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44144 Qlk NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMI� PUBLIC WORKS CONSTRUCTION (ENCR Sjk„ -777,-70 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: 'T„na 10, 2005 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenue 58 from Monroe(Westwexd) TM 31681 (Street address or Description of Location) PURPOSE OF CONSTRUCTION (33-12 DESCRIPTION OF CONSTRUCTION DIMENSION\OF INSTALLATIONIOR REMOVAL SIZE OF EXCAVATION, IF NEEDjED APPROXIMATE TIME WHEN WOMK WILIJ. BEGIN APPROXIMATE T E OF C.OMPL ESTIMATED CON RUCTION CC (Including removal o all obstructic paction and placing ermanent res In consideration of th granting o Indemnify, defend• nd save the penalties, liabilities r loss resu happening or occurri g as a pr Notify the Administra ive Auth Comply with all applic ble Cit La Quinta and to pay f•r any a TION iT $ i, mat rials, and debris, backfil ing, Corr rfacin and/or replacing impr vements this p rmit, the applicant h reby agre Sketch (attach construction plans if appropriate) to: ;ity, its authorized agents, office s, represen lives and empl ees, harmless f om and against any and all ing fro claims or court actin and arising ut of any acci ent, loss or amage to persons or property imate re ult of any work uncle taken under a permit gra ed pursu to this application. ity at le st twenty-four (24) ours in advanc of the tiTt work will be started. Drdinance the terms and nclitions of the permit and all applicable rules and regulations of the City of Iditional re lacement nec sary as the result of this work. I se'e, Pe"J � �� q� Signature of Applicant or Agent v Name of Applicant (please print) Business Address' elephone o. Granite Construction Co. 38000 MonrnP RrrPPt Trdin CA 92201 769-775-�509 Name of Contractor and Job Foreman Business Address Telephone No. 89 Contractor's License No. 2501 City Business License No. Va11P;& Forge TnCllrAnrP QL a 4921-89 16 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 $ 11,160.00 Based on 1% Permit Fee 100`. a9 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 11 }2 fm _ nn Receipt No. Received by Date Nl�,, 4414 PERMIT VALIDATION PERMIT NO. 4414 DATE APPROVED 6 /101 0S EXPIRATION DATE 6 / i L-) /_o 6 DATE(Iql I An WWI 5 By Administrative Authority Recorded by 11 Telephone: (760) 777-7075 NOTE: Wii!�- pr`oper validation . 1 '�.,.-- _ / ' C ` 777��,� 74 tHis form constitutes -an o -- CITY OF LA" QUINTA ti :encroachment permit APPLICATION FOR PERMIT,,__93 PUBLIC WORKS CONSTRUCTION (ENCROACHMENT). t For the construction of public or private curbs, driveways, pavements, sidewaflks,fparking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS {/ym' Subdivision Improvement Permit- Class III DATE: T• - in inns Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenue 58 from Monroe (Westward) TM 31681 (Street addressor Description of Location) PURPOSE OF CONSTRUCTION 31" S-mer Main Sketch (attach constructionplansif appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION'OF INSTALLATIONIOR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WI L I BEGIN-1-n APPROXIMATE TWE OF COMPLETION —1 1--n4 ESTIMATED CONSTRUCTION COST $ I1 1 nz Ann nA I Y� (Including removal off all obstructiofn, matelrlals, and debris, backfilling, com paction and placing permanent resyrfacin� and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agreps to: Indemnify, defend- afnd save the (City, its authorized agents, officeds, representatives and emploPees, harmlessl6m and against any and all penalties, liabilities 1 loss resulting from claims or court action/and arising ut of any accident, loss or.,damage to persons or property happening or occurring as a pro(imate result of any work undertaken under the permit granted pursua to this application. Notify the Administrative Authority at least twenty-four (24Zditions /ours in advance of the time when work will be started. Comply with all applic\\able City Ordinance,• the terms and c of the permit and all applicable rules and regulations of the City of La Quinta and to pay f�r any additional relacement nece'sary as the result of this work. v `T?