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1294---------------- NOTE: With 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 November 21, 1991 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Calle Sonora w/o Avenida Bermudas (Street address or Description of Location) PURPOSE OF CONSTRUCTION Facilities for future Sketch (attach construction fans if a r ri t ) crossing DESCRIPTION OF CONSTRUCTION Place conduit crossings for future buried cable. DIMENSION OF INSTALLATION OR REMOVAL see dwg• "Bw—. SIZE OF EXCAVATION, IF NEEDED see dwg• "B". APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP APPROXIMATE TIME OF COMPLETION 12/31/91 ESTIMATED CONSTRUCTION COST $ 10,566.40 (Including removal of all obstruction, materials, and debris, backfilling, com- F . pp op a e Ref. GTOPermit No. 1266 All conditions of Permit 1266 shall apply to the Permit. 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 Hood Communications Inc. P.O. Box 2326, 21496 Main St. Grand Terrace, CA (714) 274-0577 Name of Applicant (please print) Business Address Telephone No. ,Name of Contractor and Job Foreman Business Address Telephone No. 580721 Contractor's License No. City Business License No. Lexington Insurance Co. GL 7709586 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ —0— 11 w Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ -0- Date 12?4 PERMIT VALIDATION PERMIT NO. 1294 DATE APPROVED 11/21/91 EXPIRATION DATE 12/31/91 11/21/91 DATE SSU D By . Administrative Authority TELEPHONE: (619) 564-2246 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: `�— z l —%% Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION . CaZZE _20,L&WA V/rs Ay P_r ,11_2,rT in a,— (Street address or Description of Location) PURPOSE OF CONSTRUCTION J"iWCLL,12Az4S -Osq AWZA;�� Sketch (attach construction plans if appropriate) gnoe,1s51A°40' DESCRIPTION OF CONSTRUCTION �.�.r�A� /'m t�®ts �7` F Fr-2im tT tj 0 - ) 2 (.Q & DIMENSION OF INSTALLATION OR REMOVAL �� 2 8 " SIZE OF EXCAVATION, IF NEEDED 53qA APPROXIMATE TIME WHEN WORK WILL BEGIN & !2�7'1' ALL GvN�t'�colJ b� pi✓2t( lZCQ4 °� l-(� Lt✓ is i p I,t/ C, I*15 P 0e^1 T APPROXIMATE TIME OF -COMPLETION /2 --32 27J ESTIMATED CONSTRUCTION COST$ _16;0.�j//. YD (Including removal of all obstruction, materials, and deur:s, 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. �nr b21„ L 1 r Signature of Applicant or Agent 92 nn� v�w��a✓1Vt isTy�lei/t' /�✓� . Q Box 23Y9e /J2AZ si l'�.+���� �i�R/it t - Name of Applicant (please print) Business Address �. Telephone No. 7j,- Z7f- O:57 Name of Contractor and Job Foreman Business Address Telephone No. S'8072 / 2— Contractor's License No. City Business License No. ,477n 9 5a� r 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 Recorded by., `t, Date N° PERMIT VALIDATION PERMIT NO. DATE APPROVED ) — 2-1 ^ DL I EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246 iC P Of 10j,a IIi`zit4 :. 1 faf "0.�.