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3310NOTE: WRK pr6per_vaIidation 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: 9/28/00 Subdivision Improvement Permit— Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Dune Palms Road & Westward Ho (Street address or Description of Location) PURPOSE OF CONSTRUCTION New cable feed for Al.iso Sketch (attach construction plans if appropriate) Del Rev DESCRIPTION OF CONSTRUCTION Trenching to place 2" conduit See Attached Conditions DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 800' L x 6" w APPROXIMATE TIME WHEN WORK WILL BEGIN 9/18/00 -� APPROXIMATE TIME OF COMPLETION 10/18/00 ESTIMATED CONSTRUCTION COST $ L000 (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, Mend, 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 . Jason Cochran 36630 Cathedral Canvon 328-6778. Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 478543 Contractor's License No. City Business License No. _ on f ile Applicant's Insurance Company Policy Number ; FEES: Subdivision Improvement Permit — Class I I I , it Public improvements: 3% of estimated construction costs Private improvements: 3%of estimated construction costs !j!� Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ 150 Permit Fee 100 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 250 Receipt No. "Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 3310 DATE APPROVED 9/28/00 EXPIRATION DATE 12/31/00 DATE ISSUED 19/20/00 gy v / �ffdministrative Authority Telephone: (760) 777-7075 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 9/28/00 Subdivision Improvement Permit— Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Dune Palms Road 6 Westward Ho (Street address or Description of Location) PURPOSE OF CONSTRUCTION New cable feed for Aliso Sketch (attach construction plans if appropriate) Del Rey DESCRIPTION OF CONSTRUCTION Tranchinq to Mace 2" conduit See Attached Conditions DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 800' L x 6" w APPROXIMATE TIME WHEN WORK WILL BEGIN 9/18/00 APPROXIMATE TIME OF'COMPLETION 10/18/00 ESTIMATED CONSTRUCTION COST $ 3.000 (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 Jason Cochran 36630 Cathedral Canvon 328-6778 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 478543 Contractor's License No. City Business License No. -� on file - Applicant's Insurance Company Policy Number ' t FEES: Subdivision Improvement Permit —Class III t,,? Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs I Tj A �• „? Minor. Improvement Permit —Class IV: See attached schedule 3310, Inspection Fee $ 150 PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 100 $ 250 Received by . Date PERMIT NO. 3310 DATE APPROVED 9/28/00 EXPIRATION DATE 12/31/00 DAT�S)SUED w 9/20/00 Byl 7J' u GAdministrative Authority Recorded by Telephone: (760) 777-7075 NOTE: F � With proper validation this form constitutes an - CITY OF 411YpC��O encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTMIUCT ON �ROACHMENT) a %AQ Jt :� For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in tonne [ 1 NTS and APPROVED SUBDIVISIONS DATE: VIM&) LOCATION OF CONSTRUCTION tatreer aouress or uescnption of Location'') II \ 1 P POSE O _ CONSTRUCT ON lw e W O� IOIP. 4e ,9 DESCRIPTION OFgONSTRUCTION T C (2�� Cl9✓�tA�rf' DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED ^r w APPROXIMATE TIME WHEN WORK WILL BEGIN 1 (D O APPROXIMATE TIME OF COMPLETION-- E7 /'A/ (9 ESTIMATED CONSTRUCTION COST $ -- 30O r 00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Subdivision Improvement Permit —Class III I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnity, -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 124) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the p79t and all applicable rules and regulations of the City of U Quints and to pay for any additional replacement necessary as the result df his work. _ n of Applicant or Name of Applicant (Please print) Business Address. elephone No. �Ave Name of Contractor and Job Foreman Business Address Telephone No. _ All (A,-5y3 Contractor's License No. City Business License No. M 1 ,Q Applicant's Insurance Company GEN. LIAISIL lTy 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 Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. PERMIT VALIDATION PERMIT NO. DATE APPROVED Z� -0 0 EXPIRATION DATE G1�� DATE ISSUED "►' 1q- 00 Received by Date Recorded by By Administrative Authority TELEPHONE: (619) 777-7075 Cochran Communications Constructions 36630 Cathedral Canyon Dr. Cathedral City Ca 92234 Paseo Del Rey ----- - - -- -, i i a i E Machine Trench 24' c i o 2" Bore �� West Ward Ho 0 rya r G V C. r � b T tT-j p pv I o' 1 O m 46130 VAC 217� �o A 19380 I . I 1 . I I o �' 79389 I 79381 79390 79399 I ' t I I . I I ONo W o p� N O a � 4 _ N ga C.I1 ✓ 79400 79391 79409 I I O I 79410 79401 1 79419 qI I if Iv I I I ICA ' I W r0 C r V ' V - n 79420 � 8 79429 79411 to V a O — — 129 a 55' — — 240'— — I 64y6L N . fr I Y/ o I 1 Ln V to to co A10 a L �<�7347' 200'--�..l-8 145----- 31s' rv1 — — 3s9' �� •,.�. .� �.....�;� �I I DUNE PALMS ROAD ----------==------LO-I-12— ---- ---I- ---- ---- --- 1Ln O a s rn rn � g — — —1— 422' — -. — P 363' ,%;/