— Signature of Applicant or Agent TD D A 1'711/_ r_ n__e_a; — ^T nrn Y Y Name of Applicant (please print) •• •, .. v... r ♦ y T.— u(�w>uW. o Business Address via � —y / �.c .•iC/ / 1—"1 Y`YY Telephone No. Granite Construction Co. 38000 Mont-ne Stref_i't T-A4 rA a')nAt 'a^ Name of Contractor and Job Foreman Business Address y Telephone No. 2501 Contractor's License No. City Business License No. 1la11eT7 Frlree Tnilernn�-e PT 7 An71 Qn 14 Applicant's Insurance Company Policy Number - FEES: Subdivision Improvement Permit - Class I II Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit - Class IV: See attached schedule Inspection Fee $ 11,160.00 Based on 1% II Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $_ 11_9An nn Received by Date s tip 4414 PERMIT VALIDATION PERMIT NO. 4414 DATE APPROVED 6a /10/0 1., EXPIRATION DATE DATE IS� UED l gy wv `� Administrative Authority 0 Recorded by Telephone: (760) 777-7075 WifFs proper validation' tHirform constitutes an CITY OF LA QUINTA encroachmgnt permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or + ° ' p 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: TUZZO 10. 7nnti Minor Improvement Permit. Class IV LOCATION OF CONSTRUCTION Avenue 58 from Moaroe(Westward) ni 31681 (Street address or Description of Location) PURPOSE OF CONSTRUCTION. 331' iAktor Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION)OF INSTALLATIONIOR REMOVAL SIZE OF EXCAVATION, IF NEEDjED APPROXIMATE TIME WHEN WORK WIL I BEGIN APPROXIMATE TIME OF COMPLkTION I? ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfillling, paction and placing 1ermanent resj rfacing and/or replacing improverr In consideration of the granting of this permit, the applicant hereby to: Indemnify, defend, arnd save the ICity I its !authorized agents, officers, representatives and empl+ees, harmless drn and against any and all penalties, liabilities loss resullting frorrl` claims or court action and arising out of any accident, loss or •/mage to persons or property happening or occurri as a proximate result of any work unde� aken under the permit granted pursua to this application. i r�� Notify the Administ-a,ive Authority at least twenty-four (24) ours in advance of the time.,.whe work will be started. Comply with all appli `ble City Ordinance, 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 T_.1) 'i e.+..w n,..t TD Aee ee`• 1"itC 2 fl.t w.' n� h+aAP9 vt'n ry•n♦ ♦na s. Name of Applicant (please print) �( Business Addreo-ss..+s �aTa ar�v Telephone Nox. Granite Coustruction Co. 33000 MonrnA Sump+ Tn.i4^CA 019AI 4 Mr 7=1 -0 Name of Contractor and Job Foreman Business Address Telephone No. Cxn Contractor's License No. 2501 City Business License No. `lallov Foup_ TnnitrAnro !°t 4021 80 16 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit— Class II I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor, Improvement Permit — Class IV: See attached schedule Inspection Fee $ 11,160.00 Based on, 1% II Permit Fee lnA nn I: Penalty Cash Deposit -Surety Bond if required' TOTAL: $ il-&D-f1n Receipt No. Received by Date 4414 PERMIT VALIDATION PERMIT NO. 4414 DATE APPROVED' EXPIRATION DATE DATE1ISSUED By—. v .. v Administrative Authority Recorded by Telephone: (760) 777-7075 NOTE: With proper validation 'this form constitutes am encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks,t 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: 't,== in ')nonr. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION AVenue 58 from HoarC3o0fest` ard) T 31681 (Street addressor Description of Location) PURPOSE OF CONSTRUCTION. 