��' Pursuant to Chapter 9 of Division 3 of the Business and Professions Code and the Rules and Regulations of the Contractors State License Board, the Registrar of Contractors does hereby issue this license to: HOOD COMMUNICATIONS INC/GENERAL ' COMMUNICATIONS SERVICES INC -to engage in the. business or act in the capacity of a contractor in the following classification(s): DEPARTMENT( 77A - General Engineering Contractor = C61/DO5 -,Communication Equi prncnt - T Witness my hand and seal this day, November 17, 1989 v Issued November 8.1989 • . i+!� ignatu�e of Lice - Registrar of Contractor -:. .. ' This license ;s the property of the Registrar of Contractors, is not 580721 Signature of License Qualifier transferrable,;and shall be returned to the Registrar upon demand License Number when suspended, revoked, or invalidated for any reason. It becomes void if not reAii v ed. 13t-24 IRFV 1-Avr - .. :.. :..... ... ... :. No 23 r 4 I I I 09/18/1991 P40DUCt-Ft 09:29 HOOD CQMrl,,. WH I TT I ER, CA)., I , , 21 Z- 194!5 508 1 A P., 2, IF —N ISSUE DATE (MlAiDD)yy; . His 41 00002 JIi 54 04zls/qj TIFICATE fS ISSUED ASA MATTER OF IN ORMATION ON UTTM C6NI'1145 NO RIGHTS I. PON THE CERTIFICATE HOLDER, THIS CERTIPItp OOES NOT AMEND, EXEND ON ALTER THE CoVeRACIE AFFORDED BY T JOHNSON & HIGGINS OF CALIFORNIA POLICIES BELOW. 695.TOWN -CENTER DRIVE, SUITE 700 T1410 IS YO CERTIFY THAT THE POL10148 OF INSURANOE LISTED BELO%"v : COSTA MESA, CA 92626 THE INSURED NAMED ABOVE FDA 1 H I' OLICY PERIOD comp;NIES AFFORDING C VERAGE PHONE: 714/641-8899 'FAX: 714/979-0797 COMPANY . . . A DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS BY PAID CLAIMS. 714/433-2055 LEXT�,GTON INSURANCE COAPANY INOUREb . .. ................. .. .. OOMPANY LUTTEA ASSOCIATED INTERNATION4L OOMPANY C FIRS' STATE INSURANCE dOMPANY CtAWS MAOI! X OOCUR. 1 00!.IPANY TRA+ORTATICIN INSURANCE COMPANY COMPANY LETTER EACH OCCURRENCE s 11000,01 D WOMKCFI'l COMPENSATION AND 1IMPLOYE RO' LIABILITY OTHER 0160AIRTION OF WC 607415691 04/15/91 SOL 40'1415692 6TATUTOnY LIMITS 04/15/92 EACH ACCIDENT 1,000,0( M6FAVIi-POLICY LIMIT t 1,000,0( D191ABE—EACH EMPLOYEE 1 1,000,0( OHOUL 0 ANY OF THE AE OVt! PV$QMI0IfQ POLICIES BE CANCELLED BEFORE TH EXPIRATION DA19 1114150f, THE (88UINI) COMPANY WILL ENOEAV(3H T 11 MAIL Q DAYS WAIYTlN NOTICE TO THE CERTIFICATE HOWER NAMeO TO TH LIEF), -Ijk)Y FA LVFIF TO 4AIL 6bb'I4 MYT16E'S6Lt IMP6WOU 10OLKIATION 0 Y OF A14Y KIND VrON THIf COMPANY, 118 ADEN/ El QK' HIIPqE6ENTATIVEI AV T1410 IS YO CERTIFY THAT THE POL10148 OF INSURANOE LISTED BELO%"v : HAVE BEE14 ISSVEO T INDICATED, NOTWITHSTANDING ANY R90UIAeMkNT, TERM OR CONDITIO14 OF ANY CONTRAC THE INSURED NAMED ABOVE FDA 1 H I' OLICY PERIOD CERTIFICATE MAY BE ISSUED ORMAY PERTAIN, THE INSURANCE AFFORDED r QR 01-HaPt I)OCUMENT WITH RESPECT TO WHICH THIS DY THE POL101-6 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCI`0 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS BY PAID CLAIMS. Loo TYPE OF INSURANCE .tR. FOLIOY NUMVER POLICY I!PPFCTIY `POLI BATE (MMlDDfYY)l OA l CXPIMATION' I (MMIDD/YY) LIMITS 0EN6RAL 0APICITY A X COMMERCIAL GENERAL LIABILITY CL 7709586 'OFNEAAL A(IORFOATE I 1 27, 76017,, 04/15/91 01/13/92 'PAODUCT$'COIAP/OP CtAWS MAOI! X OOCUR. 