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3656.lM�a�#�. �.��..�������r ri �►������la►r�l►��1!l�aVr�4�a�►l�ilil��l�Y�i--ir`ram e—l-----------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 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Lt Qui;ata Senior Contsr Art Show (Street address or Description of Location) PURPOSE OF CONSTRUCTION Art Sh*W lfatch 9, 2002 Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Install d1roetit 4*1 *Is" in ligbt—ofWay See attachsd con4ition s DIMENSION OF INSTALLATION OR REMOVAL S•* attached � sk*tch showing locs,tioas l SIZE OF EXCAVATION, IF NEEDED ..1 t APPROXIMATE TIME WHEN WORK WILL BEGIN SSl1 APPROXIMATE TIME OF COMPLETION`' ESTIMATED CONSTRUCTION COST $ J` (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. r' 'Signature of Applicant or Agent Elaine Reynolds P.O. EQX 4i4 Quiatic U\- (760) 564--1880 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. RRH Insurance Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ linty. t+(! Permit Fee Penalty Cash Deposit -Surety Bond if required 100.00 TOTAL: $ Receipt No. Received by Date Recorded by PERMIT VALIDATION 3656 PERMIT NO. 3-4-02 DATE APPROVED 3-11-02 EXPIRATION DATE DATE ISSUED e Y Administrative Authority i Telephone: (760) 777-7075 Y NOTE: 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, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class I II DATE: 3-5-02 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION La Quinta Senior Center Art Show (Street address or Description of Location) PURPOSE OF CONSTRUCTION - Art Show March 9, 2002 Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Install directional signs in Right —of —Way DIMENSION OF INSTALLATION OR REMOVAL See attached sketch showing locations SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP APPROXIMATE TIME OF COMPLETION 3-10-02 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, an qdebris, backfiry/agrse)es paction and placing permanent resurfacing and/or placing impr In consideration of the granting of this permit, the pplicant he See attached conditions Indemnify,. defend• and save the City,. its authorized ag nts, officers, r resentatives a d employees, har less fr m angainst ny and al penalties, liabilities or loss resulting from claims or co t action and rising out of a y accident, loss or da age to ersons or prop y happening or occurring as a proximate result of any wor undertaken der the perm t granted purs ant to this ap lication Notify the Administrative Authority at least twenty-four ( 4) hours in a vance of the time when rk wil be st rted. Comply with all applicable City Ordinances, the terms and c nditions of\tepermit an all �pli c le rule and gulations of t e City of La Quinta and to pay for any additional replacement necessa as the reof this rk. Elaine Reynolds P.O. BOX 4 La Name of Applicant (please print) to of Applicant or Agent Business Address 760) 564-1880 Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. - HRH Insurance Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule 0 Inspection Fee $ II RMIT VALIDATION Permit Fee 100.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 100.00 Receipt No. Received by Date PERMIT NO. 3656 DATE APPROVED 3-4-02 EXPIRATION DATE 3-11-02 DATE ISSU D 4-0-2 )GABy inistrative Authority Recorded by 11 Telephone: (760) 777-7075 r � �` i' _ .....Y-' _ ..i" , S.w ....._„ . -� w,,, �� �i a :` �,t, , ar µ ...y .r..� .*,•,.r • • � '•��;:�..--.+.,.�. � _ . �.._. ,.. ,. . sue. _ .. ,... _ _ � �^ wr,F ....__ ' . �""'?•'}+'-` - y'`4', -, . ,.±` _ ,:.w�f.��r--`.�1^.t;:"�4yt,`: i r�::-i�..'::a+'�.i%.:. �_..: t..:-- :li.: _ __ .''r' i < •- , --•++—:-- — .M-o�..r rn..r�.r�=w+r�r..�..�.-.�r.wrw�..�.r.w.��......,w....,...�..s+�...�-�-w.�-..ws•r+..a.�..rw.�.�w.�a�.r.....�s-�. �.. �.wt. TOTAL: .Receipt No. NOTE:' With proper validation this form constitutes an CITY OF LA QUINTA c 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 I I I DATE: 3-5`02 Minor Improvement Permit Class IV LOCATION OF CONSTRUQTION La Quinta Senior Center Art Show (Street address of Description of Location) PURPOSE OF CONSTRUCTION Art Show March 9, 2002 Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Install directional signs i in Riaht—of—Wav See tached conditions r r = • DIMENSION OF INSTALLATION OR REMOVAL See attached , i -sketch showitie.locations SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP ` + APPROXIMATE TIME OF COMPLETION 3-10-02 ESTIMATED CONSTRUCTION COST $ • t (Including removal of all obstruction, materials, and debris, backfiing, com paction and placing permanent resurfacing and/or r\placing improvements) 111) -. 