Loading...
0637, � . ,r .ya. "`�.-'^.r. � rr..... v � .+^tl.-�•. -....-a.tw:.�'�ir..:,�,tiaa� n.�y,: _.r.�.v. X--i'i�"•y"-^''�'�'-`ti��'�/•�7'�'�,`��i2'r��i4�w,r+a��Tv`j'n`^•+°:-r✓�.r. �,. +:.../.:.ra•+a-w-isc+.-.��q-`-sew.-�r•w,.-�.�ci...-s.............� .,: .� ... r. .� �. ..� .r. w..r.. � �..q. w r �a-... -'.:. ... r. w .....�.....�....... w ._. w ....� �. ...-� ... .. w...-. 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 May 10, 1990 Subdivision Improvement Permit —Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION mn��o s�rnti r+mcn+ (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION 265 Barber Greene 1016" wide, height and weight 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: WASHINGTON AOUTH TO AVE. 52 -WEST TO BERMUDAS SOUTH TO EISENHOWER MOVE ONi May 11, 1990 or May.14, 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 of.Applicant or�,Agent. Massey Sand and Rock Co PO Boxl76.7.Indio, CA -92201 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 Wn 409 in 4140 05-0-90 14 Applicant's Insurance Company PolicyoNumberR 1 1BIHL. 1 IV. Ulu FEES: Subdivision Improvement Permit— Class I II Public improve ments:• 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 N2 0fi37 PERMIT VALIDATION PERMIT NO. 0.637 DATE APPROVED 5-/10/90 EXPIRATION DATE DATE ISSUED /-X10190 By Administrative Authority TELEPHONE: (619) 564-2246 aw u r ,+./ ♦ . _ - .. . "+r —..;- ' • ,y y+..-`--..' .r .- , w- F r ,..... � . � -� -.. � � _ . _... r , n +... - ' ,j .. -. ..r-^'+.i.c.f'r`',V'.- � c� .s •��� ti `.r::�; c., e 7 «:.e!�T^+•�!4•Yi1-lriewe.«+••w.r «'.. P*. r .«..r r .+w r wr r. w �. +w �+.. n. cr w .r w� r �e.... f.. wa w ... w a. ri. r ....r'.� w.+r'we... Sr -+F u5..r err ein aw ro b NOTE: ' With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT 1 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 DATE: May 10, 1690 LOCATION OF CONSTRUCTION mnv� atxt� i rim an h (Street address or Description of Location) Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 265 Barber Greene 1016" wide, heiciht and weight legal HAUL ROUTE: WASHINGTON SOUTH TO - AVE. 52 WEST TO BERMUDAS SOUTH TO DIMENSION OF INSTALLATION OR REMOVAL EISENHOWER MOVE ON: May 11, 1990 or SIZE OF EXCAVATION, IF NEEDED May 14, 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 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 orAgent Massey Sand -and Rock Co PO Box1767. Indio, CA 92201 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 Anr W) 10 4140 OS—0-94 h-94 14 Applicant's Insurance Company Policy)Nunr&"r•W 1 1UTAL. 1 IV. Vv 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 Feb 10.00 II Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by $ 10.00 Date 0637 PERMIT VALIDATION PERMIT NO. 0637 DATE APPROVED 5/10/90 EXPIRATION DATE 5/1.4/90 DATE ISSUED - -y/10/90 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 III DATE:/G Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION 0�lrG(i�NSTRUCTION Ga _, Of DIMENSION OF INSTALLATION OR REMOVAL �a i�l-kYti•✓l/r� �A 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 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 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 jWpipficant or Ag t I^., �v Name of Appli (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor' /icense No. City Busines License No. Applicanf's,'nsurance 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 l� Inspection Fee $ II PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if requircd . TOTAL: $ Receipt No. Receivod by Date Recorded by PERMIT NO. DATE APPROVED EXPIRATION OATS DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246