1 A00. s 2,000,01 OWNER'S & CONI kAC TOR -6 PROT, PERS014AL 6 AOV. INJURY s 1,000"01 EACH OCCURRENCE s 11000,01 FIRE DAMA05 (Any tpnw firv) $ so, Of I AUYOMOBILR LIABILITY -7m- mvp. SAFONSE (Any One pwam) $ B- X :ANY AUTOOOMBINED XS -400606 I 04/15/91 04/15/92 BINDLE LIM ITb **750,01 ALL OWNCD AVTOb 601'ItOULED AUICJJ; BODILY INJURY x MlkVV AUT05 **$250,000 RELF (Per polaoll) NON-OWNaO AUTOS INSURED RIETENTION OODILY 114JUFIY (Per ac-cloont) VAKAUN LIABILITY PROPERTY DAMAGE 8110906 LIABILITY X UMBRELLA FORM us OW1.85 . EACH OCGUARtNCE 4 1 , 04/15/91 01/15/92 1,000,00( OTHER THAN LIMPAELLA FORM D WOMKCFI'l COMPENSATION AND 1IMPLOYE RO' LIABILITY OTHER 0160AIRTION OF WC 607415691 04/15/91 SOL 40'1415692 6TATUTOnY LIMITS 04/15/92 EACH ACCIDENT 1,000,0( M6FAVIi-POLICY LIMIT t 1,000,0( D191ABE—EACH EMPLOYEE 1 1,000,0( OHOUL 0 ANY OF THE AE OVt! PV$QMI0IfQ POLICIES BE CANCELLED BEFORE TH EXPIRATION DA19 1114150f, THE (88UINI) COMPANY WILL ENOEAV(3H T 11 MAIL Q DAYS WAIYTlN NOTICE TO THE CERTIFICATE HOWER NAMeO TO TH LIEF), -Ijk)Y FA LVFIF TO 4AIL 6bb'I4 MYT16E'S6Lt IMP6WOU 10OLKIATION 0 Y OF A14Y KIND VrON THIf COMPANY, 118 ADEN/ El QK' HIIPqE6ENTATIVEI AV t r I t� 1 t t i l . ? ..:SIL .... - . ... _ ., ., �; ._ ..« ,,, as .I. . d. ..a.L.. ... . ._ ._..... ... ., ..e , ... ._ )_... .. .. .. ... .. .. i - 12 1.'ri.r' i r r , .. •^ ger ;, ru :3; y ' , 09/18/1991 09:29 HOOD COMM. BJHITTIER CA. 213 945 5084 P.02 tt i - — ---i_ ,t: , Ff' <! P' :. S=T G' r ;i ::T�': '(f: _ _ -.rr.r – ..I •r'!':,.:..,.....: •'' }} I1�>>r�/'M�'t _ 00002 .: �;t!�,?`,`;;.'.... . .. •Y :.Y.• ; t' ISSUE (1.!IJ1U '', (.. h'Y5 ``�:.:• jj((N «, 4 . �..'JN 54 i 04 18 91 rgODUCGR NIS A E6 Ag A MATTER OP IN 0 ATION ONL C6NPENS NO RIGHTS PON THE CERTIFICATE H0, DER, THIS ORRTIItICR DOES EQT AMEND, EXTEND ON ALTER THE GOVDRgpE AFPORDlb BY T JOHNSON 6, HZGC7NS OF CALIFORNIA POLIO ''OWN _►�ET�R DRIVE.,..-fitILTE 100 B ' X :ANY AUTO ALL OWNED AUTOS AOSTA MESA, CA 92626 OOHPOULED AUti,l; X COMP IDI S AFFORDING COIVERAQE PHONE: 714/641-8699 FAX: 71,4/979-0797....COMPANY f GAHAUY. LIABILITY • 714/433.2055 LETTER A LEXI�.GTON ' INSURANCE COAPANY INBuncn _.................: 0 MfeANY LFFTTflR ASS061ATED INTERNATION4L, ` 06MPANY LprrvR vFIRS STATE INSURANCE COMPANY OOMPANV TRAN FORTATION INSURANCE COMPANY COMPANY LETTER E i •.:,.._;t'P-a:''. I,jT: •,:� .r�...ri�t=.:.,-at�rfg1.:n r.,1:- r,r• �..t...ry ....