBDIVISIONS Subdivision Ila"�provement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION Provide age se vl Sketch (attaach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION •i2ietall Bras/gain and services ' `�� SEE ATTACH CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL Aoprox. 3' X 30' X 36' deers SIZE OF EXCAVATION, IF NEEDED Avprox. 3' R 30' X 36" deav APPROXIMATE TIME WHEN WORK WILL BEON 8/27/07 APPROXIMATE TIME OF COMPLETION 7 days -IN, ESTIMATED CONSTRUCTION COST $' 1.000.00 Y-1 (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 perriiii—the applicant hereby agree.s'to: Indemnify, -defend and save the City,,its authorized ta'ge s, 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 proiimate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twe ty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, th'e 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. ,i ti Signature of Applicant or Agent David Ross Hilly r 1.719/Sramont S. Oceanside, CA (619) 967-0069 Name of Applicant (please print) Business Address Telephone No. Pacific Trades ,l Name of Contractor and Job Foreman `�Y�/Business Address Telephone No. B425381 x 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 VALIDATION Permit Fee 100'00 2647 PERMIT NO. Penalty 8/2197 Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION'DATE, 12/31/97 /TOTAL:' $ 100.00 DATE ISSUED 6121/97 Receipt No. By Received by Date Administrative Authority Recorded by Telephone: (619) 777-7075.