13" Sl^wor Maim DESCRIPTION OF CONSTRUCTION See p1myte DIMENSION";OF INSTALLATIOMOR REMOVAL 9 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WIL LI BEGIN APPROXIMATE TIME OF COMPLETION f A_ag_nA ESTIMATED CONSTRUCTION COST $ h ? nq d _ no An i (Including removal of all obstruction, materials, and debris, backfilling, corn k k 3 paction and placing permanent re Surf (acing and/or replacing improvements In consideration of tl4e granting of this permit, the applicant, hereby agre Sketch (attach construction plans if appropriate) 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 T..Yf_ 11ptzare- tlatiraIrvimr*4%vtir IV A n lk^-,* V 71 A t .. ,r" 4 -6, - _ _ d !9 t�4494 Name of Applicant (please print) Business'Addres's� Telephone No.. r;�ran is Construetton Co 3.8000 Monroe aStre_t Indin. rA 49901 �An—'7,Y'C_.9CA^ Name of Contractor and Job.Foreman Business Address Telephone No. - a 2501 Contractor's License No. City Business License No. Va ll6v Fors.s Innurance Ill. 7 AQ111 tea 16 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 $ 11.160.00 Used. = 1% 11 Permit Fee I fit). nfi Penalty Cash Deposit -Surety Bond if required ""fir TOTAL: $ 11,260,00 Receipt No. Received by Date V. 44N PERMIT VALIDATION PERMIT NO. 4414 DATE APPROVED' ` EXPIRATION DATE DATE ISSUED By { '1 ' Administrative Authority Recorded by Telephone: (760) 777-7075 e� aa, e,q to ,t NOTE: With proper validation' 'this form constitutes an _r 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: ,'tu«a IIA, 1nAq. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 'Avenue 58 from Monroe(Weatword) TH 31681 (Street address or Description of Location) ,PURPOSE OF CONSTRUCTION 33"s Seaver. Mnig DESCRIPTION OF CONSTRUCTION lien fs`Irt"n DIMENSION OF INSTALLATIOWOR REMOVAL SaA't,larn.1k r � 1 i SIZE OF EXCAVATION, IF NEEDED 6100 T21AMA APPROXIMATE TIME WHEN WORK WILL(BEGIN fi�1$�f1S. Sketch (attach construction plans if appropriate) 1 1 APPROXIMATE TIME OF COMPLETION i fi�-13wOfs ` ESTIMATED CONSTRUCTION COST $ 11 , 10L9RD-1D (Including removal of all obstruction, materials, and debris, backfilling, comb paction and placing permanent resurfacing and/or replacing improvements) I In consideration of the granting of this permit, the applicant hereby agrees to: e 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 T.D. Deourt 194vcr<1.opmartt. LP P.0, Boat 1716 ].A t'IUIM—,e. rA 9741 Mn_77.i_11 641 Name of Applicant (please print) Business Address Telephone No. Granite CorstrUetjoU +eta. 38000 KOn-rO#A Sttaet Indic, CA 92.201 160-17i-.7Stsf) Name of Contractor and Job Foreman Business Address Telephone No. &9` 2501 Contractor's License No. City Business License No. Valley Forge lnsuran4ta G1. 2 6921 89 16 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 11,160.00 1sasod on it; Inspection Fee $ 11 Permit Fee Penalty Cash Deposit -Surety Bow if required .TOTAL: Receipt No 1.00.00 $ 11, 260.00 Received by Date N 4414 PERMIT VALIDATION. 4414 PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by I Telephone: (760) 777-7075 1. l 2- NOTE: With proper validation this forin constitutes an encroachment permit FINANCE Revenue coda,,, 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 i Subdi vision Improvement Permit — Class.11l o� 3 05 , , i DATE: - g ". Minor Improvement Permit Class IV , LOCATION OF CONSTRUCTION � ✓yE �$ 7"Z-flc- 3168/ >� Ai Af.941loE Mf rw4p (Street address or Description of Location) / 33 irsf�4r� ^41-1 P appropriate) PURPOSE OF CONSTRUCTION �>�-._ --�-• - —: - Sketch (attach construction plans if DESCL':°TION OF CONSTRIIrTlnni psi£. ?"-Jtx, See special and select conditions DIMENSION OF INSTALLATION OR REMOVAL ftY Q LI" SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION __._. . _s ESTIMATED CONSTRUCTION COST $ /A_1_6.S, 00 (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 resul work. Signature of Applicant or Agent T �• %0Pvclolr�L.P P.O. Box 1716, La Quinta 771-1941 Name of Applicant (please print) Business Address Telephone No. Granite Construction Co. 38000 Monroe Street;. Indio, CA 92201 775-7500 Name of Contractor and Job Foreman Business Address Telephone No. 89 Contractor's License No. V �D National Union Fire Insurance Co. Applicant's Insurance Company 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 $ (301 O J Permit Fee 10 y , D ) Penalty Cash Deposit -Surety Bond if required TOTAL: c.) Receipt No. Received by Date Recorded by 2501 _U�ity Business License..No. GL5440206RA , � ^_IA ....Gl Policy Number I% N1 PERMIT VALIDATION / PERMIT NO. -- — 1 LA � Ll DATE APPROVED EXPIRATION DATE . DAMIUED By Administrative Authority Telephone: (760) 777-7075 I .4 ., .. -., r� .., � � � � - ���