- •r.r.....; r..J i1• THIS IS TO CERTIFY THAT THE POLI0188 OF INSURANOE LISTED BELOW HAVE BEER ISSUFO TD THE INSURED NAMED ABOYe FOR 1 -HE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIRBMENT, TERM OR CONDITION OF ANY CONTRACT' OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED HY THE POLICI 6 OE60RIBEO HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUC O BY PAID CLAIMS. LTA. POLIOY TYPE OF INSURANCE NUMBER POLIDY CPPFCTIVE €POLI Y 9X001RATION Y I DATE (MM/DOfYYI . DA f (MMIDD/YY) LIMITS I OEN6RAL LIABILITY GENERAL AGORE0ATE A, X COMMERCIAL GENERAL LIABILITY GL 7709586 04/15/91 0 1/15/92 PRDbUCTS•COMP/01P AOG. 3 2,000 QI C4AtM8 MAbE X OOCUR. PERS014AL 6 ADV. INJIIR�' d I,QQ(�► OI X :OY/NERa' 'S 6 CONIHACTU6 PROT; I EACH OCCURREWCE j 000 QI 10, AUIvMOBILE LIABILITY B ' X :ANY AUTO ALL OWNED AUTOS OOHPOULED AUti,l; X MIHI:V AVTUB i{ ! NON•OWNBO AUTOS f GAHAUY. LIABILITY 9KO906 LIAOILITY C X UMBRELLA FORM OTHER THAN UMBRELLA FORM D WORKCR'B COMPINSATION AND ' 6MPLOYCR9' LIA9I�ITY I XS•400606 **9250,000 SELF INSUR•SU RETENTION U5 003165 WC 607415691 SOL 407415692 OIIORIPTION 0� OPERATIONB/LOOATIQNIfVIHIDLEC/BPBOIAL ITRAIB c rine 0AMA0E (A.y w+, pr,) t 50,01 MYD, SAFUNSE IAny We NeteLa,) t' 04/15/91 04/15/92 } LIMIT ED 31NOL6 5 **750, 01 BODILY INJURY t (Per pe►ePn)!' f ` BODILY II.JURY S (per ecUtlo�l) ' PROPERTY DAMAGIt d EACH OCCURRaNOr 04/15/91 0et/I.5/92 ! AOOR60ATE s 1,000,00( � OTATUTORi' LIM1Tt3 ; 04/15/91. 04/1S/gQ EACH ACCIDENT j 1,00010( 016EA95.-POLI0Y LIMIT t 1,000,0(.. DIOEA8E—EAOH EMPLOYEE E 1,000,0( SHOULD ANY OF THE AHOVE 01;3VIIIOaD POLICIES BE CANCELLED SEPORE T EXPIRATION Dn1t I'll, EGF, THE I88UINO COMPANY WILL ENOEAVUH T MAIL _AQ DAYS WAITT N NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH i LEF), IMT FAILURE TO RAIL SUCH NOTICE SHALL IMPUyk IJV UBLKIIATION O LIA(itUTY OF AIJY KIND UrGYN THC COMPANY, IT 13 AGtiNly QH HRPRI:bENTATIVEI •,vIMvfillup HBPRIISBNTA ,.-1�:: •:,,,!��.,';„h.�:�:>-�:>>s.: � '� , .. , I,.., . • • �A>�a�'��aaabanwYoN ���I A k -WHITTIER CA. 09/it/1991 09:29 HOOD COMM.�OMM. 213 945 5084 P.02 i ISSUE DATE (MIM/Doiyy) 00002 JIi 54 04Z18Z9!,_l PODIJGCR T"Is VERTIFICATEIS-11 ME5 Ag A MA—TITFIE-A OF INFOPIMATION 06NPEAS NO moHTS It PON THE OFIRTIFIQATE HQtDF_R THIS 01111TINti DOES NOT AMEND, EXTEND OR ALTaR THI! COV06AGE'AFFORDED BY T JOHNSON HZGGINS OF CALTFOR�NIA POLICE °T f%W 695 TOWN CENTER DRIVE, SUITE 7001, 1, COSTA MESA, CA 92626 PHONE: 714/641-8899 FAX: 114/979-0797-' 0l'lM­PAt'4'­ 714M3-2055 LETTER A INgURED Rim COMPANY c; LPTTSA COMPANY LITTVA COMPI NIES AFFORDING COVERAGE LEX ,�GTON INSURANCE COAPANY ASSOCIATED INTERNATIONAL FIRS] STATE INSURANCE COMPANY TRANSPORTATION INSURANOE COMPANY I 14T."ll W11 -71,111— S7. THIS IS TO CERTIFY THAT THE POL10166 OF INSURAN06 LISTED BELOW HAVE BEEN ISSUED TTHE INSURED NAMED ABOVE FOA 1401 , E POLICY PERIODINDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRA OR OTHER DO0UMENT'WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED Dy THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TEFimsi EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS $HOWN MAY HAVE BEEN FIEDUCH-0 BY PAID CLAIMS. LTR. TYPE OF INSURANCE FQLIOY NUMBER POLICY L'FFF0TIVt:)&0LI DY RXPIMATION DATE (MMIQPryy) VAi (MMIDDIYY) 05N6RAL LIABILITY GENERAL AOOREOATl! iiv F, 06 7, A X COMIAERGIALOENERAL LIABILITY GL 7709586 04/x,5/91 04/15/92 'P. RDoUcmc;oMP/4P AGO. s 2,000,01 