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445NOTE:. 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 II DATE: @ept. 22, 1989 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 77-865 Montezuma Aa Quinta Park, Community Center. (Street address or Description of Location) PURPOSE OF CONSTRUCTION Remoire and RP_n1.AP- P Sketch (attach construction plans if appropriate) existina Sidewalks. DESCRIPTION OF CONSTRUCTION SEE ATTACHED SKETCH DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL'BEGIN APPROXIMATE TIME OF COMPLETION 1D11/R9 ESTIMATED CONSTRUCTION COST $ 6-900-70(h) (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 Coachella Valley Rec.•& Park Dist.- 45-116 Commerce St., #5 Indeo, CA 92241 Name of Applicant (please print) Business Address Telephone No. John ®wain Maint. Supt, Same 347-6063 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. Calif. Assn. Parks,& Rec. Insurance (Capri) 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 �'� 445 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ N/A Permit Fee N/A Penalty Cash Deposit -Surety Bond if required - TOTAL: $ N/A Receipt No. Received by Date PERMIT VALIDATION PERMIT NO. 445 DATE APPROVED 9/22/89 EXPIRATION'DATE 2/1/90 DATE ISSUED /_�9/22/89 By Administrative Authority Recorded by TELEPHONE: (619) 564-2246 .. - r n :- .Y.. j i � .. ^ • � .. ' ' F; 1, - , , may`- .• '' •`.- , } i ( `+. +- . _.-�.`.�. L •` fal � .'. '). ' • r NOTE: +F J = ., - - - r • With proper validation this form constitutes an X. • a , o -CITY OF. L'A QUINTA• -encroachment permit ., ' APPLICATION -'FOR PERMIT PUBLIC' WORKS' CONSTRUCTION (ENCROACHMENT) I•r:..A w� . OF For 'the 'construction- of 'public or private .curbs, driveways, pavemerits, sidewalks, parking, lots, sewers, 'water -mains. r 1 - and other like public works improvements•in connection'with:MI,NOR IMPROVEMENTS and APPROVED SUBDIVISIONS` sd• • . ' i.. a •;4 '. f a _ k .1 • { ,' Subdivision lmpro�vement Permit— Class III r DATE:_ Sept: 22 , : 1989 Min6r•Improvement Permit Class IV LOCATION OF CONSTRUCTION',77-8.65 .Montezuma- La 'Quinta; .Park, Community. Center.-'--' (Street address or Description of Location) •' , PURPOSE OF CONSTRUCTION Remove and RPx�lace. Sketch (attach construction plans if appropriate)' r existing S_ id'ewalks-.' DESCRIPTION OF CONSTRUCTION SEE , ATTACHED' .SKETCH• f 1 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION; IF NEEDED .J , APPROXIMATE TIME WHEN WORK WILL BEGIN 9/25/89 `APPROXIMATE TIME'OF COMPLETION 10 / 13/ 89 ESTIMATED CONSTRUCTION COST$ 6500=7000 (Including removal of all otistruction,,materials, and debris, backfilling, com = is paction and. -placing permanent -resurfacing and/or replacing improvements) In consideration of the granting of this.per'mit, the'kapplicant'libreby agrees to`., ~ Indemnify, defend and savethe' 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 asa proximate result of any work undertaken under the permit granted pursuant to this application. ' ki Notify the AdrriinM'rative Authority`a`least twenty-four1(24), hours in advance of the time when work Iwill be started. Comply with all applicable City'Ordinances; the terms and conditions of•the permit and allapplicablerules and'regulations of ti e'City of !' La Quinta -and to pay•for any additional replacement necessary as the,result of this work: j ` ►. �i;t , ' Signature of :Applicant or Agent R Coachella Valley' Rec. & Park,Dist.'