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4337FINANCE cA Z3� NOTE: ',With proper validation this form constitutes an encroachment permit Revenue Code CITY 'OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) Cm 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 II I DATE: 02-10-05 Minor Improvement Permit Class IV 20690 AVE 52 -- EAST .OF JEFFERSON — LA CANTERA LOCATION OF CONSTRUCTION 31123— (Street address or Description of Location) PURPOSE OF CONSTRUCTION TO BORE DESCRIPTION OF CONSTRUCTION HONE LINE. ITS DRY DTILI , CABLE. DIMENSION OF INSTALLATION OR R MOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK 4LL BEGIN (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION _�02 14-05 ry 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 age rs, representatives and employees, harmless from and against anyand 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 wor er a<e the permit granted pursuant to this application. Notify the Administrative Authority at least twent our (24) hours in advance o he time when work will be started. Comply with all applicable City Ordinances, the erms and conditions of the permit an all applicable rules and regulations of the City of La Quinta and to pay for any additional repla ment necessary as the result of this work. Name of Applicant (please print) G & R UNDERGROUND (RUSTY) Name of Contractor and Job Foreman 765654 Contractor's License No. AMERICAN SAFETY INDEMITY Applicant's Insurance Company Signature of Applicant or Business Address Business Address FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimat c ion 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 100.00 Date Telephone No. 760-360-7994 Telephone No. 005R7 City Business License No. 'EGLQW 202-05-03 umber NOV.,: 4337, PERMIT VALIDATION PERMIT NO. 4337 DATE APPROVED 02-11-05 EXPIRATION DATE 02-11-06 DATE ISSUED By Administrative Authority Recorded by Il Telephone: (760) 777-7075 :h (attach construction plans if appropriate) C CY ' ILI V APPROXIMATE TIME OF COMPLETIO 02 14-05 ESTIMATED CONSTRUCTION COST $N,✓�� (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 �horiied age""'nfs; officers, retatives a presennd 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.ern-derta en vaderrtthe permit granted pursuant to this application. Notify the Administrative Authority at least twenty- of�(24) hours in advance f the time when work will be started. Comply with all applicable City Ordinances, the/terms and conditions of the permit an d allapplicable 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 STEM KATZ �'� 407 _ .ARCT - P 7M ilUlltIR T_ CA 9A S(il 70;n_57R_nQ70 Name of Applicant (please print) Business Address Telephone No.• G & R.UNDERGRODND (RUSTY) ( 760-360-7994 Name of Contractor and Job Foreman 765654 Contractor's License No. ANMCAN SAFETY INDEMNITY Business Address -1111" Telephone No. 00587 City Business License No. Applicant's Insurance Company Policyy' umber FEES: v a`r , CITY,OF LA QUINTA'' APPLICATN. ION FOR PERMIT iKS 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:11_Y02-10-05 �� �'\ Minor Improvement Permit Class IV 20690 AVE 52 — EAST OF JEEFERSON — LA CANTERA LOCATION. OF CONSTRUCTION `, ":�,-NOTE' Wirth proper validation th.is form constitutes an encroachment permit PUBL Tip 31123— (Street address or Description of Location) PURPOSE OF CONSTRUCTION TO BORE DESCRIPTION OF CONSTRUCTION EIONE LINE. NS , DRY E , CA-OLE . DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit —Class III Public improvements: 3% of estimated -construction Private improvements: 3% of estimated construction costs Minoll:lmprovement Permit —Class IV: See attached schedule Inspection Fee $ Permit Fee 100.00 Penalty Cash Deposit -Surety Bond if required ter_ TOTAL: $�"�� Receipt No. Received by Date Recorded by', 144337 PERMIT VALIDATION PERMIT NO. 4337 DATE APPROVED 02-11-05 EXPIRATION DATE 02-11-06 DATE ISSUED By Administrative Authority Telephone: (760) 777-7075 'With proper validation .this_form constitutes an encroachment permit ,fir 'CITY,,"'OF LA QUINTAL PUB 6' APPLICATION FOR PERMIT I(t:`iWORKS 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 • ' 4 '",,,,Subdivision Improvement Permit — Class I I I DATE:` 02" 10-25 ` , Minor Improvement Permit Class IV 20690 AV9 52 — - EM OF J '�tSON — LA CANTS iA ' LOCATION OF CONSTRUCTION -�-�•- 11 (Street address or Description of Location) TO BORE PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR SIZE OF EXCAVATION, IF NEEDED #>Im .