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NOTE:
r•
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit'
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 withiMINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I I I
DATE:_ ma.%� 7. 1 cion Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION MOVE .EQUIPMENT
(Street address or Description of. Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 9-66 loader 101wide,
heiaht/wkAbht legal HAUL ROUTE: Avenida Bermudas to
Avenue '52 -to Washington Street.
DIMENSION OF INSTALLATION OR REMOVAL north to Fred Waring
_ • i ,
MOVE ON: MAY. 8,`1990 or
SIZE OF EXCAVATION, IF NEEDED MAY. 9,, 1990
APPROXIMATE TIME WHEN WORK WILL BEGIN ONE _DAY ONLY
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 fromeclaims or court action and arising out of any accident, loss or. damage to persons or property
r •:
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. resultofthis work.
i Signaturef Applica� or Agent
MASSEY SAND'AND ROCK CO.' PO BOX -176.7 Indio, CA 92201
Name of Applicant (please print), Business Address ! ZTelephone No.
Name of Contractor and Job Foreman Business. Address Telephone No.
<n file ;
fay
Contractor's License No. City Business License No.
on file
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
Permit Fee
10.00
J.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ 10.00
Receipt No.
Received by Date
Recorded by
CASMIG TAL n7-90 5.0.00 10
PERMIT VALIDATION
PERMIT NO. 0631
.DATE APPROVED 9; /71g0 -
EXPIRATION DATE 5/9/90
DATE ISSUED V7/90
By
Administrative Authority
TELEPHONE: (619) 564=2246
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NOTE*
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
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
Subdivision Improvement Permit— Class III
DATE: M=y % _ 1 QQn Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION MOVE EQUIPMENT
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION 966 loader 1.01wide,
heiaht/wllhikhht legal
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED'
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
HAUL ROUTE: Avenida Bermudas to
Avenue 52 to Washington Street
north to Fred Waring
MOVE ON: MAY 81 1990 or
MAY 9,'1990
ONE DAY ONLY
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 or4plicamt or Agent
MASSEY SAND AND 'ROCK CO. PO BOX 1767 Indio, CA 92201
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
e : fi , ,. M file
Contractor's. License No. City Business License No.
on. file
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 .
-707-90
05
Minor Improvement Permit - Class IV: See attached schedule A tip H ru fAL 3 J.0.00
Inspection Fee
Permit Fee
10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
PERMIT NO
PERMIT VALIDATION
0631 -
DATE APPROVED 5/7/90
EXPIRATION DATE 5/9/90
DATE ISSUED_ 5,,�7/90
By
Administrative Authority
Recorded by 11 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
Subdivision Improvement Permit — Class 111
DATE: 7� Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CON$TRUCTI
Iniu/,AU /,iiaL
DESCRIPTION OF CONSTRUCTION '
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF, EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETU*)N
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 andsave 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 o pplicant or Ag nt
Name of Applican lease print) Business Address 'Telephone No.
Name of Contractor and Job Foreman Business Address ` Telephone No..
Contractor's Li annse��NN�o: City Busines icense No.
Applicant's IcV&rance Company Policy Number
FEES: Subdivision Improvement Permit —Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs *TO
Minor Improvement Permit — Class IV: See attached schedule lr
Inspection Fee' $ II PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TQTAL; ,-
$
Receipt No.
Received by Date
Recorded by
PERMIT N0.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246