0716.� i v i It - � •{45�,•�pi r � .! t�,. ir'�. yR,rc v--st*'«y!: .'�. _ ��,�.n;lsS4Ce �i�a`��ni`-Y.r '�" .�`� `_ '.,tl"�S•�'"�u�P!�,'�?•�`� J' :��,}"� t � ,�y� -
.
'•1.t+!,1'.,rtM••F.i:+•r+i•M.�...��!V-�+-.Vn^Ie�fFa'Y,.,i•'`•.?r, K. -r} vw. -.. .� .r nw .+., ff+ � r �. .� r'Ir�.r s. rw r.. e. �,. •.
NOTE:" r
With proper validation o� �-
this form constitutes an
CITY OF LA
encroachment permit
QUINTA.
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION` (ENCROACHMENT)
' MI •;
ONE TRIP OVERSIZE LOAD-PERT�OF
'`
For the construction of public or private curbs, driveways, pavements, sidewalks; parkinglots, sewers,iwater-mains
and other like public works improvements in,connection with MINOR IMPROVEMENTS and APPROVEDSUBDIVISIONS
' Subdivision Improvement. Permit'':— Class.11l
DATE: June 22, . 199'0 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION ' ' move eCfuipment
(Street addressor Description of Location),
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION T.r' ovnatraf-nrc'`
T1,gn, rT13+- iae__; rr i- I e"A 1 17 4� A I anrrth
a n n nA rye++ J HAUL' ROUTE: AVE c. • 5 2 - and '
DIMENSION OF. INSTALLATION OR REMOVAL' Washington n/b to Fred .Waring
SIZE OF EXCAVATION, IF NEEDED t Haul'.dates June, 22',:'1990. or. June
251 19,90
APPROXIMATE TIME WHEN -WORK WILL BEGIN ONE DAY .ONLY
t
APPROXIMATE TIME OF COMPLETION
ESTIMATED'CONSTRUCTION COST
(Including removal of all'obstruction, materials, and debris, backfilling, comm
paction and placing permanent resurfacing arid/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 tvventy-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 o Applicant or Agent `
Maccav Sand anr1. Rock PO: Box 1767' Indio. 'CA92201 .
Name of Applicant (please print) Business Address Telephone'No.
Name of Contractor arid Job Foreman Business Address Telephone No.
on,, -f ile
Contrac or's License No. City ',Busiriess License. No.
•Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
_901 G
Public improvements: 3% of estimated construction.costs. 9.0C95f . Pyrlt j 'iC17AL 10.09
" Private improvements: 3% of estimated construction costs
41
Minor' Improvement Permit - Class. IV: See attached schedule0 0716.
Inspection Fee $ ` PERMIT VALIDATION
Permit Fee., PERMIT NO. (171_ti .
Penalty
Cash Deposit -Surety Bond DATE.APPROV:ED 6/22 9 0
if required EXPIRATION DATE 6/25/90'
TOTAL: $ 1.0..00
DATE ISSUED
Receipt No.
By �(-�1 A, s e—
Received by Date l-'� v Administrative Authority
Recorded by TELEPHONE: (619) 564-2246.
..: Js r.....rs ,....,.'"`,,�,�w�,�.: �,,, .. „r._i. .. - •....'�•..+^�,r ^'�r`t v.....r.-i.^'-1j�.....+�3'^`.,-n- :* A+". -.r...— —LZ3:. tly'G `.t ..t:. y p� w"
.9 ..r r.r.. .
i _. - - rib w w ,� .. t( w ,. ....�. .M r'.. niw .,. .. .r, .. ... �...e r -w i!: .li.• W .wvl.. .. Y"(10•. W ... ....�-.. +► V rte ., �'4e"AI. -. SII
NOTE:
With proper validation rt Q
this form constitutes an CITY OF LA QUINTAo
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
DATE: June 22, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
i
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 2 9 R T.[' �x�a�aatnra
�n� eai�a� hcirrl�4- u�aae-,rht lorrai �2%'fin lana♦•h - •
Q r n n n w.4 erh t. HAUL ROUTE: AVE. 52 and
DIMENSION OF INSTALLATION OR REMOVAL Washington n/b to Fred Waring
SIZE OF EXCAVATION, IF NEEDED. Haul date: June 2.2., 1990 . or .June
25, 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. f
lica
MassevSand and Rock PO Box 1767
Indio, CA 92201 .�
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman. • Business Address, Telephone No.
on file
onTrracto's. License No..
City Business License No.
Applicant's Insurance Company
Policy Number
FEES: Subdivision Improvement Permit —Class 111
Public improvements: 3% of estimated construction costs
1t?O�iatef�ASli`;j7�6 �2�gp:OY 001
Private improvements: 3% of estimated construction costs
gyp.
t`�
Minor, Improvement Permit — Class IV: See attached schedule
'111
Inspection Fee $
PERMIT'VALIDATION
Permit 11 Fee n nn
PERMIT NO. 071:6
Penalty6/22/90
DATE APPROVED
Cash Deposit -Surety Bond
if required
EXPIRATION DATE 6/25/90
TOTAL: $ 10.00
DATE ISSUED 6�22�90
Receipt No. C.
f/
By ^�1.�,A .0—
0—Received
R e . c eivedby Date
Administrative Authority
Recorded by
TELEPHONE: (619) 564-2246