0545NOTE:'
With proper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR' PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRTP OVERSIBE LOAD DVD%ATM
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
t
Subdivision Improvement Permit — Class II I
DATE: #/26/90 Minor. Improvement Permit Class IV
LOCATION OF CONSTRUCTION Eisenhower/Bermudas
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION -� ? pm __+- Sketch (attach construction plans if appropriate)
1
DESCRIPTION OF CONSTRUCTION k HAUL ROUTE: EISENHOWER TO
Bermudas
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
r
APPROXIMATE TIME WHEN WORK WILL BEGIN
I
APPROXIMATE TIME OF COMPLETION 3/26/90.
' . 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.
� r
or Agent
MassPv sand'and Rock Co. PO Box 1767 Indio,
Name of Applicant (please print) Business Address
7A-8290
Telephone No. '
same '
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. s
on file
Applicant's Insurance Company
1
FEES: Subdivision Improvement Permit — Class li I
Public improvements: 13% of estimated construction costs
Private improvements: 3% of estimated construction costs
t ,
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee 1-0-00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:. $ 1.0.00
Receipt No
Received by Date
5
City Business License No.
on file
Policy Number -
!005182 ,S1 ?970 03- i26-90
C� 0545
t
PERMIT VALIDATION
PERMIT NO. 054.5
.f� .
DATE APPROVED -4.4201 90
r .
EXPIRATION DATE 3226/90 4
DATE ISSUED Z
3/26/90 '
By—
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246 '
t.NOTE
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT)
ONE TRIP OVERSIgE 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
Subdivision Improvement Permit — Class III
DATE: 4/26/90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Eisenhower/Bermudas
(Street address or Description of Location),
PURPOSE OF -CONSTRUCTION _^neve
DESCRIPTION OF CONSTRUCTION
I r% I U %S 1. 1_ 'I 7 1 ..
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
HAUL ROUTE: EISENHOWER TO
Bermudas
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN J
APPROXIMATE TIME OF COMPLETION 3/26/90
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.
.
ii
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.
1
Signature'of-App�cant or Agent
Massey Sand and Rock Co. PO Box 1767 Indio,, CA 4-8290
Name of Applicant (please print) Business Address. Telephone No.
Same
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
on file on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit— Class I II
14.00U)
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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
10051 Ca1,S'I� g OTAL q2b,-�'0
0 545
PERMIT VALIDATION
PERMIT NO. 0545
DATE APPROVED 3/20/90
EXPIRATION DATE 3126/90
DATE ISSUED 3/26/90��
By—
Adm . inistrative
yAdministrative Authority
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)
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 O D �( �� /\ ' Subdivision Improvement Permit — Class III
DATE: o / Minor Improvement Permit Class IV'
TION OF CONSTRUCTION
A-_)Q_17_-TAfW)us f4y�_\W� U1_,vy)A.
(Street address or Description of Location! .
PURPOSE OF CONSTRUCTION%S� - Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION\
161T-Q-s'1,1Q ]NEI
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
of a!! 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 124) 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 ap likable rules and regulations of the City of
La Quinta and to -pay for any additional replacement necessary as the resulk_q this work.
Signature of Applica or Agent
/fir >r 5_-LyJ _ .S- 97
Name of Applican (please print Business Address Telephone No.
vw
Name of Contr ctor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No..
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 NO
Minor Improvement Permit — Class IV: See attached schedule l�
Inspection Fee $
Permit Fee _
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By_
Recorded by II TELEPHONE: (619) 564-2246
Administrative Authority