0639i. .: y..-...-ti..-:-dcdy,+..:•p•...rw-.��y.......�-�.�...s-1l�w"""ak.?:Y`:GI•'!V`iti«wi1"';finis,..-•-r-,a.°'.'4i...:�`^'`tx"`'w:rA-�.aiw:Fi"``ahi-..i.,.�.
"fit • _.-i'd;.-.i�.�'ri:-,•� '�' `J`+ry ;4:J•tiI iw-� '.J{"'.^.f� .
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 I I I
DATE: MAY 14-1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION MOMP Pali inmAnt
(Street address or Description of Location)
PURPOSrE"05F CONSTRUCTION BARBER GREENE Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION HAUL ROUTE: AVENIDA BERMUDAS TO'
AVE. SQ EASM TO. WASHINGTON NORTH
ON WASHINGTON TO CITY LIMITS
DIMENSION OF INSTALLATION OR REMOVAL
MOVED. ON: 5/14/90
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.
t '
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.
TINA GRACEY
MASSEY SAND AND ROCK P.O. BOX INDIOSiCAatur92200 jof plicant or Agent.
Name of Applicant (please print) Business Address Telephone No.
n
Name of Contractor and Job Foreman Business Address Telephone No.,
ON Ohl FTT.F
Contractor's License No.
ON F TT.F.
City Business License No.
QM FTT.F.
Applicant's Insurance Company Policy Number
V to
FEES: Subdivision Improvement Permit — Class III N AN ?"TOTAL 1 to. 00
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV': See attached schedule
Inspection-FeO
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$
$ 10.00
$ 10.00
Receipt No.
Received by Date
Recorded by
N° . A 6 3 9
PERMIT VALIDATION
PERMIT NO. 0639
DATE APPROVED 5/14/90
EXPIRATION DATE 5/15/90
DATE ISSUED f5./�1�/90
/_11,
Z/Administrative Authority
.TELEPHONE: (6 246
M+I}t-,.`aEC- �.#a'.'+w�+\"tra +Www1.'�#�w�"'i►MA r r M M 1 w - --------------
s. M� � Y► ti. twwY Hca .u� ria► w .Y 4.
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
DATE: MAY 14-1990
LOCATION OF CONSTRUCTION MOQO 42cluaInment
(Street address or Description of Location)
PURPOSEOFCONSTRUCTION BARBER GREENE
1A r,
., .4ioh Giht R..!e_ahR!;;gal
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE: AVENIDA BEFTvUDAS TO
AVE. CC EASR TO 11ASHINGTON NORTH
ON WASHINGTON TO CITY LI14ITS
MOVED ON: 5/111/90
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. "
TINA GRACEY
MASSEY SAND AND ROCK P.O. BOX INDIOSig�nAature�o�OAplplicant or Agent
Name of Applicant (please print) Business Address Telephone No.
n
Name of Contractor and Job Foreman Business Address Telephone No.
ON ON FILE
Contractor's License No.
ON FTLE;
City Business License No.
ON PTLR
Applicant's Insurance Company Policy Number 1d,y
FEES: Subdivision Improvement Permit—Class III CAIN' l'4r4. �OaOtn
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
PERMIT VALIDATION
PERMIT NO. 0639
DATE APPROVED 5/14/90
EXPIRATION DATE 5/15/90
DATE ISSUED 5/1A /90
By F .,
Administrative Authority
TELEPHONE: (619) 564-2246