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461.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 t Subdivision Improvement Permit — Class III DATE: 10/24/89 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Miles Avenue (Street address or Description of Location) PURPOSE OF CONSTRUCTION Tranport 623 F Scraper DESCRIPTION OF CONSTRUCTION DIMENSION OF k INSTALLATION OR REMOVAL • • Sketch (attach construction plans'if appropriate) HAUL ROUTE SHALL BE LIMITED TO MILES AVENUE ONE TRIP PERMIT i SIZE OF EXCAVATION, IF NEEDED * 'f APPROXIMATE TIME WHEN'WORK WILL BEGIN 10/24/89 APPROXIMATE TIME OF COMPLETION 10/ia4/89 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 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 Perrtaif and all applicable rules and regulations of the City of La Quinta and to pay for any'additional replacement necessary as the res of this work. nn Signature of Applicant or Agent Massey Sand and Rouk Co. PO Box.1767 Indio, Y_'A 775=8200 Name of Applicant (please print) . Business Address Telephone No. Co -Val Construction Dennis Jones x•292, Name of Contractor and Job Foreman Business Address Telephone No.-. Contractor's License No. City Business License No. t Applicant's Insurance Company Policy Number f 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. 10.00 $ 10.00 Received by Date Recorded by i0 9 ., i0-24-89 i(?.©0 i0 i�I� -ASW 1 L i �' PERMIT. VALIDATION. PERMIT NO. 461 DATE APPROVED 10/24/89 EXPIRATION DATE 10/24/R9 DATE ISSUED 10/24/89. BY Administrative Authority TELEPHONE: (619) 564-2246 MEW— i, ":NOTE. V• * '' r- �, With proper validation ,.this form constitutes an encroachment permit A CITY OF LA QUINTA �, t APPLICATION FOR -PERMIT ' PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT) OF For, the" constructionof; 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. o • ` �Y' -Subdivision Improvement Permit — Classs III DATE: 1-0/24/89 ,� " Minor Improvement Permit Class IV" LOCATION OF CONSTRUCTION• i Miles' Avenue = „ o :y f (Street address or Description of,Location). `t '- PURPOSE OF CONSTRUCTION" Tranport'y623 .F Scraper. Sketchi'(attach construction plans if appropriate) , DESCRIPTION OF'CONSTRUCTION ` { HAUL" ROUTE SHALL B.E„LIMITED TO ' MILES AVENUE ' ONE `TRIP PERMIT DIMENSION OF INSTALL'ATION'OR REMOVAL, - SIZE OF -EXCAVATION, I'F NEEDED APPROXIMATE TIME WHEN:UVORK,WILLBEGIN 10/24'/89 ,-. •' 10/24789 APPROXIMATE TIME OF COMPLETION ' ' ti .'y ` ' , '• •�• ,. ESTIMATED CONSTRUCTION COST'$," (Including removal of all�obstruction,.miterials, and debris, backf`illing, com �. • paction'and placing 'permanent resurfacing and/or, replacing improvements) ` In consideration oe,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 orrcourt.action. and arising out of any accident,, loss or damage to persons'or property happening or occurring as approximate result -of any 'work. undertaken `under the•permit granted pursuant to this application". ' Notify the Administrative Authority at least twenty-fourT(24) hours in advance of the time when, work will be started. Comply- with all applicable City, Ordinances, the ter'ms and conditions of, t and all applicable rules. d regulations of theCityof . La Quinta and to. pay for any additional, replacement necessary as the r ult of s work. Signature of Applicant or'Agent Massey Sand:'and •'.Rock Co P0, `Box °1767•.-Indio, ,'CA• r1 77.5-8200 Name of Applicant (please print) a, .. `'',. Business Address " Telephone. No. Co -Val Constrizcaion . ' Dennis' Jones i :y x 292 4 '. ' Name of Contractor and Job Foreman �} Business Address Telephone No' ' ', Contractor.'s License No:•' `"' ' City Business License No. T Al -Applicant's Insurance Company- • . '� �' Policy Number FEES: Subdivision Improvement; Permit — Class III r Public improvements: 3%'of.estimated construction costs, r r ;z , Private improvements: 3%of estimated construction costs', ^ r . , 0 g��� i0 9 0 'i0 �4-89.10 +0010' w, iOg;CASHx i1AL :i Minor Improvement Permit — Class IV: See attached schedule:., - Inspection Fee' � � � •' •. ' - $ • . PERMIT.VALIDATION, Permit Fee - �.-10. 00 4.61 PERMIT -NO. Penalty,, 1 Cash Deposit -Surety Bond DATE APPROVED 0/•24/-89 if're wired `. EXPIRATION DATE TOTAL: - $ 10.00 '� F 10/24,/8.9 DATE ISSUED Receipt No. x , " ByReceived by 1 �' •Date s r '• , ` Administrative Authority; Recorded b t r Y TELEPHONE: (619)•564-2246 f - ' NOTE: With proper validation this form constitutes an QUINTA encroachment permit CITY. OF LA` 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:_ ` [�l� �'� Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ` -S 14ve * c 1 (Street address or Description of Locations).-� PURPOSE OF CONSTRUCTION / �-:Q✓�s�r� �� r Sketch (attach construction plans if appropriate) 'DESCRIPTIOKI OF CONSTRUCTION -DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED Off%'►' i ��r �^ �"- APPROXIMATE TIME WHEN WORK WILL.BEGIN e -_ 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 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 resu of is work. ,. zz LC� Signature of Applicant or Agent �(l 7 10.00 -�C27,00 Name of Applica t (please print) Business Address' Telephone No. Name of Contractor and Job Foreman ; Business'Address Telephone No. Contractor's License No. _ City Business License No.' Applicant's.lnsurance Company Policy Number , FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs Private' improyements: 3% of estimated construction costs lr Of Minor Improvement Permit — Class IV: See attached schedule . Inspection Fee $ PERMIT VALIDATION Permit Fee -hf) cnC3 PERMIT NO. y l Penalty ' DATE APPROVED /2za VA, ,' Cash Deposit -Surety Bond T T—" if required / �a c,•/ . EXPIRATION.DATE , TOTAL DATE ISSUED Receipt No. By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 j'