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495NOTE:.. With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TIME OVERSIZE LOAD 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 DATE: 1/9/90 LOCATION OF CONSTRUCTION _ (Street address or Description of Location) PURPOSE OF CONSTRUCTION — . 48th &. Washington to Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV I-10 �f. Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION oversize load HAUL ROUTE: WASHINGTON TO I'10 DIMENSION OF INSTALLATION OR REMOVAL 151211 H. 13' 6" W. 90 long SIZE OF. EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL'BEGIN 1/10/90 REQUIRES TRAFFIC CONTROL - 2 pilot vehicles per California Vehicle Code APPROXIMATE TIME OF COMPLETION-1/10/90 - ESTIMATED CONSTRUCTION COST $ ' (Including removal of all obstruction, materials, and debris, backfilling, com- paction and plicing.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 Odinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Cal Permits, Inc. PO Box 79.9 San Bernardino 1-800-344--1912 Name of Applicant (please print) Business Address Telephone No. Swab Sales, Inc. Chandler AZ 602-899-0088. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Earmgrs 600221517- ya�,t,!lCiNL�4.�:�3iL 1tLU • Vi VU.g/ ' 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 I Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: zn.00 $ ln-no Receipt No. Received by Date 005:i.G2 10 087 Ai--09-•90 i!1 :i.o I:i SH , , AL 3. i0.0+0 No 9 PERMIT VALIDATION PERMIT NO. Q9R DATE APPROVED 1/9/90 ' EXPIRATION DATE 1/10/90 . DATE ISSUED 1/9/�� Administrative Authority Recorded by TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA OUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TIME OVERSIZE LOAD 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 1/9/90 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 43th & Washington to I-10 (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION oversize load DIMENSION OF INSTALLATION OR REMOVAL 15' 2" H, 13 ° 6" W, 90 long SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1/10/90 Sketch (attach construction plans if appropriate) HAUL ROUTE: WASHINGTON TO I-10 REQUIRES TRAFFIC CONTROL - 2 pilot vehicles per California Vehicle Code APPROXIMATE TIME OF COMPLETION 1/10/90 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. Signature of Applicant or'Agent Cal Permits, Inc. PO Box 799 San Bernardino 1--800--344--1912 Name of Applicant (please print) Business Address Telephone No. Staab Sales, Inc. Chandler AZ 602-899-0088 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. garmgggl TV,r 1,­600221517 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I 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 $ Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.0c, Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 495 DATE APPROVED 1/9/90 EXPIRATION DATE 1/10/90 DATE ISSUED 1 /y/910f,. Y Administrative Authority TELEPHONE: (619) 564-2246 NOTE With proper validation = JM this form constitutes an CITY OF- LA QUINTA ' encroachment permit FOR PERMIT: - i .APPLICATION, 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 II I �R� 1 DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION - 449 T I� (Street addressor Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) ) DESCRIPTION OF CONSTRUCTION Pi ,,/w 2 DIMENSION OF INSTALLATION OR REMOVAL /-r Z" fi /3`6 �D Long SIZE OF EXCAVATION, IF NEEDED - APPROXIMATE TIME ;p0 APPR TE T E WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ a (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 applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary 'as the result of this wo Signature of Applicant or Ag t. Name of Applicant (please pint) Business Address Telephone No. •�'` :Sp'/�.5 ��lG �l-,c DO�� .�d�Gt',d • sr d cr .�/ z CDT 81�9 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. ��✓/�i �r �.9 y GoD1� .� .. 04 213 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III P bli im rovements• 3°/ f t•m t d t uction costs ' u c p o o es i a e cons r Private improvements: 3% of estimated construction costs 1 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 Recorded,by N° • PERMIT VALIDATION PERMIT NO. DATE APPROVED * EXPIRATION DATE DATE ISSUED e r• By Administrative' Authority TELEPHONE: (619) 564-2246