477NOTE
!With proper validation
this form constitutes an
CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
W.0.049-41197-I
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: Nov. 13, 1989
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION S/S/0 Fred Waxing Dr. 410' F/0 Cbanleton Dr_
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Place a buried
telephone cable te-mporary SPrair.P
DESCRIPTION OF CONSTRUCTION p1arP btad Pt7 r-ahl P
)
DIMENSION OF INSTALLATION' OR REMOVAL trPnnh R9
long 1" wide
i
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 11/20/89
Sketch (attach construction plans if appropriate)
SEE ATTAHAED DWG#AT
REFERENCE : W.0.#549-41197-I
APPROXIMATE TIME OF COMPLETION 12 /1 /R9
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:
• M1
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 regdlations of the City of .
La Quinta and to pay for any additional replacement necessary as the result of this work.
Cruz Gom9z,•Eng. Supervisor
Signature of Applicant or Agent
GTE California 83-739 Dr Carreon Blvd., In dio. CA 92201
Name of Applicant (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 Insurance Company Policy Nu mbei-
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 N 477
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ n/a
$ n/A
Received by Date
PERMIT VALIDATION
PERMIT NO. 477
DATE APPROVED 11/20/89
EXPIRATION DATE 1/20/90
DATE ISSUED
Byk
Administrative Authority
Recorded by II . . TELEPHONE: (619) 564-2246
t�
NOTE: � �7
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
W,0.049-41197-I 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: Nov. 13, 1989
Subdivision Improvement Permit Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION S/SIO Fred Warzna Dr. 410' E/0 Chaoleton Dr,
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION place buried Sketch (attach construction plans if appropriate)
telephone cable temnoraru aPr`rz c-e
DESCRIPTION OF CONSTRUCTION ra:l.ac':p± SEE ATTABHED DWG#AT
REFERENCE : W.O.#549-41197-1
DIMENSION OF INSTALLATION OR REMOVAL trextcth R9'
long 1" wide
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 11/20/89
APPROXIMATE TIME OF COMPLETION 12/1/89
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 permit and alF applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Cruz Gomez, Eng. Supervisor
Signature of Applicant or Agent
GTE California 83-739 Dr Carreon Blvd., In dio, CA 92201
Name of -Applicant (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 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 $ n/a
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No
$ n/a
Received by Date
A-77 .
PERMIT VALIDATION
PERMIT NO. 477
DATE APPROVED 11/20/89
EXPIRATION DATE 1/20/90
DATE ISSUED
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
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L
NOTE:
With proper validation,
this form constitutes an
encroachment permit
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
REFERENCE: W.O..#549-41197-I
November 13 1989 Subdivision Improvement Permit— Class III
DATE: ' Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION S/S/0 Fred Waring Dr410' E/O Cha-Dr..,- Dr., See--atta-ched�-
' drawing
'-_� � _ _ ,
(Street address or Description of Location).
PURPOSE OF CONSTRUCTION, place a buried telephone cable Sketch (attach construction plans if appropriate)
temporary service
DESCRIPTION OF CONSTRUCTION place Duri ea -caD I e
SEE ATTACHED DWG #AT -
DIMENSION OF INS T , ,LLATION OR REMOVAL trench 89' l ong REFERENCE: W. 0. #549-41197- I ,
1' wide
SIZE OF EXCAVATION, IF NEEDED ,
APPROXIMATE TIME WHEN WORK WILL BEGIN 11-20-89
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 anal arising. out of .any, ac_:dont; !os. c, don.-.. a to Nersuns 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 o , is wor .
Signature of p icant or Agent
GTE CALIFORNIA, 83-739 Dr Carreon Blvd., Indio, CA. MCI
Name of Applicant (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 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
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Date
PERMIT VALIDATION
PERMIT NO.
r
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Recorded by TELEPHONE: (619) 564.2246