The URL can be used to link to this page

0788i • �;.tiarti:�9-c"b'�Ftwy!+�rer.. r. r� r. er �... w ►. w �� rr — r r. r. �r — .. r w ... wn ... — ►. - .a+, w w. w...� .r �. ww �.w .......w r �n NOTE: With proper validation 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 II I DATE: AUSFUSt 16, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION west side of Madison, south of Avenue 54 to CVVID well site (Street address or Description of Location) PURPOSE OF CONSTRUCTION 'Dr011i c12 2Ad i t - i OD21 Sketch (attach construction plans if appropriate) water to Jackson St. svctern DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 1811 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 914 X90 per approved CVWD A-4 V . 5 ,, Transmission Main, shts 16426-16437 Reference CVWD permit,` 0550 all conditions of permit 0550 shall apply to this permit APPROXIMATE TIME OF COMPLETION 9 /28/90 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 regulat of os of th City—of` " La Quinta and to pay for any additional replacement necessary as the result ,W4it s work. �T - s<r �., 'e i' ure of Appl Massey Sand and Rock 2O Lox 1767 InCio, CA 775-8200 Name of Applicant (please print) Business Address Telephone No. Kurt Davis — Form -man Name of Contractor and Job Foreman Business Address Telephone No. 271769 Contractor's License No. 22 City Business License No. marsh and 11,cLobilan CLR9086165 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit—Class III 005182 i0 6459 08-16-90i0 10 CAM] i TOTAL i 570.00 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 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $ 1.60. JC 1.0.06 $ 1.7Q -C6 Received by Date vA 07C9P PERMIT VALIDATION PERMIT NO. 0788 DATE APPROVED 6/16I9C EXPIRATION DATE 12/31/90 DATE ISSU ED �L 8/16/90 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 a� Yi^`z?�.�1%b}i,E�•,b'v'�'y'Y7'W-C�''4 .E%*.wM'-�Yd �'.�4•�'.Cfiyv"p ��..L`'�+\!•►rY ilffi%1 JY �`•�'{�{; yi K 's? Y" 4 p}Y, . t , •„� .., ��•; • ,� �4.''�.'S .-.1,�'�A"y�� v�Fsr`Ra `'4'-" �'`�.n/�."i'�"'�'a..✓,'�L.�t� . r � .•y4y�r1'�..•9s�r'1!w'+l+4..,• — r. we 3a °P w w r-.�.�. r —.aa. — o:a �. r..-u'.e.".r''i:. — .� ww r +i:w �s a.�+r :�$N�.x..a. •t,; .�n —.er r..�+r. r wti.n .a ri ,.a .R•..i.-'•s'a`w."rA x. } .• ,'��• to � j r r ' •s ` "•� .'/` ., �, •.• NOTE: 9 With proper validation �� . Yo4 2•y r .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 Subdivision Improvement Permit - Class Ill DATE: August 16,,'1990 Minor Improvement Permit Class IV . west side,of Madison,' south of Avenue",54: to CVWD LOCATION OFfCONSTRUCTION well site , G (Street address or escription of Location) PURPOSE OF CONSTRUCTION. provideadditionalSketch (attach construction plans if appropriate) wate.J r �to'acicson `St. 'system t DESCRIPTION OF CONSTRUCTION' �' • 4 ' per approved CVWD Ave 5-4 DIMENSION OF INSTALLATION OR REMOVAL la" {. 'Transmission Main, shts 6. 16426-16437 }• SIZE OF EXCAVATION, IF NEEDED 31 wide. 5' deem Reference CVWD permit # 0550 ' all conditions'of permit 0550 ` } APPROXIMATE TIME WHEN WORK WILL BEGIN 9/4/90 shall apply to .this permit ` •' -1 APPROXIMATE' TIME OF COMPLETION 9/28./9'0 ; ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- , paction' and placing permanent resurfacing and/or replacing improvements) r In consideration of the granting of this 'permit, the applicant hereby agrees to: , Indemnify, defend, and save the City, iTslauthoriied agents, off icers;-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 pum'ant.to this application. Notify the AdmiAistrative Authority at least twenty-four (24) hours in advance of the'time when work will be: started. ' •� l 3 Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulatio ,s o the Cit.y sof La Quinta and to pay for any additional replacement necessary as the result ,of-fres work. "'"'S gnature of Applicant or Ag nf'``` Y _ Massey Sand and Rock PO,. Box 1767' TndA), CA 775-8200' ' ~ Name of Applicant (please print) Business Address ;" .i Telephone No. { Kurt Davis — Formman ,Y(�j . Name'of Contractor and Job Foreman �""*', Business Address 'v Telephone No. 4 271.769 ;- 22 «. Contractor's License No: r'" City Business License No. . + Marsh and McLe11an F. GLR9086165 Applicants Insurance Company + Policy Number FEES: • Subdivision Improvement Permit —Class Ill6-- 005f02' 10 6450 08-- 90 10 -0 GASH, ✓ 1ASH, t ,TOTAL I . 170.00 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction'costs -0788 . Y Minor Improvement Permit .= Class IV: See attached schedule . Inspection Fee $ 160.00 r ,PERMIT,VALIDATION. Permit Fee t� 10.00 PERMIT NO '• °. 0788, Penalty Z , .+�, 4 8/16/90 DATE APPROVED Cash Deposit -Surety Bond 12/31/96 ' if required EXPIRATION DATE '' 170.40 16 9 TOTAL: $t 8 , . ,• .. / / 0, . DATE ISSUE D , Receipt No. By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 }