0i,AIM$ MAGE X OOOUR.' I PE"ONAL a ADV. INJURY 6 10000, 0:1 X' OWNER'S & CONI KACTOR'G PROT, SACH 000VARENCIE s, 1,000.01 immoSIL11 L-I-A5-f*Lj'fVr; B X ANY AU'to At,L OWNED Avrob SCHEDULED AU108 MINUL) AUTOS NON -OWNED AVTO& (iARAUP LIABILITY XS -400606 04/15/91 **$250,000 sjzj,F INSUMD RETENTION RX0900 LIABILITY C X UMBRELLA FORM us 003185 04/15/91 OTHER THAN UMBRELLA FORM D WCRKgfl'l COMPINSATION WO 607415691 04/15/91 AND SOL 407415692 EMPILOYEAW LIABILITY OTHER 9960FIlPTION OP OPERi%TIONBkOOATIONIfVENIOLile/sPACIAL ITEM{ Fikr OAMAONI(Aoy onp f)rv) t 50,01 OOMBINEDSINOLI!- x/15/92 1 LIMIT **750 01 BODILY INJURY (Per person) BODILY 114JVAY (Par attloont) PROPERTY OAMAOt EACH OCCURnl!NOt 0q/15/92 A00AGOATC s 1,000,004 OTATUTOAY 41MIT8 04/15/92 EACH ACCIDENT 4 1, 000, 0( 0)UA66--POLIOY LIMIT & 1,000,0( DIBEABI-EAOH EfAPLQYEk t A ;,000 0( OHOULD ANY OF THE A EXPIRATION tmia 1.11 MAIL _lk DAYS WA'lTl LEF), IJUT FAILURE TO MADILITY OF ANY KIND )Ve Pt!$(;MIlff0 POLICIES BE CANCELLED BEPORE TH ;FiQF. THE 13SUIN-0 COMPANY WILL ENDEAVOR T IN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 1H NAIL SUCH NOTICE SHALL IMPOU NO 0131.10ATION 0 'ON THE COMPANY, 118 AG!kiNlF( OR (112FRESENTATIVEI TOTAL P.02 T" 09-16-91 OY:38AM P02 `r3 NOTE: With proper validation . this form constitutes an CITY OF ' LA QUINTA� encroachment permit v APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) C 0 I[�� 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: November 21, 1991 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV Calle Sonora w/o Avenida Bermudas (Street address or Description of Location) PURPOSE OF CONSTRUCTION Facilities for future Sketch (attach constructionlans if appropriate) ppropriate) crossing DESCRIPTION OF CONSTRUCTION Place conduit crossings Ref.'GTE Permit No. 1266 for future buried cable. All conditions of Permit 1266 shall apply to the Permit. DIMENSION OF INSTALLATION OR REMOVAL See dwg. B SIZE OF EXCAVATION, IF NEEDED See dwg. "B". APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP APPROXIMATE TIME OF COMPLETION 12/31/91 ESTIMATED CONSTRUCTION COST $ 10,566.40 (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 Ouinta and to pay for any additional replacement necessary as the result�of this work.. K,' I, Signature of Applicant or Agent Hood Communications Inc. P.O. Box 2326, 21496 Main St. Grand Terrace, CA (714) 274-0577 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 580721 Contractor's License No. City Business License No. Lexington Insurance Co. GL 7709586 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —class III Public improvements: 3% of estimated construction costs n Private improvements: 3% of estimated construction costs 7 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ —0— PERMIT VALIDATION Permit Fee 1294 PERMIT NO. Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ —0 - Date DATE APPROVED 11/21/91 EXPIRATION DATE 12/31/91 DA E ISSU D 11/21/91 By .y Authority TELEPHONE: (619) 564-2246