`o" , DIKY Uhl 1' 1I5 a f C1116 E AL NONE APPROXIMATE TIME WHEN WORK WILL BEGIN Blotch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION`"14-05 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 agg i"Etrs, 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 wor trndertaken � nder the permit granted pursuant to this application. Notify the Administrative Authority at least twenty' wenty ofi ur Q,4) hours in advanc of the time when work will be started. Comply with all applicable City Ordinances, the erms and conditions of the permi� all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this wor Name of Applicant (please print) G. & R UNDERGROUND (RUSTY) Name of Contractor and Job Foreman 7656W Contractor's License No. A1=1120 SAFETY 1NDEMTY Signature of Applicant or A nt C.., PALK DESERT. Cm 9AA0 760-. 79-0910 Business Address Telephone No. 760--360-7996 Business Address Telephone No. 00587 "^�+•...,� City Business License No. Applicant's Insurance Company Pol i-pyol umber FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated.censt M c ion costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 100.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Recorded by Date PERMIT NO. N 433' PERMIT VALIDATION 4337 DATE APPROVED 02--11-05 EXPIRATION DATE 02-11..-06 DATE ISSUED By Administrative Authority 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 I I DATE: 05 Minor Improvement Permit Class IV 20690 AVE 52 - BAST OF JEFVE N - LA C TUA LOCATION OF CONSTRUCTION TH 31 (Street address or Description of Location) PURPOSE OF CONSTRUCTION TO BORE ONE L . DESCRIPTION OF -CONSTRUCTION 8 ' DIMENSION OF INSTALLATION OR SIZE OF EXCAVATION, IF NEEDED A L APPROXIMATE TIME WHEN WORK WILL BEGIN (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION " -1b- 05 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 aut o i e8 a en`t officers, re re eentafives and em to ees, harmless from and against an and all Y, 9 P P Y 9 Y. 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 w suride�taken under_r thepermitgranted pursuant to this application. Notify the. Administrative Authority at least twentfour (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 nt STEM." 607'43 CAMA CT., PAM DESERT. CA 92150 760-578-0970 Name of Applicant (please print) . * �N_- Business Address Telephone No. C A E UNDERMUND (RUM). � 169-360-J7994 Name of Contractor and Job Foreman 765654 Contractor's License No. AMMCCAN SAFETY" INDEWITY ness Address Telephone No. 00557 City Business License No. i �02-�5�-i33 Applicant's Insurance Company Poky -Number FEES: Subdivision Improvement Permit — Class II I Public improvements: 3% of estimated�const'ruc ion costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ .05A_ 11 LOO«00 Permit Fee Penalty Cash Deposit -Surety Bond if required y TOTAL: $ Receipt No. Received by Date 4337 PERMIT VALIDATION 4337 PERMIT NO DATE APPROVED�ll�l EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by Telephone: (760) 777-7075 •-a:NOT�--'_' ion With -proper validat r this form constitutes an encroachment permit e 1• CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) w 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: 92"`10-05 Minor Improvement Permit Class IV 9 AVE 52 FAST Of J EWERSON — LA t:&NTM LOCATION OF CONSTRUCTION 0r' -� TK (Street address or Description of Location) PURPOSE OF CONSTRUCTION TO BORE ARE LIKE. DESCRIPTION OF CONSTRUCTION' ` U UL1A.LX.X[S DIMENSION OF INSTALLATION OR REMOVAL iAn SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN V4­&4#-Va Sketch (attach construction plans itappropriate) 4 APPROXIMATE TIME OF COMPLETION, ESTIMATED CONSTRUCTION COST $� (Including removal of all obstruction, materials, and debris,Fbackfilling, 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 agentsofficers, 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 wo�yund"&404n"'underthe- permit granted pursuant'to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and"a�ll applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work? k Signature of Applicant or Agent O T. 1fi' 4 3 CASE .. PALK 01SERTo CA 9A50 760--576-0970 Name of Applicant (please print) � Business Address Telephone No. Name of Contractor and Job Foreman ~"-^ ,.{ Business Address Telephone -No. 765654a --- N i&0587 Coil r KA r�sRLice"VikNo�' t i I iTSi' � :flL6i � City Business License -i? �di3 0 Applicant's Insurance Company �yAIVumber FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimateo.constr'm16n" n costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ "" -�k " 100.00 Permit Fee i • Penalty Cash Deposit -Surety Bond if required .4�450.W- TOTAL: $ ,. " Receipt No. Received by Date Recorded by 4337 PERMIT VALIDATION' 4337 PERMIT NO. DATE APPROVED 02- 1.1-05 EXPIRATION DATE DATE ISSUED By Administrative Authority Telephone: (760) 777-7075