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1195NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) C A 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 DATE: $/22/91 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52-010 Avenida Montazuma, La Quinta, CA (Street address or Description of Location) PURPOSE OF CONSTRUCTION Driveway DESCRIPTION OF CONSTRUCTION Asphalt Driveway Approach DIMENSION OF INSTALLATION OR REMOVAL 17' x 20' SIZE OF EXCAVATION, IF NEEDED None APPROXIMATE TIME WHEN WORK WILL BEGIN 8/22/91 Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION 4 hours ESTIMATED CONSTRUCTION COST $ 650.00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Yes In consideration of the granting of this permit, the applicant hereby agrees to: 11 i EIVO5 MRsi flil tRt i{"ILQ a�'•i�•"i z:J0,00 fk 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 o his work. Pete Allen Signature of Applicant or Agent 72-880 Sonora Drive Palm Desert, CA 346-6361 Name of Applicant (please print) Business Address Telephone No. Aden Grading & Paving Inc. Same as above Same Name of Contractor and Job Foreman Business Address Telephone No. 1590 Contractor's License No. City Business License No. 417180-C-»12 (State Farm) 811 -5893 -FOS -55A 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 $ 20.00 II Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 10.00 $ 30.00 Received by Date 1 191s, PERMIT VALIDATION PERMIT NO. 1195 DATE APPROVED EXPIRATION DATE 8/22/92 8/30/91 DATE ISSUED 8/22/91 By Rl µ A ministrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR .PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)c 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: 8/22/91 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52-010 Avenida Montazuma, La Quinta, CA (Street address or Description of Location) PURPOSE OF CONSTRUCTION Driveway Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Asphalt Driveway Approach ii q�3� i 14 DIMENSION OF INSTALLATION OR REMOVAL 17' x 20' i0005 CAS HO1 TOTAL0812z-9 30.00 SIZE OF EXCAVATION, IF NEEDED None APPROXIMATE TIME WHEN WORK WILL BEGIN 8/22/91' APPROXIMATE TIME OF COMPLETION 4 hours ESTIMATED CONSTRUCTION COST $ 650.00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Yes In consideration of the granting of,this permit, the applicant hereby agrees to: Indemnity, -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 ell _applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result o ,thiss work. Signature of Applicant or Agent Pete Allen 72-880 Sonora Drive Palm.Desert, CA •346-6361 Name of Applicant (please print) Business Address Telephone No. Allen Grading & Paving Inc. Same as'above Same. Name of Contractor and Job Foreman . Business Address Telephone No. 1590 Contractor's License No. City Business L'icensa.No. 417180—C-12 (State Farm) 811-5893—FOS-55A Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I f' Public improvements: 3% of as construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 20.00 Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL:. $ 30.00 Receipt No. Received by Date Recorded by 119 ;. PERMIT VALIDATION PERMIT NO. 1195 DATE APPROVED 8/22/92 EXPIRATION DATE 8/30/91 8/22/91 DATE ISSUED By. Administrative Authority TELEPHONE: (619) 664-2246 . 1' • 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 2> 2 1 Subdivision Improvement Permit - Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION �� I��7`A Zce MAA (Street address or Description of Location) PURPOSE OF CONSTRUCTION D IZf.✓C L,5A-`J DESCRIPTION OF CONSTRUCTION A`P 14 n L-"1- I R1(1f- -,,/iA`7/ DIMENSION OF INSTALLATION OR REMOVAL 17,Y20 Sketch (attach construction plans if appropriate) I.- ""1 Afr A - gam. l L .�7 C'<.04.3 S `e— . dti(. ST -D SIZE OF EXCAVATION, IF NEEDED ��.�% C�� APPROXIMATE TIME WHEN WORK WILL BEGIN OZZ- g �& t APPROXIMATE TIME OF COMPLETION - ESTIMATED CONSTRUCTION COST $ (I's -6 (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 (241 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 res It of this work. Signature of Apphicant or Agent �aClw PCZsW 7- Name of Applicant (please print) Business Address Telephone No. Ll - 1SA-1,, AZ - Name of Contractor and Job Foreman P �u Contractor's License No. 4C - Applicant's Insurance Company to FEES: Subdivision Improvement Permit -Class I II Business Address Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit - Class IV: See attached schedule a Inspection Fee $ Z-0 � Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date Recorded by Telephone No. City Business License No. Policy Number PERMIT /yVA�^LIDATION PERMIT NO. 0 J. DATE APPROVED 9; ° 2 Z -0- I EXPIRATION DATE � C( DATE ISSUED By Administrative Authority TELEPHONE: (619) 6642248 .:•%T.r,�— — arm NOTE: i With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit 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 I I I DATE: 8/22/91 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52-010 Avenida Montazuma, La Quinta, CA (Street address or Description of Location) PURPOSE OF CONSTRUCTION Driveway DESCRIPTION OF CONSTRUCTION Asphalt Driveway .Approach DIMENSION OF INSTALLATION OR REMOVAL 17' x 20' SIZE OF EXCAVATION, IF NEEDED None Sketch (attach construction plans if appropriate) 10005 CASA TOTAL08122-9130.00' i4 APPROXIMATE TIME WHEN WORK WILL BEGIN 8/22/91 APPROXIMATE TIME OF COMPLETION 4 hours ESTIMATED CONSTRUCTION COST $ 650.00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Yes 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. I 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 i La Quinta and to pay for any additional replacement necessary as the result o this work. Signature of Applicantor gent Pete Allen 72-880 Sonora Drive Palm.Deseit, CA '346-6361' Name of Applicant (please print) Business Address Telephone No. Allen Grading & Paving Inc. Same as above Same f, 1 Name'of Contractor and Job Foreman Business Address Telephone No. . I 1590 I Contractor's License No. City Business License No. 417180—C-12 (State Farm) 811-5893—FOS-55A Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class I I I Public improvements: 3% of estimated construction costs 119 J Private improvements: 3% of estimated construction costs I •Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 20.00 PERMIT VALIDATION Permit Fee 10.00 1195 PERMIT N0. Penalty Cash Deposit -Surety Bond if required TOTAL:. $ 30.00 Receipt No. Received by Date Recorded by DATE APPROVED 8/22/92 EXPIRATION DATE ' 8/30/91 DATE ISS ED 8/22/91` .gy Ul a Aldlinistrative Authority TELEPHONE: (618) 664-2246