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0790�, I i ..y✓.. :y.v ���/•v,.•-, �K;�,w.y1,'�`,`;,k,�;,�,v,.....�- � vw-,a+s""«;.'is'-b.:"..ti..� idy Z:v,.; �, Y J NOTE: With proper validation this form constitutes an encroachment permit . CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) e 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 DATE: * 8-20-90 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE EQUIPMENT Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 'BARBER GREENE HAUI. %IOUTL': f d DIMENSION OF INSTALLATION OR REMOVAL' all el G�zt. legal SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6-20-90 re waring w b s/b to 005fW, - , 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) ONE D. - A 0 ? 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. LAYS C/Alil-W 1 Signature oplicant or Agent f Ap MASSEY SAND & ROCK P.O. BOX110 INDIO, CA 92202 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ON FILE ON FILE Contractor's License No, City Business License No. ON FILL ON FILE 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 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL Receipt No. 10.00 $ 10.00 Received by Date Recorded by INT° 0790 PERMIT VALIDATION PERMIT NO. 0790 DATE APPROVED 8-20-90 EXPIRATION DATE 8-21-90 DATE ISSUED $-20-90 By / Pi /. 6,0111 /l L ,Administrative Authority TELEPHONE: (619) 564-2246 -H ;;:1+:`^c..:P',ri•Wf l•it �sw•.3.�y•,•�p(,y a: z'3r� 'i•Y•' �.ai •��F-.-i - y rw "yFr,i.•'"'. riaia'1+•'" < f.•' -+, , ,,,y- F py,y k{` .� `.�`•G.'`�`• � i�^'�,�•s2.,_• �' Y•�', ,.ti'l'l, t �fya",,1•w�'.�`�,_�i, � � i�'• ., ��'(` �'O�K'�-.F.1•�:�ir2 ^fCS.L '�'��'T`'C`,�'u"'"�h�/t �7�'j{`'�7�'.?� .•1•P+-.1•.•4�.`.!.-,' %1{ y:,-?"..�iv�fY�^]•ney:r•�..•4.-ro Mh't+• .w +i. ki r .. w.a sr„•w-w w. r. aw ',w r e.. .► w..w +mow «...a 1•.b.c'.r •e1 -r ....� � ... �.Y. .e- r NOTE: With proper validation Q a' `,this form constitutes an r : CITY OF LA QUINTA encroachment permit , • • • • - APPLICATION FOR -•PERMIT -- . Y - ,;,,.PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) • ONE TRIP OVRRSIZE LOAD PERI?.IT ,fit .•�` ` �_• For the construction, of public or private curbs, driveways, pavements, side alks, parking lots, sewers, water mains• and -other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS ,s . f'. �/ ,i Fid;.•, y ' Subdivision Improvement Permit `Class.11l ~, DATE: ' *-20Q _. ... �.: p; Minor Improvement Permit Class IV, v , ' LOCATION OF CONSTRUCTION: ' r i (Street address or Description of Location) • ti > , ' , �*; {MOVE EQUIPMENT , ' ` , ,. ,PURPOSE OF CONSTRUCTION' Sketch (attach construction plans ifa'�ppropriate) a .•• ' - DESCRIPTION OFCONSTRUCTION '. BARBER GREENE '•` r HAUL ROUTE: feed waring �w/b to washington �' �• ' s/b _-to eisenhowerw/b to ave 50 DIMENSION OF INSTALLATION OR REMOVAL 1 n f all else legal: Yb. W SIZE OF EXCAVATION, IF'NEEDED , .. ' .. k7. APPROXIMATE.TIME WHEN WORK WILL' BEGIN -20-90 - 4051£7 14 j4(5W 90 .�,, 14 TASii •30TAk.5 - 3 0.00 APPROXIMATE`TIME OF COMPLETION 7 ESTIMATED CONSTRUCTION COST $-- • (Including removal of all obstruction, materials, and debris, backfilling, com +• ' paction and ' placing permanent resurfacing and/or .replacing improvements) ' ONE. DAY. ONLY. 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, h'armless'from andagainstany and all - P� penalties', liabilities or loss -resulting from claims or court action'and-arising out of any,accident, loss or damagekto persons or, property happening or occurring as a proximate-result•,of any work undertaken under the permit•granted pursuant Wthis.application.' Notify Administrative Authority at least twenty-four (24) hours in`advance the +time be'started. the of when work will i Comply with all applicable City Ordinances,' the terms and conditions of the permit and all applicable rules'and regulation's o'f'the.City of resultlof c La Quinta and to pay for any additional replacement necessary as•the this work. , ,ate, •_ t Signature of Applicant''or Agent MASSEY SAND = & ROCK P.O. ' BOX1L64 `INDTO CA. 92202ty`; Name of,A Applicant (please print) Business Address - %. , ele h PP , T ; • ,.. P -one No. Name of Contractor and Job ForemanBusiness Address 'r ` n ' r'' ' Telephone No. ,ON FILE\;• .” ,. ON FILE` `� Contractor's License No. ` City Business License No. ON FILE ' ri , . �' AN FILE ,,• Applicant's I nsurance. Company `}} * iPolicy Number ` r. ' it ., ,. v� - , .�• FEES: Subdivision Improvement Permit — Class I I I ' �. ' k•° • Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction cost`s Minor Improvement Permit — Class IV: See attached schedule Inspection e ; ; , $ t Permit Fee • 10.40. ; Penalty " Cash. Deposit -Su rety Bond if required . TOTAL: $ 10.00; Receipt No. .Received by Date Recorded by ' 6 7'90 e a' PERMIT VALIDATION ` r PERMIT NO. `; ,t 0790 n. 'DATE APPROVED' --20'90 ,y'EXPIRAT10 •{N - DATE .8.-21•-90�. `DATE IS'SSUr/ED 8—+2.0-9,0 . „J y - /Administrative Authority 'TELEPHONE: (619)'564-2246 .NOTE: With proper validation this form constitutes an CITY: OF :.LA' O.UINTA ' encroachment .permit APPLICATION FOR, PERMIT, PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) . OP 7i1g9 _ For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewersi water mains and other like public works improvements.in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: te- 0 190 Subdivision Improvement Permit —'Class III ! Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — m0 V6 r; ou i em eta 4 (Street address or Description of Location) PURPOSE OF CONSTRUCTION 'aGO.16-C LVYA ifs LAJ 1 All Sketch (attach construction plans if appropriate) a l l 016"p - 1 i'�s n 1 ., DESCRIPTION OF b'ONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL�, +L5Pn �oLjf,lr ,� PVG • so .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 end 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.occui•ring 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. Name of Applicant (please print) Signature of Applicant or Agent Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. oil Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II Public improvements: 3% of estimated construction costs Private improvementi; 3% of eitimatod construction costs NO 079 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required ' TOTAL;: Receipt No.. $ ot Q 0© yf en+glRwHP70l�I�R!!��R�!!^�� UC" -6W,6 4 . bate Recorded by .:........ -� ,.. a w,. �. PERMIT VALIDATION PERMIT NO. O7 9 U DATE APPROVED �� ✓ EXPIRATION DATE l7� � , AdrKinistfatiye Authoflty