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419With proper validation this form constitutes an encroachment permit 41 40 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 DATE 6/23/89 Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Washington a The Grove (Street address or Description of Location) PURPOSE OF CONSTRUCTION Transport D7 Dozer from the Grove to outside City limits DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) 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: SEE ATTACHED RIVERSIDE COUNTY REGULATION, See Permit #410 HAUL ROUTE - WASHINGTON, AVENUE 50 ONE TRIP PERMIT Indemnify, defendand 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 ,pf thiVwork. tSidpatll(e 6f Applicant or Agent F. J. Stowells, Jr. PO Box 1.059 Indio, CA 92201 774--1359 Name of Applicant (please print) Business Address Telephone No. same same same Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. California Farm Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3�o 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. Received by in 10.00 $ 10.00 Date 5i�HiO2�-�v io aASTTAL 10.00 N? 419 PERMIT VALIDATION PERMIT NO. 419 DATE APPROVED 6/23/89 EXPIRATION DATE 6/23/89 DATE ISSMED/' 6/23/89 By/"-✓� ' Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 With -proper validation 4 Q this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION' FOR PERMIT PUBLIC WORKS, CONSTRUCTION.. (ENCROACHMENT) '- +` L� OF For the construction of publicorprivate curbs, driveways, *pave ments, sidewalks, parking lots, sewers, water mains and other like public works improvements' in connection with MINOR IMPROVEMENTS and APPROVED,SUBDIVISIONS 6 / 23 / 89 Subdivision Improvement Permit — Class l l 1. ' DATE: ' Minor Improvement Permit Class IV t LOCATION OF CONSTRUCTION Washington.' The Grove (Street address or Description of Location) PURPOSETransport D7 Dozer OF CONSTRUCTION Sketch (attach construction plans if appropriate) from the Grove to 'outside City limits ' DESCRIPTION OF CONSTRUCTION SEE, ATTACHED RIVERSIDE' COUNTY REGULATION, See -Permit #410 DIMENSION OF INSTALLATION OR REMOVAL HAUL ROUTE'"— WASHINGTON,, AVENUE R 50 ' ONE TRIP PERMIT ' 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 any and all ' penalties, liabilities or loss. resulting from claims'.or court action and arising out of a'ny 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 Quintaand to pay for any additional replacement necessary as the result of i work. + , i at e'of,,App is t or Agent F. J. Stowells, Jr. PO Box 1059.'-, Indio,. CA 92201 774-1359 Name of Applicant (please print) Business Address Telephone No. same same same Name of Contractor and Job Foreman Business Address Telephone No. -Contractor's License No. City Business License No. Cal:i'fornia. Farm Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I 0051$'', 10 74i9 06-23-89 10 Public improvements: 3% of estimated construction costs 10 L¢ASH i TOTAL i i0.00 Pri1.vate improvements: 3% of estimated construction costs • ND 419� Minor Improvement Permit.— Class IV: See attached schedule , Inspection -Fee $ 0 { PERMIT VALIDATION + Permit Fee _10 .00 419 PERMIT NO. , Penalty DATE APPROVED' 6/2-3/8-9 Cash Deposit -Surety Bond • if required EXPIRATION DATE 6/23/89 TOTAL: $ 10.00 DATE IS 6/23/R9 Receipt No. ' By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 ,