- 45--116 Cominerce..St'. , #5'" Indio', . CA 92201 Name of Applicant (please print) Business Address Telephone -'No. ` John,.Swain ' Maint. Supt. i F Same 347-6063 ' Name of Contractor and'Job_ Foreman } "_' ,� Business Address �: 'Telephone No. Contractor's License No.. J • , , <` .. , City Business License No., 'Calif: Assn: Parks & Rec. Insurance (Capri) - Applicant's Insurance Company Policy Number - kES: Subdivision, Improvement Permit —Class 111" • <`- K Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs. NO 445 �_. Minor Improvement Permit — Class IV: Seeattached schedule , Inspection Fee r J $ N'/A " ' ' PERMIT VALIDATION }' Permit Fee • .• N/P, 4'45• PERMIT NO. Penalty Cash Deposit Surety Bond' - DATEIAPPROVED 9 % 2.2 / 8 9 ` if required , k +: a-•'• EXPIR2'%1/9O•' AT•ION•DATE TOTAL: $ N/A 9/.22/89 :. - y - - - DATE -ISSUED Receipt �- By r Received by, Date t `, . ; Administrative Authority_ Recoided by -TELEPHONE: (619) 5644246 ' NOTE: ' With proper validation i t - 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•lmprovement.Perkt - Class ill DATE: ` ' Min n mprove ent Permit Clyt V ( LOCATION OF CONSTRUCTION' ' _g ' � JCL- �► v` l � (Street address or Description of Location PURPOSE rrj�► EONSTR TION DESCRI r Sketch (attach construction plans if appropriate) DIMENSION OF.INSrALLATION.OR REMOVAL t SIZE OF EXCAVATION, IF'NEEDED'< APPROXIMATE TIME-WHEN'WORKWILL BEGIN. APPROXIMATE. TIME OF COMPLETION ESTIMATED. CONSTRUCTION.COST$: = Sow ' 00 Q (Including removal of all obstruction,materials, and debris, backfilling, corn-. ` paction and=placing permanent':resurfacino.and/or, replacing improvements) In consideration of the granting of'this permit, the applicanvhereby 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.t result -of any work undertaken under the permit -granted pursuant to this application. ,.:,.. .. ., ,- .-.,,..;,,,. � , l,_._ < 1` � ., •,^. -_ - vim' Notify the Administrative Authority•at least-..twenty-four:(24),hours•in advance of the -time --when work will be started. Comply with all, applicabtesCityxOrdinanoas;,the terms and cond')nsepe it a If: applicable, rules and regulations .of/the City of La Quinta and to.pay for.•any--additional+replacement necewary t;of t is rk(�re f Applicant or.A�entcoaCLU�11LSc cial � is L{o c vc Naa�m _ of=1icant (please print) - usines Ad ess,. Telephone No: 3Y? �QY . -Jo a�to, ofo3 Name of Contractor and Job Foreman `," Business Address Telephone. No. , Contractor's License No. ; City Business License No. , EC - l w:. i kL Y )' c r'U ram' �c N y' (i 76 P KS.+P,1 G +�• N c�:� %% \ 1./� % r Applicant's Insurance Company ` Policy Number • FEES:. Subdivision Improvement Permit —Class Ill 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' VALIDATION Permit Fee * PERMIT NO. Penalty r Cash Deposit -Surety Bond ! .DATE APPROVED if required EXP.IRATION'DATE TOTAL: $ { DATE ISSUED Receipt No. B ' y Received by Date ' Administrative Authority Recorded by • -TELEPHONE: (619) 564-2246 ADD I'T t LIN` jjhEN6 OACrii E1NT. F'ERM I T NO. LL�--AUDITIONS t PER MI _ur-Veu- Wnuments Wall . el prot,ecr_d'in -date 00- ='=_tabllshed, pursulh to city'standard.s -rind A the BMW- of i n- i Califori a Land Sui •-•evoW Act . ' R34 Work: _hall be ;ord.in ted. L!iK the City -of La' 00inta"s foltes o4rpilude delay =i"- _nterfArence with th'i•Cit' o 'La Quinta' = pho jects F;'SQ "CiltrdCtGi- shai'1 comply 641tCs The loci!noise C�'i C711 _tinCe and �. cpnstr.uctioin operations a?,,maintenance of ect_{Ipment :-Within one . half, mile, of human occupancy BY!! be performed only during 'the. time periode e=-, follows: _ - Uc _ �� ik • M A.'_) : , r=ipi. 1: 3_ 1 ndzy,=Fi,iday ray_ �a.m {p FSaturdayy. .r May At to September 30 . t'��o nd _ y-Fr l da"^>� '`_+•. 00a.. in . - j • 00p 'm . -t�j� l•!o, �;''p�-c+hibited anytime oni Sunday ' and Federal holidays. Rah F=,!VVoncrete'aiid debriw shall -be r6moved from the Ate at the ` eid •oT the warOday. R37 till woincrete'sidew lk:s =hpli have`= C,> crQs _iCDe, ctWd'y '?';-C�m ^ ainv structure.T i t { • - .f