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0600.'MC'�•'.. .. ,1��f.1'.iw-Y:rvOi.rii� - .rii?�-Yw.•.►�ati-N..•• �iL'��ri Y�.r w".4••`i��1r'o. w r.•M r-.r-�-s:�iw"r,.{w+'•......^yi •w'b NOTE: 4 With proper validation ; this form constitutes an . CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OVERSIZE ONE TRIP 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 Subdivision Improvement Permit — Class I I I DATE: April 26, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 39 1 6" S9d, Pa Parl—a2 deem -265', hey ht a;id Wigight loga3' HAUL ROUTE: AVENUE 52' at Jefferson west,,to Washington, DIMENSION OF INSTALLATION OR REMOVAL north to Sagebrush (Alternate route) Washington SIZE OF EXCAVATION, IF NEEDED south to .Sagebrush ; APPROXIMATE TIME WHEN,WORK WILL BEGIN HAUL DAY: April 30, 1990 or 'May. I, . 1.990 (1 day only; APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction,. materials, and debris, .backfill ing, com- paction and placing permanent resurfacing and/or replacing improvements) Inconsideration of the granting of this permit, the applicant hereby agrees. to: ryr Indemnify, -defend and save the City, its authorized agents,'6fficers,' 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 Applicant or Age �--Sand and Rock p(1 Rnx 17 7 Tnrlin C A 9iif12• ' Name of Applicant (please print) Business Address Telephone No. Name of'Contractor and Job Foreman Business Address Telephone No. �n fel o nn films Contractor's License No. t City Business License No. nn f Z,1e Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II 1$011,11' S O t3$.� A�4 �26-94 1U.40 1O ' Public improvements: 3% of -estimated construction costs V tf" r .Private improvements: 3%:of-estimated construction costs T� 1,4N, :.i . 0000 Minor Improvement Permit — Class IV': See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee . 10.00 06.00 PERMIT NO. Penalty DATE APPROVED - A/26/90 Cash Deposit -Surety Bond if required EXPIRATION DATE 5/1/90 10.00 0 TOTAL:. $ DATE ISSUE4/26/9 D_ -�� Receipt No.' By— ,Received by Date Administrative Authority Recordedby TELEPHONE: (619) 564-2246 . E 7,,: , y. ii�i''..:ty.".,a�..t.. +'�1�... � t�ti 'h.w^.."`",,... i-• "•t'^iW...� � yF. .'N"^7 ,..' `L. .-" •rn'.. .�.. . _ ...-..t-'`.:. , , o- . r. -v'+... ., �: �t ry-....- .h.- n.� ,..,. -. -. a • q _ r� .. L%,,,` „� r -. y,, t ��," w+q.�f:.w`�+-fib �n. W S. • .-•y+ o:'� i. �..w r Y..S: �. r--rl. w. r.a�. r a..�s d'.•n. .r s w �. t+ ••• r'•r .r �w .�+ �: � w.. +6 w a.vw sa a. NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OVERSIZE ONE TRIP 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 Subdivision Improvement Permit — Class III DATE: April 26, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION • 3016" WI de »^�^s roan tae, height Pnd 3aeicrbt i-nAi DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATJON, IF NEEDED' " APPROXIMATE TIME. WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- action and lacinermanent resurfacin and/or re lacin im rovements) Sketch (attach construction plans if appropriate) P P 9 P 9 P 9 P In consideration of the granting of this permit, the applicant hereby agrees to: HAUL ROUTE: AVENUE 52 at Jefferson west to Washington, north to Sagebrush (Alternate route) Washington south to Sagebrush HAUL DAY: April 30, 1990 or May 1, 1990 (1 day only 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 Signature f>Applicant or Agery Maccov Cand and Rnir* PO ROX 1767 Tndio, CA - 92202 � Name of Applicant (please print) , Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. on fi 1P on file Contractor's License No. City Business License No. on fi1A Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III QU f r #.,0 38 AAA.,26•-9U �0.00 fU Public improvements: 3% of estimated construction costs V Pt TU L Private improvements: 3%,of estimated construction costs �1p 0600 Minor Improvement Permit — Class IV: See attached schedule Inspection°Fee $ Permit Fee _ Penalty _ Cash Deposit -Surety Bond if required _ TOTAL Receipt No. Received by 10.00 $ 10.00 Date PERMIT VALIDATION PERMIT N0. 0600 DATE APPROVED 4/26/90 EXPIRATION DATE 5/1/90 DATE ISSUED �jh 4/26/90 By Administrative Authority _,:.Recorded by 11 TELEPHONE: (619) 564-2246 NOTE: With Draw validatim this form constitutes an CITY OF LA OUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS. CONSTRUCTION (ENCROACHMENT) For th@ COnStructl6n of public or private curbs, driveways, pavemeritsi 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: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or. Description of Location) PURPOSE OF CONSTRUCTION db:dAA:;,e -AloLg/ IPTION OF CONSTRUCTIO DIMENSION OF INSTALLATION O'A REMOVAL SIZE OF EXCAVATION, IF NEEDED Sketch (attach construction plans if appropriate) APPROXIMATE -TIME WHEN W0WILL�EGIN.f:2�� 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 properly 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 AWplicant or Apent Name of Appl Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor' . Lic//ense N City Business icense No. Applicant's 16Ysurance Company Policy Number FEES: Subdivision Improvement Permit — Class 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 Penalty Cash Deposit -Surety Bond if required 'TOTAL: Receipt No. Received by Date �O PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Recorded by i II TELEPHONE: (619) 564-2246 Administrative Authority