05274
NOTE: .
With proper validation
this form constitutes an
encroachment permit
'CITY OF LA QUINTA
APPLICATION FOR'.PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP 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
/i
Subdivision Improvement Permit — Class III
DATE: 3/15/90 Minor Improve ment,Permit Class IV
LOCATION OF CONSTRUCTION Calle Tampico and Washington Street
(Street address or Description of Location)-,
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL- I, 25' xH 10!
W 1.2' WT 40100D
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
HAUL ROUTE: WASHINGTON SOUTH
TO'CALLE TAMPICO, EAST TWO BLOCKS,
CO. PERMIT NO. 6-89-.65.
APPROXIMATE TIME WHEN WORK WILL BEGIN
10051(SA H i2 74. 0-0-90
0--901.0.00 14
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 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 Arocant or Agent
Whitnev Machinery 20 Iowa Ave. Riverside, CA 714-682-5353
Name'of Applicant (please.print) Business Address Telephone No.
RayTer Inc. •PO'Box 1135' LA Ouinta, CA 564-3535
Name of Contractor and Job Foreman Business Address Telephone No. ,
Contractor's License No. City Business License No.
John Deere.Ins. Co. BA 0097110
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II 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: $ 1 D n
Receipt No.
Received by Date
Recorded by
0527
PERMIT VALIDATION
PERMIT NO. ^ 0527
DATE APPROVED 3/15/90
EXPIRATION DATE 1/45190
DATE ISSUED- 3/15/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
Q
?; `NOTE: • r ,
With proper.'validation r
this form constitutes an t 4
encroachment permit.
. CITY OF LA�QUINTA ,
APPLICATION FOR PERMIT
.A PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
,
r +4 r ®NE'TRIP OVERSIZE LOAD PERMIT
For the construction of. public or private curbs, driveways;' 'avements, sidewalks, parking lots, sewers, water mains
and'other•like public works improvements in,connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
` • . nw:, ,,-y, "::Q; ••tih'�•g'�ie .! •1`.. ry p 'k . ,t,h�r•,�";�•.'y �, � �, _ .
r
'`ti, . • 'Subdivision Improvement Permit - Class I I I' T
DATE: .3/15/.90 ,
•,. ` "•' Minor Improvement Permit Class IV '
Calle'- Tarn ico •and' Wasi'iin ton Street
• ;LOCATION OF CONSTRUCTION P 9
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION' . Sketch (attach construction plans if appropriate) ,
l DESCRIPTION OF CONSTRUCTION r HAUL. ROUTE: • WASHINGTON'+•SOUTH
•., + . , TO CALLE TAMPICO,I EAST TWO. BLOCKS
DIMENSION OF INSTALLATION OR REMOVAL L 25' xH 10
W 12' WT 40.000 CO. 'PERMIT NO. 6`-89-65:
SIZE OF EXCAVATION; IF_NEEDED
UflSi .' (�' 2 4 (33-0.90 , - 14 ..
rAPPROXIMATE,TIME,WHEN WORK WILL BEGIN S4 A 9 I(:PTAI:„1 'IQ.OU.
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ ' r:
•; a ♦. i .. �.
(Including removal of all obstruction, materials; and debris, backfilling' co
paction and placing permanent, resurfacing and/or replacing improvements) s ,• ! '=
a
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 from6.claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate resultvof any work undertaken under the permit granted pursuant to this application:
i Notify rthe'Adminisirative'Authority at least twenty-four (24), hours in advance of the time when workcwill be started. .
Comply, with 'all -applicable, City Ordinances, .the terms and conditions of the permit and all applicable rules and regulations oftheCity of
f
La Quinta and to pay'for'any additional replacement necessary as the result.of this work.
Signature of Apphcant or Agent '
'Whitney Machinery .20 Iowa. Ave. Riverside,. CA 714-682-535.3' '
Name of Applicant (please print) Business Address x' ` . Telephone No: '
to
RayTr Inc.'' PO Box 1135 LA Quinta, CA •'564-3535
Name of Contractor.and Job Foreman Business Address • Telephone No:t%p', 3
Contracto'r's License No. ' , • City Business License NO.
hJohh Deere Ins. Co. BA =0097110
'-Applicant's Insurance'Company Policy Number
1 ,
• FEES: • Subdivision -Improvement Permit — Class I 11, fi• , "•
• •3 Public improvements: 3% of estimated construction costs • , ;
tPrivate improvements: 3% of estimated construction costs w
®�,
Minor Improvement Permit — Class IV:•See attached schedule t' `
• Inspection Fee f$ PERMITai;VALIDATION '
”' Permit Fee •� 10.'00 ; •• •,, `
K0527
-, PERMIT NO.
Penalty, :3/15/9:0
Cash.Deposit-Surety Bond .. DATE APPROVED
if required3 / 15
• . EXPIRATION DATE '
TOTAL $`DATE'ISSIJED-- '�_
Receipt No. a��E��..
By
Received by Date •Administrative Authority.
Recorded by TELEPHONE: (619) 564-2246
,
�.. -7,...
NOTE:�r.
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 ;
r
Subdivision Improvement Permit — Class III
DATE:" Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION-;—
(street
ONSTRUCTION (Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
r. I
DESCRIPTION OF CONSTRUCTIONLj
sB
DIMENSI NOF I A kAWIfAl. 75
-SIZE OF EXCAVATION, IF NEEDED ' r,
APPROXIMATE TIME WHEN WORK WILL,BEGIN 7 " - '` .Cb
..APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including' emoval of all obstruction, materials, and debris, uackfiliing; eorii-
paction and placing permanent resurfacing and/or` replacing improvements) �•
In consideration of the granting of this permit; -,the applicant hereby agtees 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.
SCJ 41
3z o+Signature of Appl6int or Agent
e i y- Z 3s3
Name of Applicant ( ease print) Business Address Telephone No.
Name of dontractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
i Applicant's..lnsurance Company �Policy_Number
FEES: '.Subdivision Improvement Permit — Class l I I .
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs.
Minor. Improvement Permit —Class IV: See attached schedule NO '
Inspection Fee $ PERMIT. VALIDATION -
Peimit Fee PERMIT NO.
Penalty DATE APPROVED
Cash.Deposit•Surety Bond r
if required EXPIRATION:DATE
TOTAL: $ DATE ISSUED '
Receipt No.
r By x
Received by Date Administrative Authority
Recorded by TELEPHONE: (61,911564-2246' #
h Y