0632+-.r�..�►re+:.�;a�:ara....:rerci w::. tdc :MSCa%�i_�!4.-Y;.�.u+ .w ..w .�_ra� ......�-..r+.,r:.:....,an:.a.w.r�+?....�.: „a:.:..� e.. •.�c ....-.*-7.��..--aw w.�w..b..+Ssw....-.«�r:.�. w...,..�.,.� u.�..��..�....i•......� ... .� ,.. �.
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT.
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP OVERSIZE LOW) REM -11T
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
DATE: May 7 2990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION k'"'OVP, EQUIMl'M,NT
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION �rhet- �rtnxt! 6"
cai r1lr hni cxlhf- n>ne9l y,7m4 rrh1- 7 nfrnI UL ROUV: WASHINGTON CT T.AMPICO
WOE T11 TO FRED VIARING DRIVE
DIMENSION OF INSTALLATION OR REMOVAL
k10`tlE ON: t?ay 7, 1990
SIZE OF EXCAVATION, IF NEEDED Nay 8, 1990
May 9, 1990
APPROXIMATE TIME WHEN WORK WILL BEGIN
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:
OND DAY ONLY
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 orf'Agent
.Massey Sand and Rook PO BOX 1767 Indio, Cly 924/01
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on file
Contractor's License No.
on file
on file
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
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.'
10.00
$ lf1-a(1
Received by Date
051`'� i0 9A50 05-07-9.0 10
4 �
G 0532 nL i 10.00
AV
PERMIT VALIDATION
PERMIT NO. Qir;32
DATE APPROVED 5/7/90
EXPIRATION DATE ,5/990
DATE ISSUED-----'- a� * /7 lqn
j ABy
Administrative Authority
Recorded by Ij TELEPHONE: (619) 564-2246
.�.�a+r.Fw�f=a •:r.=c�-�i;lsa,}b��i:� :,�w.-wr: w w.r'.•. r w. s-.�.. M t! .r: �n-or-a.r .�,.-:Wr•'r. w � .w � w r-vw w"..: +i .r,w «r.+. .►..r .r-w'.w r.+'.r...� ...^.r ..-. �. «: ++..w'^n.-w
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 -SU BDIVISIONS
Subdivision Improvement Permit — Class I I I
DATE: May 7, 1990 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 Rarhpr. Green In' 6"
uTi dA . hP.1 Baht- and' wp. ji a'ht' 1p.gal
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
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:
HAUL ROUTE: WASHINGTON 2T TAM-PICO
NORTH TO FRED WARING DRIVE
MOVE ON: May 7, 1990
May 8, 1990
May 9, 1990
ONE DAY ONLY
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
_-a+La Quinta and to pay for any additional replacement necessary as the result /of
this work.
Signature of"A' pplicant or,Agent
Massey Sand and Rook PO Box 1767 Indio, CA 9'2W-1
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman ' . Business Address Telephone No.
on file on 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
Minor Improvement Permit — Class IV: See attached schedule .
Inspection Fee— $
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.Q0
Receipt No.
Received by Date
Recorded by
005,182 10 400 05-•07wY0 10
'09 3rf rA(. i ip+00
PERMIT VALIDATION
PERMIT -NO. 0632 -
DATE APPROVED 5/7/90
EXPIRATION DATE 5/9/90
DATE ISSUED'` -`/5 /7/90
By ---
"Administrative
yAdministrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLICWORKS 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 II I
DATE: .7— Minor improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) . .
DESCRIPTION OF CONSTRUCPTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
�
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 Mplicant or Agynt
Name of Appl
please print)
Business Address
Telephone No.
Name of Contractor and Job Foreman Business Address Telephone'No.
Contractor' License No: City Business -cense No.
Applicant' surance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
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.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564-2246
Administrative Authority