0534NOTE:
With proper validation•
this form constitutes an
encroachment permit
r
CITY OF. LA QUINTA
.APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT)
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: March 20,.'1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Eisenhower and 8611e Chillon La Quinta
(Street address or. Description of Location)
PURPOSE.OF CONSTRUCTION Sketch (attach construction plans if appropriate)
HAUL ROUTE: WASHINGTON SOUTH TO
DESCRIPTION OF CONSTRUCTION EISENHOWER DRIVE, .SOUTH• TO . CALLE
CHILLON
DIMENSION OF INSTALLATION "OR REMOVAL L�nc'th �2
wt egh+ �+ 6nn.- 1ia4rrh10 1 a uTjel1-h• 11
i
-SIZE OF EXCAVATION;. IF NEEDED
r .
APPROXIMATE TIME WHEN WORK WILL BEGIN 3/20/90
RIVERSIDE CO. PERMIT # 4-89-65
APPROXIMATE TIME OF COMPLETION I/2n./An
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 iules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
ure of Applicant or Agent
�S gnat
Whitna_v Machinery 20 Iowa Avenue•Rive=side, CA 714-682-5353.
Name of Applicant (please print) Business Address . Telephone No.
Massey &and and Rock Co PO Box•1767 Indio, CA 92201.
Name of Contractor and Job Foreman 's Business Address ► Telephone No. ;
Contractor's License No. City Business License No.-'
.Tnhn n,-Prp Tns Co BA 0097110 '
Applicant's Insurance. Company Policy Number
Y y
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:
Receipt No.
10.00
$ 10.00
Received by Date
Recorded by
J0 5 18 ASH � TAI,- 0-90 10.00'0
0534'
y
PERMIT VALIDATION
y
PERMIT NO.; 0534 '
--DATE APPROVED -4/2n X90
EXPIRATION DATE 3/.20/90
DATE ISSUED/ 3 f 20/90
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)
ONL TRIP PER"121T
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: T1Jarch 20. 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Eisenhower and 2allG Chillon La Quinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL Lnnmtkt 32
�A9raylhi- ,��a1R 1icigli,tt• u° uiirab n -
G
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 3/20/90
Sketch (attach construction plans if appropriate)
HAUL ROUTL: t,,7ASH1WGGTON SOUTH TO
UISLNEOTER DRIVE, SOUTH TO CALVE
CHI11LON,
RIVERSIDE CO. PEM1IT 0 8-89-65
APPROXIMATE TIME OF COMPLETIONP2D/�C
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 Applicant or Agent
lVihi cW I-Iachine�ry 10 Imm, Avenue Rivcrsido, Cry 714-682-5353
Name of Applicant (please print) Business Address Telephone No.
nasscy wand and Roca Co PO Box 1767 Indio, CA 92201
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No,
John Doors Ins. Co BE 0097110
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 $
x.0.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.0C
Receipt No.
Received by Date_
PERMIT NO
PERMIT VALIDATION
0534
DATE APPROVED 3/20/90
EXPIRATION DATE
3/20/90
DATE ISSUED--"- 3/20/90
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE: h `
With proper validationthis form constitutes an + CITY OF LA QUINTA
encroachment permit
s -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
' • ` � `+' r �t `• •limit• •... } .
Subdivision Improvement Permit — Class III. r
DATE: _ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION iS�NAfiBu%—,L
9999 1
+ -(Street address or Description of Location) .�
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
sem- A&_ e, 0 p
DIMENSION OF INSTALLATION OR REMOVAL a
SIZE OF EXCAVAT(ON, IF NEEDED,'/t• ` G �. ��g-1—&,57"
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF: COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of -all obstruction, matercals,,anr; uacKsiiiing, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of, this permit, the applicant hereby agrees to:
A*
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 oui.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.3
Notify the, Administrative -Authority at least twenty-four 124) hours in advance of the time when work. will be started. ;
Comply with all applicable City O'rdinances,'the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quina and to pay for any additional replacement necessary as the result of this work.
t AS
Signature of Ap 'cant or ,,Ageni
Name of Applican please print) Business Address Telephone No.
Name of Contracto and Job Foreman I� Business Address . ' . Telephone No.
Contractor's License No. ; :.City Business License No. +
Applicant's Insurance Company :.4*_#Policy Number
FEES: Subdivision Improvement Permit —Class III +
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs NO'
Minor Improvement Permit — Class IV: See attached schedule lr `
Inspection Fee $' . PERMIT VALIDATION
Permit Fee. PERMIT NO. `
Penalty DATE'APPROVED
Cash Deposit-Surety Bond
if required EXPIRATION DATE
TOTAL: $
DATE ISSUED '
Receipt No. B - ,
Y
Received by Date Administrative Authority
Recorded by ' TELEPHONE: (619) 564.2246