0753.r-.+.+9+.P6�.i.,C. `a i.•�+'«�1�d,AY�Y'sa^w.C'rr•.....-r.•r..... —... rw.rr'r...f p...w.:.....,w.•..sr^.:r•r..c.:.r _ . •,;:.,G. -r..�' .�,—.. .... ..r e�.:.-�.'rwr.r
NOTE:
'With pr oper.validation QQ _
t this form constitutes an
encroachment permit CITY OF LA 'QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP QVER'SIZE 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 .
'-25-90 Subdivision Improvement Permit = Class I II
DATE: Minor Improvement Permit Class IV
LbCATION'OF CONSTRUCTION w=ig r_g4 ,p F-- m i 1:00 -
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION'OFCONSTRUCTION633 D' cat scraper HAUL ROUTE:
-• 15'2"h 13'6'.'W�9011ona washington-north to city limits
DIMENSION OF INSTALLATION OR REMOVAL,
l 00518?p 60?4 07 25=90 t4
0 CASH i TOTAL 1 10.00
SIZE OF EXCAVATION; IF NEEDED
AIAPPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE -TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ (two Pilot i^cars required)
(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 of 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.leasi twenty-iour (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 Quinia and to, pay for any additional replacement necessary'as the result of this work.
*Signature of Applicant.Pdlek
e1 800-344-1912
- SCHAWB SALES INC 115 a warner rd- chaAZ 85225
Name of Applicant (please print) Business Address Telephone No.
-
Name of Contractor"and Job Foreman Business Address Telephone No..
on -file'
Contractor's License No'. City Business License No.
an f lie
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 �,T
Minor Improvement Permit — Class IV: See attached schedule . ' 12 0753
Inspection Fee $
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 0753
DATE APPROVED
EXPIRATION DATE 7-27-qf1
DATE ISSUED 7-25-90
B1,VL_
,9 o illy .?`7i,y��,�c�'.1���
TELEPHONE: (619) 564-2246
-Administrative Authority
�`,,�a '.�+'..,-.'.r;h...ti r. -'^'F ��J• ,«... �7 ,i,•�.-.s .Y. '�yy:.,.-c:' .•�-«•'t-�,.r :JV -7."..�1_. rt _,� -.ice. •-�Di...; �.'+"' •-!.-�....-.rr- L�A:j" 4 j� 't�
.. '��'��.w+`.�..rr-" fA�rlir4:'+:i.r'w'.r w�. r. �e .vr .i• ur .. r :...w r s«. r. �...o. w r r. ri w w. ;s r. o� ... w .0 �.,... .. w •...
,,�r'� ..:s : e+ w r rr.. r ,r. w��. dw• .r • e:,'e.+ �4+ .n
xfr It i:•!r'f r � -i x 9: A
NOTE:
With proper validation
this form constitutes an CITY 'OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP OVER SIZE 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: 7�-25-90
LOCATION. OF CONSTRUCTION _7ggLj%,gt-p & Ty,iIme
�0.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 633 D cat scraper HAUL ROUTE:
1512"h 1316"w 901lonQ washington north to city limits
DIMENSION OF INSTALLATION OR REMOVAL
to
5f CAIN f °' OTAL-5-5�0 i0.0Ui4
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ (two pilot cars required)
(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 Ouinta and to pay for any additional replacement necessary as the result of this work. '
Signature of Applicant ;�Zier
en 1 $00-344-1912
SCHAWH SALES INC. 1�p5 a warner rd. cYzaAZ 85225
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on file
Contractor's License No. City Business License No. `
9z. F47
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 �r. 0753
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 10.00
Received by Date
Recorded by
:
PERMIT VALIDATION
PERMIT NO. 0753
DATE APPROVED 7-7.5—QA
EXPIRATION DATE 7-27-90
DATE ISSUED ` 7-25-90
ByM�/�V�
—mv 1Administrative Authority--
TELEPHONE:
uthority
TELEPHONE: (619) 564-2246
■
ao
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA,
APPLICATION FOR PERMIT.
PUBLICWORKS 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 .
DATE: �J / .�`� a
LOCATION/ F CONS/TRUCTION45211/ez"lv
-Sim
Subdivision Improvement Permit —'Class III
/ r Minor. Improvement Permit Class IV
(Street address or Dakription.of'Location),
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION // % l
2 S Z Du tc �aSLi:��XI v y
Olt
DIMENSION OF INSTALLATION QR %r % REMQVAL A
2.dY�/ do n - .Dy.` O//C` 77Y ;5,77--,
SIZE OF EXCAVATIONJF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ -r CA <L S leu 12-E C)
(Including removal of all obstruction, materials, and debris, backfilling, cam- /
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'Ahe 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 an all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of, this rk.
Signature of Applicant or / t
Schac/d� .Sh/B.S /l�C. /SS�,I,I%Dr�rr �d, l��ti�`er XZ ?#Y /9 z .
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and .lob Foreman Business Address ' ` Telephone No.
le -
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
Private improvements: 3% of estimated construction costs
Minor Improvement Permit —Class IV: See attached schedule N�
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond -
if required
TOTAL: $ j
Receipt No.
Received by
Recorded by
Date
N
r,
PERMIT NO.
DATE APPROVED t "
EXPIRATION DATE -
DATE ISSUED
By
Administrative Authority
.TELEPHONE: (619) 5642246. `