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463'NOTE: 'With proper validation r 2 0 this form constitutes an encroachment permit. CITY OF LA QUINTA ' APPLICATION FOR PERMIT i$ ,PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) r 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 X Subdivision Improvement Permit —Class II I DATE:. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Grn�th aaGf cnrnPr of Fred UTari ncr and Wash:ina -on Tract 18919 - Palm Rrval.P (Street address or Description of Location) PURPOSE OF CONSTRUCTION. Pi ni-Sh C;radina and Sketch (attach construction,plans if appropriate)" navi ncr _ nha cA 7 F. R DESCRIPTION OF CONSTRUCTION SEE APPROVED PLANS ON FILE SEE PERMIT•NO. 322 DIMENSION OF INSTALLATION OR REMOVAL All General and Special conditions contained within permit no. 322 shall apply to this permit no. SIZE OF EXCAVATION, IF NEEDED 463 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 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 Sr'gna` uref of Applicant or Agent � • • Palm.Royale Development 777 S. Main St. Suite 106 Orange, CA 92068 619 547-8056 Name of.Applicant (please print) Business Address Telephone No. flames -Rue Construction Co. 73-960 Hwy 111 Ste. 4 Palm Desert, CA 568-5000 Name of Contractor and Job Foreman Business Address Telephone No. 402764 1177 Contractor's License No. City Business License No. State Compensation Ins. Fund 794150 ' Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III 50 •-units @ ' $48.10/unit = $2405 .00 Public improvements: 3% of estimated construction costs Additional fees required for future • Private improvements: 3% of estimated construction costs units Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $' 2405.00 Permit Fee • Penalty' Cash Deposit -Surety Bond if required y TOTAL: $ 2405.00 Receipt No. Received by, Recorded by Date " io05i'8 ASN 0a�0� —i 4'-89405.00 i0 PERMIT VALIDATION PERMIT NO. QF3 DATE APPROVED 10/24/89 EXPIRATION DATE 10/24/90 DATE ISSUED 10/24/89•1 By Administrative Authority TELEPHONE: (619) 564-2246 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 DATE: in/24/$OJ X Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION SQ11th 0,1afi. rnrmear of �,Tari my 4nf Tra-rf- IR915 -- Palm Rovale (Street address or Description of Location) PURPOSE OF CONSTRUCTION Fi ni,f-,h C'.xadircr Rn6 7 r, R 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) Soh APPROVED MANS ON FILE SI>E PERMIT NO. 322 All Coneral and Special condition-., contained within permit no. 322 shall apply to this permit no. 463 APPROXIMATE TIME OF COMPLETION y 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 appl,icabl,e City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City "of La Quiri�a an lsto pay ffo`r any additional replacement necessary as the result,, this work. - • - � _ �� ^++� � �� ; � gyp � � Signature of Applicant or Agent Palxa RoyaleDevelopmonts 777 lain St. Suite 10C ©rangc, CA 92068 619 547 3013 Name of Applicant (please print) Business Address Telephone No. Hamer, Prue Construc`ion Coy 73-; 60 k% i' 111 Ste. 4 Palm Dcvert360-5', r G Name of"Contractor and_Job Foreriiar� Business Address Telephone No. 40��i64 1177 Contractor's License No. City Business License No. �- tate COm} Gnsattion Ino. Fun& 79�150 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III 30 imitn �9e3 • lf)/unit = $24fi5. C0 Additional fcc :; r ,,uircd 2 O¢t U Public improvements: 3% of estimated construction costs unito Private improvements: 3% of estimated construction costs /1 Minor Improvement Permit — Class IV: See attached schedule` Inspection Fee $ 2405.00 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL Receipt No Received by $ 2411 .00 Date PERMIT VALIDATION PERMIT NO.^ DATE APPROVED EXPIRATION DATE 1^��1�,� DATE ISSUED By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246