Loading...
0802•i�H'?z��,°;��t+dyirYIF'yySi..z''^.'i••4."cwt.+dty�;j.,,.Gdaa'�Ga•-'�L';pb.w•aV+i'.'k'°+<'.•,t:4:'+s-'••a.s`�ai`n'}�,Ws.. -t •rw,isMk�i4�',a44'+'�e4►�. - 4.Si.^?.�,:.wsaf.=•..>.:.,:�i'+A>R'��wr:aal:W:•..iw, +.r'wT•'ri►tw�S.wJ..-..•w.. . Y ' .With proper validation "f ► ` y 04 Q • this'form constitutes an CITY OF .LA,OUINTA,. < encroachment permit + ; ' APPLICATION ` FOR PERMIT " PUBLIC WORKS CONSTRUCTION' JENCROACHMENT) ONE -TRIP OVERSIZE LOAD.PERMIT f' For the- construction, of public,or private curbs, drivevvays,'pavem_ents, sidewalks, parking.lots, sewers, water mains ' and other,'like public worksith-MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 'improvements in connection w Subdivision Improvement.Permit - Class III ` DATE: August :27,- 1990 i ;Minor'lmprovementPerm it'Class'IVh t LOCATION OF -CONSTRUCTION Move eau%omera ' (street address or Description of Location) PURPOSE OF CONSTRUCTION - L2arl,�r nr6av, ^a�•�,' Sketchr(attach construction plans if appropriate) k 10?,"'wide, all esle' 1ecfal' DESCRIPTION OF CONSTRUCTION HAUL 'ROUTE: �= Calle" 'Rondo/Tampico 4 ' ' to Washington to'HW)( '111 `. DIMENSION OF•.INSTALLATION OR REMOVAL ' Haul`date: August 270. 1990 or, ' °Aggust; 28, 1.990.• SIZE OF EXCAVATION, IF -NEEDED s , .., ONE DAY 'ONLY, ` . ; • , ' •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) r x In consideration of4the 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 perialties;jiabilities or loss resulting fromclaims or 'court action, and arising out of -any accident,. loss or,damage_to persons or property happening"orroccurring as.a proximate result'of any work undertaken under the permit granted pursuant to this application.' ;• , Notify the-Adriministrativre Authority at least twenty-four,(24) hours7in advance,of the time when Work will be started. t 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.• . . � •, '' ` •fit, r ~- �'•y • < ', • ` � � ' ,• jj• ,� .J •. ' ,• - • _ ' Signature o�Appicant or Ageh ti ' Ma'sseY +Sand and Rock' '-Pb Box 1767 Indio, CA 922b'If fl, Name of Applicant•(please print). Business'Ad.dress . 'Telephone No. Name of Contractor -and Job Foreman . Business Address• + 'Telephone No. �, + • ori 'file'' on :file: r Contractor's License No. •; _•. ".� City Business License No: I�. ori, file f; # , , .. Applicant's•Insurance Company. : Policy Number,, ' t FEES:' .Subdivision lmproyement Permit'- Class I I I + °l, r •' �.~' • OOSa2 i0 b6i 1 08-27-90', 14 ` 4. ► 10 CASH 1 TOTAL i ' i0.00 . • Public. improvements:3% of estimated construction costs Fr ..•• •' • 1 Private improvements•: 31 of estimated construction.costs r N2'0 80.2: Minor Improvement Permit -:Class IV: See attached schedule .'. r y ' r PERMIT VALIDATION ' Irispection Fee' • � $ - : - Permit Fee *10 'Q0 r• 0802• l ♦ r PERMIT.NO. Penalty Cash Deposit -Surety Bond • DATE APPROVED �% �Qn` ifrequired t' ' 8/28/90 t . EXPIRATION DATE In � cin`-•. /qG , TOTAL:, $ DATE -ISSUED /£3/�7(1 + a< Receipt No:',♦ ,. Received bye'''' Date` t :1 4 Administrative Authority Recorded by ` ,TELEPHONES (619) 5642246- ,' � �' 6K"�K'�.iti'M„�i`�V�S'�r r. �o �v; r.�•M....�a.•l.+r� it -+►Mr r w -Y� w- W' ib�Y, �. r r w� M. � rw 'viii �Y�• �lb. �w � Fw:w• w r ar w�-M� -w �. w� w�. �w. r w � �F !1� 4W - M� rT NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONL; 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: August 27, 1990 LOCATION OF CONSTRUCTION Move euuioment Subdivision Improvement Permit— Class III Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION r—nr1-.nr Sketch (attach construction plans if appropriate) 1016" wide, all 031c legal` ` DESCRIPTION OF CONSTRUCTION HAUL ROUTE: Calle Rondo/Tampico to Washington to Hwy 111 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Haul date: August 27, 1990 or Aggust 28, 1990 OVE DAY ONLY 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 o f'Applicant or Agent Pjassev Sand and Rock PO Box 1767 Indio, CA 922M 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 file Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II 0 5;f'o, jjo 6 611 08`i —90 0.00io io Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs �t Minor Improvement Permit — Class IV: See attached schedule F � 0 9, 0 2 Inspection Fee $ PERMIT VALIDATION Permit Fee 10.00 PERMIT NO. 0802 Penalty • Cash Deposit Surety Bond DATE APPROVED 8/27/90 if required EXPIRATION DATE 8/28/90 TOTAL: $ 10.00 DATE ISSUED r 8,/27/90 Receipt NoiL. - Received by F Date By Administrative Authority Recorded by TELEPHONE: (619) 564-2246 NOTE: With proper validation ' this form constitutes -an' encroachment permit CITY OF*: LA'• QUINTA APPLICATION, FOR: PERMIT PUBLIC WORKS CONSTRUCTION(ENCROACHMENT) . op T�9 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 Q, �9 n Subdivision Improvement Permit —Class III• DATE:- - `� Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION I (Street address or Description of Location) PURPOSE OF CONSTRUCTION i�1 oll ., irOL Phi ea DESCRIPTION OF CONSTRUCTION l0' %o" Lt) u4f / Fsls 2�c. cul DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) • I � rams L nd u tc, 64il l e, ecin d v.1 i cfo 46 y D /Z. 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)j7� In consideration of the granting of this permit, the applicant hereby agrees to - Indemnify, -clefend o: 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 plicant or Age f t A A Name of Applica t (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. on Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class Public improvements: 3% of estimated construction costs Privaig improvgmgnts; A of @00ated Gunrdglign GgAii �® Minor Improvement Permit — Class IV: See attached schedule a Inspection'Fee $ Permit Fee PD Penalty Cash Dgposit.Surety 6opd ©O TOTAL; klecelpt No..` Reeblud by Date, PERMIT VALIDATION PERMIT NO. . DATE APPRQV{ D EXPIRATION DATE DATE 155U99 Recorded by _...._ T9 PHONE; 1919) 664,2246 TAdministrative Authority