0710r' 'R Oki 1. �}skr ._uir^y •►. y,,,��.r -4..
JYz.r4f,;,`� `� + ',°�'�:e6-e t;..r`s('` ,t'Ls T is r.! :"y i?4Cie;a,¢41-L.'ti.� 4r, e�� .Jtt; + .
aw:..i:;- �^+•.y+s1•s•s+y�. y. .FBF-�..+-' +io..t�! .(. w:,�..r.w'..t'r.•..�:..r..w'..�.r.:..r,w�:».4rrL....i:J ;... rF.w...�... w,w:.C.+:^+�:�<.r. .y.....r�... •......+.'�s-.:.. w
NOTE:
With proper validation . „ p 1 04 �+► 2 .
this form constitutes an
encroachment permit i. CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)�� I• �Sw��
OVERBIZE ONE TRIP PERMIT `SOF TE�9
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
JUNE 1$, 1990 Subdivision Improvement Permit —Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION rSketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Barbers Green- 10' 6"
wide, height and weight lecral Ar HAUL ROUTE: CALLE COLIMA AND
AVENIDA RAMIREZ.e/b on.Colima
DIMENSION OF INSTALLATION OR REMOVAL N/b On Bermudast E/B on Ave. 52
out of city limits
SIZE OF EXCAVATION, IF NEEDED Haul date: June 19, 1990
APPROXIMATE TIME WHEN WORK WILL BEGIN ,
"M
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION, COST $
(in chiding;removal.of all obstruction, materials, and debris, backfilling, com-
paction
om paction and placing permanent resurfacing and/or replacing improvements) '
In consideration d the granting of this permit, the applicant hereby agrees to:
• X
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 ori 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 .ba 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.end•Rock PO Box 1767 Indio, CA 922AT' t
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
6:
Inspection Fee $ I
Permit Fee 10.00
Penalty
'Cash Deposit -Surety Bond
if required
TOTA L:
Receipt No
is
i
$ 10.00
Received by Date
A05oaL�A f 1b0'�(a°�-i8-90 0.000
No 0.7-x.0 i
PERMIT VALIDATION
PERMIT NO. 0810
DATE APPROVED h /18 /90
EXPIRATION DATE 6/19/90
DATE ISSUED i /I 6/18/90
By ��0 "4 A
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
k`- r°i., •r ;�„ �' :I,i :;�•J•,V--�w��tr�-�i'M.'.._�.-.i.._.. ,,,�..:iy.,. .,- ti+.;.��5yro... v-1�:.r-.r�•�''�'�'Vi .:•.:er:'i'r���+�,.rY��..n
y� _ � ....-. - .. ?� +r'.. w .wr �.. 'w. s-.b,�F r r w w w �► r.".cr i'f'w•w.��,.r...y.. p.w�.,...y w M.'a,'
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OVERSIZE ONE TRIP 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
JUNE 18, 1990 Subdivision Improvement Permit — Class II I
DATE: 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 Barber Green 10' 6"
wide, height and weight legal HAUL ROUTE: CALLE.COLIMA AND
AVENIDA;,RAMIREZ e/b on Colima
DIMENSION OF INSTALLATION OR REMOVAL N/b on' Bermudas, - E/B on Ave. 52
out of city limits
SIZE.OF EXCAVATION,.IF NEEDED -Haul date: June 19, 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:
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. �r
Massey Sand and Rock
Name of Applicant (please print)
Signature of Applicant or Agent.
PO Box 17.67 Indio, CA 92
Business Address
Telephone No. 1.
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 I I
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:
Receipt No.
10.00•
Received by Date
Recorded by
10,051K ' �.. 06-f 8+90
t0-00-
PERMIT VALIDATION
Oslo
PERMIT NO
DATE APPROVED 6/18/90
EXPIRATION DATE / 6/19/90
DATE ISSUED 6/18/90
By
`r Administrative Authority
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
f` �j %� Subdivision Improvement Permit —Class III
DATE: CCS �,L�9� / l/ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIP_T.In LIF_C I N RUCTION P Y,�zP
j
Ze 421
IlaU/ P,
DIME SION OF INSTALLATION OR REMOVAL /) /, `V"
SIZE OF EXCAVATION, IF NEEDED /A- CL AP/9
APPROXIMATE TIME WHEWWORK WILL BEGIN
auf d�
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 0'r-dinances, 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 oAApplic4gt or Agent
ame of Applit (please print) Business Address
Telephone
Name of Contractor and Job oreman Business Address ele hone No.
lr �/ , 7
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Prime im0w9m®nu; A-0 oatimated cgninGtign Goo
Minor Improvement Permit — Class IV: See attached•schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TQTAh;
(jgFejpj No,
Rei @I'ved.by bate
Recorded by
N®
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
TELEPHONE: (619) 564-2246
Administrative Authority