0760+Fk••�r�ir�.j"`,<rrt.vi'f'+u�ir''�i's''•�.1t,'F`�a�,� Mr`F'�"SAG+��`�`.`'S`�Y',�+�.��I�y'�N,s,N'KJ`:�`"ltjf°dv;r'iiv:oaryr�'-a✓'w�i"K++«�Yi3'jt. ,a.i �i"�,= �,CJs,�e`�v,,"'�f+hia�.+.�^++tr'i�.�.r`i�+f�^iJ�.r`��s..,t
�:�.+:.wr-.i..".�,�:.t�• .:.:w......re..w .►..r :w.....�....� +...ter.. �...r ... +w•..... -....r'. r�..�i.+�.-r.w..+-.�..�r.�...►-.—.«�.`w...x�w.-w
a- FaN
,kt. �
NOTE:
With proper validation 2
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 I II
DATE: July 27 ,1990 . 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Barber green 10' wide
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
HAUL ROUTE: 50th at Jefferson
to school
Haul -date: July 27 or -July 30
ONE DAY ONLY
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.
Signature of Applicant or Agenn
v Sand and Rock PO Box 1767 Indio, Cif 92201
Masien ,
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on f ile on. f ile
Contractor's License No. City Business License No.
on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
0p4518 b0 7-"7-90 10
Public improvements: 3% of estimated construction, costs 10 ASN 1 TOTAL 10>00
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule N -o
U 6 0
Inspection Fee $ PERMIT VALIDATION
:
Permit Fee � 10.00 PERMIT NO. 0760
Penalty
Cash Deposit Surety Bond DATE APPROVED r7 / 27 /90
if required EXPIRATION DATE 7/30/90
TOTAL: $ 10.00 7/27/90
DATE ISSUED
Receipt No.
Received by Date Administrative Authority.
Recorded by TELEPHONE: (619) 564=2246
�., g..;,��,.•"�tih^-�"►�ii✓""%�� r„t�l r�t�y-Rsti3�"yh.:.f.;i.sG.�t«'+��`�;:{rr7i'l'""l;r •�...:w�'�i`6: iY^'�.•,�'ti,•"!F7'"ti'+Trz'J�ry�i`"."5'iZ.t�i *:c•:, h-' i3^�'°"`P+''r�ri�v��:�+i„t .�—r,,•
w.,i..4.V1_-*. r �1-ar r-ro n►..:.'m max. r e. ah w W...�r. �F'r. rYa er l•++•'•r'.!..i-r -.. .aa-.`-•.r..s •a.r..o-=r w--�: sn.ty+�
NOTE:
With proper validation
this form constitutes an (:elm
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 I I
DATE: July 27, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Ferber green 10' wide Sketch (attach constructionlans if a
all el. -,p le Tal P appropriate)
DESCRIPTION OF CONSTRUCTION HAUL • ROUTE: 50th_ at Jefferson
to school
DIMENSION OF INSTALLATION OR REMOVAL Haul date: July 27 or July 30
ONE DAY ONLY
SIZE OF EXCAVATION, I.F 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. s”
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.
— I
PO B
Name of Applicant (please print)
Signature of Applicant or Agen
1767,Tndio, C
Business Address
2201 .
Telephone No.
r
Name of Contractor and Job Foreman Business Address Telephone No.
a
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
B" i� (,0 . 7-•''7-90' g0
Public improvements: 3% of estimated construction -costs 1Q L�AS}i i VTRT io.00
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
•mow.
Receipt No.
Received by Date
I Recorded by
�,!o 075 ,
PERMIT VALIDATION
PERMIT NO. 0760
DATE APPROVED °'7/27/90
7/30/90
EXPIRATION DATE
DATE ISSUED •7/27/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
ArrLIUAIIUIN I -UK rttiMll
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
Subdivision Improvement Permit Class III
DATE: / ` / Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
,PURPOSE OF CONSTRUCTION ����P Loa y N Sketch (attach construction plans if appropriate)
C0/////.11
DESCRIPT RN PF CONSTRYCTION,_.Va/'Qft- t9'7"e-PAe
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
�u J<<se
.,,'
APPROXIMATE TIME WHEN WORK WILL BEGIN r
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ a Y
(Including removal of ail 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 124) 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 Apcant or Agent
P p 'f�
Name of Applican (Please print) Business Address Telephone No.
Name of Contracr and Job Foreman Business Address �elephone No.
Contractor's Li ense No,. City Business License No.
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.cgnstructign wits
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL;,.
receipt No..,
Na N8 64 bete
N�
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
Adminlatrative Authority
Y