0780'E�:ii''a{'''„'4`Y.i'fti.V�ati+•Yr•6:.�w�"i'✓�5ir°'Y"`,''''eCOn;� •...�.3+T4s.�:;.`.L�r'f%`bd�''rail:i'.i`is��+y1'`.."""4c:'%a(�"4
�,. 'lA• '11' 'Y ''�i..r�i •''Sri= '� n;,�d'rt ^'�•.. w.,
e.
NOTE:'
With proper validation'
this form constitutes an
encroachment permit
9
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (E'NCROACHMENT)
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: 8-10-90
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION MOVE EQUIPMENT
a
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION M'jTC(TRTCTIT Asn BAKE OE
DIMENSION OF INSTALLATION OR REMOVALI5' 9't 1 A 1 9" TATT-11H
17car,nn T.RQ otgl (�( L-RY\cv\:1c�
U
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
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:
FROM HV]Y WASHINGTON
DURANGO BERMUDAS ARROBA
PILOT.CAR REQUIRED
SHERIFF DEPARTMENT ASSISTANTANCE
REQUIRED AT THE INTERSECTION OF
HWY 111 and WASHINGTON AND
WASHINGTON AND Ave. 52 .
HAUL DATE: 8/10/90
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 cond
La Quinta and to pay for any additional, replacement necessary
e
of the permit and all applicable rules and regulations of the City of
result of this work.
ISighature of Applicant or Agerit'
Standon Co. Inc. PO Box 903 Colton, CA 714-877-2126
Names of A?
Xlicant (please print) Business Address Telephone No.
foC
Name of Contractor and Job Foreman Business Address Telephone No.
•125966
,Contractor's License No. City Business License No.
Transignal D07433;
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class 111•
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: $ 10.00
Receipt No.
Received by _ Date
Recorded by
00518 0 63 77 08-10-90 10
�i 7 A (OTAL 1 10.00
PERMIT VALIDATION
PERMIT NO.
0780
8/10/90
DATE APPROVED
EXPIRATION DATE
8/10/90
DATE ISSUED„
8/10/90
i
By
Administrative Authority
TELEPHONE: (619) 564-2246
_�r..�?.,,,, ;ih•..Y.. .:--.c±ti'�Ua`6r.n _ „ri•.+�r�C..� .. r.` �,,,,. r•^,,,,..-., .�..� .- ,•.,..ti., .wt;4..+-�.. .r'�-r" .:-4��"'"�-...ram"" .r-`' .,>sys. M �.. '.y-�',�rr �(-t..•s; "�i'v. �
r
++F�lh-6.e7f�Yi'i+t+.+w �^,isC►^•+.In^MF^�w w:.a. it .G ii W �.aa r r w r..a. o:�.:. tw•wwE .n s. r y w rtifr'r... r�. rM+.� p. w. r �.wi-e:r.w.+..•�y..� G..l-w'.a •r- iMs,
NOTE: '
With proper validation ok 2
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
Subdivision Improvement Permit — Class III
DATE: 8-10-90 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 MTTfiTTRT(;T-dT dSD RAC K910E
DIMENSION OF INSTALLATION OR REMOVALI `+ 19" 1 A 1 2" WL9)2H
1 7 g S 0 0 T,'R S 4t ct r lam' I
U
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 8-10-90
A .
'APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
. pactlon and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
FROM HWS'. WASHINGTON
DURANGO BERMUDAS ARROBA
PILOT CAR REQUIRED
SHERIFF DEPARTMENT ASSISTANTANCE
REQUIRED AT THE INTERSECTION OF
HWY 111 and WASHINGTON AND
WASHINGTON AND Ave. 52
HAUL DATE: 8/10/90
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 proximateresult 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 tof 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. >
1Signature of Applicant or Agent'
Standon Co. Inc. PO Box 903 Colton, CA 714-877-2126
Name of Ap.pticant (please print) Business Address Telephone No.
for 1'� C
Name of Contractor and Job Foreman
125966
Contractor's License No.
Transignal
Business Address
Telephone No.
City Business License No.
D07433(
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
•r
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee ' 10.00
Penalty
Cash Deposit -Surety Bond
if required
$ 10.00
TOTAL
Receipt No.
Received by Date
PERMIT NO
005102 0 63 7 08--10-•90 i0
v 007 8 NOTAL i 10.00
PERMIT VALIDATION
0780
8/10/90
DATE APPROVED
EXPIRATION DATE 8/10/90
DATE ISSUED. /� 8/10/90
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
Fla
NOTE:'
With proper validation Y sem`
this form constitutes an
CITY. OF LA QUINTA '
encroachment permit' }� }
APPLICATION FOR PERMIT,
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
• ' �.`,Qp
For the construction of public or private curbs; driveways, pavements, sidewalks, parking; lots, sewers, water -mains
and other�Iike public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit —Class III
DATE: ' . h�/ ' ' t Minor, Improvement Permit Clasi IV
LOCATION OF CONSTRUCTION 01 D V f- I DIn •e Af �` a
• (Street address or Description of Location)
PURPOSE OF CONSTRUCTION z Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION , I+5 ✓ t D ' AG qQ 'YOM qw y
r V V OlN 0. J it y- IVN vo(a.s'._-
` DIMENSION OF'INS A41,ATION OR REMOVAL. I 5 9, hZ'` �rYUJ-� �
1-7 q, 5 h5. ,,,:df1. .
,
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 11(0
APPROXIMATE TIME OF COMPLETION '
ESTIMATED CONSTRUCTION COSTSQ� V'��c
(including removal of all obstruction,, materials, and debris, ba-kfilling, com-
paction and placing permanent resurfacing and/or replacing improvements► -
F. In consideration of the granting of this permit, the applicant hereby agrees to:
n Ft • M .
Indemnify, defend and savetheCity, its authorized agents, officers, representatives and employees; harmless from and against any and all
penalties, liabilities or lou 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.
S
S�GtYld,0Al CO.
•A. {, Name of Applicant (please print)
A_ C
Signature of Applicant or Agent,,-
�dx 903
71
Business Address
Telephone No.
Narite of Contractor and Job Foreman 'Business Address,, 'Telephone -NP.
to s�� (® � rt t • • - , .
Contractor's License No. . • r 4-7ty Business License No. • . `'`
Applicant's Insurance Compano 4, Policy Number
FEES: Subdivision Improvement Permit —Class Ill c.
Public improvements: 3% of estimated construction costs ,
Private improvements:'3%'of estimated construction costs
Minor Improvement Permit — Class IV:•See attached schedule
Inspection Fee PEAMIT VALIDATION
c ,
Permit Fee PERMIT NO.
Penalty " DATE APPROVED'
Cash Deposit -Surety Bond <
if required i EXPIRATION DATE
TOTAL: $ :DATE ISSUED.
Receipt No: ,
By
Received by 4 a Date Administrative Authority
' Recorded by - TELEPHONE:1619) 5642246..