0685-`�'.'��'"T��'Vr'�Ly�+1'ti-"'h�.v.� ir„�(.erw'y�+'��r`,.�,�Ay:.iri•'.,}a 14�'=:%"'W�.�� .�. w_'��`..��5-ti �Lti��^^Y".'�r.�=wi'Y�..iv7'`:�'�ir'i��`_"'ittr�...M�i+w.�.u`�yyv.Mi4��.�; �;7��is1 �
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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 SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE: June 7, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move. ecfui ment
(Street address or Description of Location) .
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 631 scraper
'�h 111AOf t.riAc�QO t loner 1R(17RA T.0
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN June 8, 1990
HAUL ROUTE: Avenue 50 and
Washington Street to I-10
PILOT CAR REQUIRED
HAUL DATE: JUNE 8, 1990
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 (241 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.
6, q ty
'Signature of/Applicant �i4gent .
�er�=iee PO Box 799 San Bernardino 1800-344-1912
ppl
Name of Aicant (please print) Business Address Telephone No.
Schwab Sales 195 E. Warner Rd. Chandler AZ 95225 1-800-344-1912
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file
Contractor's License No. City Business License,No.
on f.i.le
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.
Received by
10.00
$ 10.00
Date
005i8:.' 10 4911 06-07-90 i0
J.0 CASH i TOTAL i i0.00
N2 0685
PERMIT VALIDATION
PERMIT NO. 0 685
DATE APPROVED /6/7/90
EXPIRATION DAFT�8/90
DATE ISSUED ti/7/90
By—
Administrative
yAdministrative Authority
Recorded by TELEPHONE: (619) 564-2246
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s
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NOTE: +4
With proper validation
this form constitutes an ti CITY OF LA QUINTA
encroachment permit �.
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP OVERSIZE LOAD PERh1IT
For the construction of public or private curbs, drivewayspavements, 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: June 7,. -1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION. move equil ment
(Street address or,Description.of Location)
• Y
PURPOSE.OF CONSTRUCTION Sketch (attach construction plans if appropriate)
s' DESCRIPTION OF CONSTRUCTION
HAUL ROUTE: Avenue 50 and
Washington Street to I-10
DIMENSION OF INSTALLATION OR REMOVAL ��� c�rainear
] g,' I" h 1 11 K11 t..nelA� 00 1 1nneT• ii ftn,)AA T.1P � PILOT CAR REQUIRED
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN June 8, 1990,
HAUL DATE: JUNE 8, 1990
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including rernoval 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:
t,•
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 o Agent
PO Box 799 San Bernardino 1800-344-1912
----'�----_ �'—=fes--=--_
Name of Applicant (please print) Business Address Telephone.No.
Schwab Sales 195 E. Warner -Rd. Chandler AZ 95225 1-800-344-1912
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 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
Penalty.
Cash Deposit -Surety Bond
if required
TOTAL: $ 1.0.00
Receipt No.
Received by Date
Recorded by
00511Fj 10 ,49ij 06 -07 -?0 i0
1.0 GASH i TOTAL. i f0.00
N= 4
PERMIT VALIDATION
PERMIT NO. 0 685
DATE APPROVED 6/7/90
EXPIRATION DATE.
j DATE ISSUED s 6/7/90.
Administrative 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
e Subdivision Improvement Permit — Class III -
DATE: t_Ydee Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTIOND
'e., L!%CiS�i�'!GidCP iso
(Street address or Description of Location)
,PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION �� - 1L �Go
DIMENSION OF INSTALLATION OR REMOVAL���e,Joe �w , -� ~
SIZE OF EXCAVATION, IF, NEEDED _
APPROXIMATE TIME WHEN WORK WILL BEGIN Jv-O'r:
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 (241 hours in advance of the time when work.will be started.
Comply with all applicable City Ordinances, the terms an,; 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 thi work.
Signature of Applicant r Agent
_ Pte.-��^� .S��-y�c� PD19ox 29F-5,d�a�ry��� 2
Name of Applicant (please print). Business Address Telephone No.
Sa les 95 F'�%ar ties �� ll: ,E d hd /Gd is Z 2j 1000 3 s4�//9<3
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. f ('ity Rsiasssxl-i�z�—se-ivo..
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit- Class l 11
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
N 00
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED-
EXPIRATION DATE
DATE ISSUED
By
"Administrative Authority
TELEPHONE: (6.19) 564.2246