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2808 (2)21P. 23 90 WED 1-1(07 AM -KOL DCVCLOPME147 cors FAX 140, .7000047131 Pr 02 q � �'• , 'NOTE: '' '�,r` :;T= .•t' •�' - � J, , � • ' With proper, validaiicn r b this form constitutesan L, CITY,OF LA �OUINTA rnCroacnment,prrmit c� ` APPLICATIONFOF{ PERIVI•r ''PUBLIC WORKS CONSTRUCTION (1 NCROACHMEFJT}. * For, the conslructsorl ul puWie o? priyale curbs,. dlivewayi, pavements, sldevrniks, parkiliviou, cowurs, water mains ,f and other like public'wolks improvements`in connrctitin with,41INOn IMPROVEMENTS anal APPROVED SUbUIVISIONS , - s y y ' Subdiviiant Unpltiv,'nicnt Pcrrriit = Class" III' > DATE:! 9I23/ 98' a a : { Minor Impiovemet-4 Pout -it Class IV _ ' 'LOCATION Of CONSTRUCTION _ 50th' &' EisenhQWer ` IStreot edefrets or Voicription of Vocouon I_ T ^� � r . - 'Ticat Str i.0 ' ` PURPOSE OF CON57�R_U"�T �UN� I7 n$ �� . - 'SP,rtch (attach construction plans If appeopriatel �L'ru,r-t ,. : , f _ . ' Y • �hSL, !?SCFtIPTION OF CON51 nUCTIUN w G 1 ZI4 * _.. DIM SIGN OF }}NSTALLATION OR REMOVAL `si ',1 lLS •+, r -size OFEXCAVATION, IP'NEEDEO _NinrtP r r 0AiiPAM(WaTRTWOwwrwAmm,wll,'"ncr.,N.,,9, 74 9A77 Z , y, "...r.«vr., .,i► v.�.,n,..�.tivr a.91an r F9TIMATFn r.nNRTR11 CTIr1N Cf1RT a •r �0 . . t _ : . _ � rw-♦w„ e,r.a t•fi:,nv rv..,:a n�,n=, �,...',u ,,,� v ,�, ,vr,.•u,d , vr.,o.v,,,v„� r __ _ ...w.,r + ^ In considetaslon o} the grarttiny,of tldg permit, tlu? 9ppliclnt hcscbYiuAis'cs to; . Indamnh, defend and o5vn rhe City. -is euthoritod agents. ol!ieers, r uuressiatiive5 and employers, hnimlrss f. er,.$r Ar) 7lna. ony nnrt-oil . •t .. ' - I t w,i - _ • , penaluiel, liabih,ies or loss rutuiling (rem claims or court _action and ansing'out r.f say nramom, 149, ce dan,xgJ io owsom or -proem iy - happening o1 occurring ns o proximate ieittlual snit work UiltJartea en"'We, the jwin,n grunted pursuant to. thi} npplirntlpr.' Notify the Adminisiralive Auilionty as 1"tt twMy-lo,ir(24) hou!1 In'adVene0 of the tul,o whrn wuik will be s,n4ed,- -'6 Gamely with all applicable City Ordmoncasi iko inrms nncf ennoiltionc cf';ho neimii and ell epr Ld,blo ruleucnd reouletictis of-lha'City' of U QYlnte end to pay for any addiGenel replacement necessary as the result clads work,' - - s • r4. iL. \ t .I Vit' S -i .+ R . ,• ” - • -� r *' 1. • •l \ ,•�. .t � -•. S .t Signa tut a of Applicant orAge itt' `:KSLI NAND, II? bORPORAT�ION+ 55 -920 -PGA West Namo of Applicait (please print) Business Addre;f loloplione Nom"i '` - James Rue Construction p,0. "Box, 1.38410 760`/568- 5000r Name of Contractor and Job ForQmen ; Business Address' Telephone No. 51.6895 Palm Desert, CA 7.9G • * - - !• - Contractor's Lieonsri No. s • e . t City ©wincse Lieumo No. ! ,.' Zur,ich Insurance Co. GLO683881504 t♦ •I• Applicant's Insurance Company policy Numbers rs ! ^ + ! a r FEES; Supdivision Im+rovcmant Permit —Class iIL Public improvemertss; 3% of estimated construction costs _ « Private improvements: 31A of estimated consituction ¢rias ' Minor Improvement Permit — Class IV; See attached schedule 1, _ t. Inspection Fer„ +� PERMIT. VALIDATION + Permit Fee t „ t��" ti • PtF1MIT'NO. t • -p ff.'s + Pritelly � �a , � , . APPROVED sq /7-311? �'' • Cesh Deposit -Surety Bond DATE _ r ,may if required a EXPIRATION DATE y 23 11` I TOTAL: S ��� Z {• r _ , DATE ISSUED .. 'I sit' t - Received by ' 0'a tis ` I Administrative Authority I Recorded by7 Telophone7,(f19)7i1-707 t .r