'In consideration of the granting of this permit, the applicant hereby agrees to: J f Indemnify,. defend• and save the City, its authorized agents penalties, liabilities or loss resulting from claims or cou t happeningjor occurring as a proximate result of any work\ Notify the Administrative Authority at least twenty-four (: Comply .with all applicable City Ordinances, the terms and La Quinta and to pay for any additional replacement nece Elaine Reynolds • P.Q. BOX 4 La Name of Applicant (please print) officers, r6presentatives acid employees, harmless from action and arising out of Ay accident, loss�or da%f agi undertaken uder the perm t granted pursuant toJthis !4) hours in ai%ance of the time when work will/ be s \ta ditions of t e permit and all applicable rule/sand jn sas the resulf�of this work. / 7 to Signature of Applicant or Agent Business Address and /against any and all to �bersom/or property alication, Aped. gulations of the City of (760) 564-1880 Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. HRH Insurance 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 Penalty Cash Deposit -Surety Bond if required $ 100.00 100.00 Received by Date Recorded by r PERMIT NO. 3656 DATE APPROVED 3-4-02 EXPIRATION DATE 3-11-02 DATE ISSUED- 3—�1�-02 By— % Administrative Authority Telephone: (760) 777-7075 , i. b—Q=�.�^�._— 3o—c'}E .-------- — — — — — — — —a--- —cJ�ooC;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 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUaION (Street address or Description of Location) PURPOSE OF CONSTRUCTION LL Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL ELL LLLI L1LL! (( Q 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, backfilli. g, com- paction and placing permanent resurfacing and/or replacing impr(;vements) 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, ha penalties, liabilities or loss resulting from claims or court action and arising out of any accident, los happening or occurring as a proximate result of any world undertaken under the permit granted purse Notify the Administrative Authority at least twenty-four &) hours in advance of the (time when wo Comply with all applicable City Ordinances, the terms and conditions of ttloe permit and all a plic ble La Quinta and to pay for any additional replacement necessary as the resul of this work. � Name of Applicant (please print) y' less from and against any and all or damage topersons:or property ' r ant to, Ahis application:" k will be started. rules and regulations of tie City of ure of Applicant or Agent Business Address 001( ) C` 1 a ;�r�r2 ��i �p U �V`'LSvucl Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs , Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule C ,��( ((� Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date PERMIT VALIDATION PERMIT NO. DATE APPROVED��' EXPIRATION DATE DATE ISSUED By— A'dm'inistrative Authority Recorded by 11 Telephone: (760) 777-7075 .rw�r�� wl�/w��N��M �lM�1��� �� �►���i�r� �����.� 4�� rrr��sirr�l� � � � 1�.�� �a � �r�� ��►�r< •.M 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 3- 5-02 Subdivision Improvement Permit — Class II I DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION La Quints Senior Center Art Shoes (Street address or Description of Location) PURPOSE OF CONSTRUCTION Art Show March 9. 2002 Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Install directional signs In RUht-of-tray Sae attached conditions DIMENSION OF INSTALLATION OR REMOVAL $se sttaahad sketch showine locations SIZE OF EXCAVATION, IF NEEDED ` APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 3-10-03 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilli g, com- paction ` 1 placing r and p g 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, ha penalties, liabilities or loss resulting from claims or court action and irising out of any accident, los happening or occurring as a proximate result of any work undertaken under the permit granted purse ess from and against any and all r damage torpersons or property t 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 rulesrand regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of f this (work. r r \Signature of Applicant or Agent Elaine Reynolds P.O. BOX 4 La Quints; `" Name of Applicant (please print) Business Address (760). 564-1880 Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. HRH 111aurance Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 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. 100.00 $ 100.00 Received by Date r PERMIT VALIDATION PERMIT NO. 3636 3-4-•02 DATE APPROVED EXPIRATION DATE 3-11-02 DATE ISSUED - 9-1. B f f Administrative Authority Recorded by 11 Telephone: (760) 777-7075 _"" `-. '�'"-' __ ram.-v--. ^^^-'_ .... _..r_ _ _ � .. - _ ��-