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3122NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) A 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 . u DATE: 1/18/00 LOCATION OF CONSTRUCTION DUNE PALMS. S/O HWY111 Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION OFF —SITE IMPROVEMENTS Sketch (attach construction plans if appropriate) DESCRIPTION OF -CONSTRUCTION UNDERGROUND UTILITIES, GRADTNG. PAVTNr.FTC. SEE ATTACHED'CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST$ 491 non (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: Iridemnify,.cl&end• 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. Signatu a%f Applicant or Agent TTTT.TATT QATTAT VPQ- ZQR 1 n QLTT RTT.TATFR . P4T.M T)VgV.RT _ f.A . Name of Applicant (please print) Business Address Telephone.No. PACIFIC ENG. CONTR. 44 LINCOLN CT., BUENA PARK,CA.90620 (714) 827-1100 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. LLOYDS' OF LONDON- Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs o Private improvements: 3% of eitimated construction, costs A Minor" Improvement Permit — Class -IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by 100 $ 9 G1)S Date �22 PERMIT VALIDATION PERMIT NO. *11 ?1) DATE APPROVED 1/1.8/00 EXPIRATION DATE 1/18/01 DATE ISSUED 1 19/00 By Administrative Authority Telephone: (760) 777-7075 c NOTE: ,' ) 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 DATE:,' 1/18/00 Subdivision Improvement Permit — Class III Minor Improvement Permit Class, IV LOCATION OF CONSTRUCTION DONE PALMS. S/O RWY111 (Street address or Description of Location) PURPOSE OF CONSTRUCTION OF'F-SITE IMPROVEMENTS Sketch (attach construction plans if appropriate) DESCRIPTION OF -CONSTRUCTION UNDERGROUND UTILITIES, GRADING. PAVING.FTC. SEE ATTACHED.CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL. SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK.WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ 421,01150 (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 this work. Signature of Applicant or Agent .1M.TAN gATM3?..RR 39R1(11 SWFRTWATk'Rs' PAT.M nRrF.RT,VA. Name of Applicant (please print) . Business Address Telephone No. PACIFIC ENG. CONTR.. 44 LINCOLN CT., BUENA PARK,CA.90620 (714) 827-1100 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. LLOYDS OF LONDON 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 $ R4175 Permit Fee 100 Penalty Cash Deposit -Surety Bond if required TOTAL: $ R�4�5 ;-.t• •.,. . Receipt No. Received by Date Recorded by 312 PERMIT VALIDATION PERMIT NO. 3122 DATE APPROVED 1/18/00 EXPIRATION DATE 1/18/01 1r//19/00 DATE ISSUED By Administrative Authority Telephone: (760) 777-7075 �r. NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR. PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) c`'f1oF'D4+�� 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 I I �1 DATE: �!��� `�•d �N*��'S tiJ Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) dj�je PURPOSE OF CONSTRUCTION DESCRIPTION OF CONST UCTION C. 'DIMENSION OF INSTALLATION OR REMOVAL (attach construction plans if appropriate) e5 EE jj'rActtFP C o^IDiTrcAIS SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 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: Indemnify. -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against env 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 Administnitive Authority at least twenty.four 124) hours in advance of the time when work will be started. Comply with all applicable Ciry Ordinances, the arms and conditions of the permit and all applicable rules an regulations of the City of Le CUM and to pay for any additional replacement necessary as the result of this work. -gignatide of APpAcanXr Agent JZ,T L 1ri�1y �4rJ�Q29P� 3GL��Z® aG9?��A- Name of Applicant (please print) Business Address rr_� „� Telephone No. Name of Contractor and Job Foreman Business Address pro Telephone No. Contractor's License No. II. 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 2774 Inspection Fee $ S!� ZS PERMIT VALIDATION Permit Fee SOU PERMIT NO. Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No: Received by $ Aq? Date DATE APPROVED EXPIRATION DATE DATE ISSUED I�-1co By Administrative Authority C>O Recorded by Telephone: (619) 777-7.075 NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR, PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OF 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:- 12 . Minor I ement Permit Class IV LOCATION OF CONSTRUCTION k12 2 50 Z) (16`6' (Street address or Description of Location)) PU . PPOSE OF CONSTRUCTION. Sketch (attach construction plans if appropriate) DESCRIPTION O�FjIC5 ,gNSTRUC7T A!PN� DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED Y APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, ocim- paction and Placing -permanent resurfacing'and/or replacing improvements) in consideration of the granting of this permit, the applicant hereby agrees to:. representatives and. employees. harmless from and against any and all Indemnity. -defend and save the City, its authorized agents, officers, 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 AdministreitM Authority at loan twenty-four (24) hours in advance of when work will be started. Comply with all applicable City Ordinances, the terms and conditions of th it a all applicable Ise and regulations of the City at La Quints and.to pay for any additional replacement necessary as the t this 'Signature of Applicant or Agent 5w F710-417757ir, of Applicant (plc se print) Business Address Teleph I rl.Y�l '.- 'r. d) AIX NaZee- a- 1&*-,r70&,v 7 72- ell Ap.,"AVI,& AV- . J-W1 4&eh' - /qja CVP: 47 �M 7 1 Name of Contractor and Job Foreman Business Address Telephone N6.' s-S-) -Business License No. Contractor's License No. City Applicant's Insurance Company P . olicy 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 .2774*, Inspection Fee $ ZS PERMIT VALIDATION Permit Fee PERMIT NO. Penalty DATE APPROVED - Cash Deposit -Surety Bond if required EXPIRATION- DATE TOTAL: $ Receipt No. Received by Date Recorded by DATE I n By41� y— Ornihistrative Authority Telephone: (619) 777-7075 .om