08111 '".°�"d r X t. Pa �i•Z •.'' • ,p7a y �'r. r x-, a•. i�•° y^ ay. _
A�'' J,^"S iYiisFT. �' �' f�t�'� o .a'r. ' r�•"rY.'" '.�3."�v+'�iP"�.Cir . t'e i::-t S 4" ;�_.�y-• •�; Ti�. �+,, r y:;. 'yirr Y' C'r�.1 r;.•�`
•'a i .:'� `V�-'�;�,z;,.�-t����-H�r+�Cj `�u". `6Y+s'.,a, .�'-�"4-� �sr�?�a�+�w�-.w•c"••E,�''`:,�x.�°•,��.�`��va+G'�:i'i.
' 2,:-•4M.ii Y tw�•�f-".:W.We'i1"K; YIW LYi••4i.tM.4 .ice . t. •�. l/ - .
• .. - I . . ,ti. .}ir .'�'w•• Yi�.V1+i.. � IlM`M�+w�.F•�-.•!�-l�H�!^'.i.1•�•.•Wi-..•M•..N'•�e� •i.•f•��Sw.i•..� "W. 'f-.wAwril,Lw^v
' NOTE: • � � ••' ''.. •• -j . •. , , - . •
y owl
ar
With proper validation
' this form'constituteran,
S
CITY OF LA •QUINTA
:encroachment permit'
r
APPLICATION FOR. PERMIT
{ - ' PUBLIC WORKS{ CONSTRUCTION (ENCROACHMENT)
' OVERSIZE .LOAD "ONE TRIP PERMIT c�, OFA '
i # a ;r ,.
s
For the construction 'of public or, private curbs; driveways, pavements, sidewalks, parking .lots,. sewers', water, mains
and otherdike public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
~< Subdivision Improvement Permit '-Class III .
DATE: August 31.-,. 1990
r Minor'. Improvement Permit Class IV 4.
. LOCATION OF CONSmove ecauipment;
TRUCTION
(Street address or Description of Locationi', . ; `"•
PURPOSE OF.CONSTRUCTION T-1 n' anti+-h nn - TR-- cah4 rirrf n ;
ighway;'lll n Sketch (attach construction plans if•appropriate).,
to, H 4 ,
DESCRIPTION OF CONSTRUCTION
f DIMENSION OF INSTALLATION OR REMOVAL h_4 -HAUL ` ROUTE I-1.0 .south to ;
w 14.'4'.'j • legal;, weight . - Washington, }south to Hwy'-lll '
f `''AN,N
N. SIZE OFEXCAVTIONEEDED }�:IF Haul date:. September 4, , 1990
APPROXIMATE TIME WHEN.WORK.WILL BEGfN ��4�90" one qday: ;trip only
APPROXIMATE TIME•OF4COMPLETION
ESTIMATED CONSTRUCTION COST $ PILOT CARREQUIRED
(Including removal of all obstruction, materials, and debris, backfilling,.com + y
• paction and•placing permanent 'resurfacing" and/or replacing improvements)
-1n consideration of the granting of tHis permit, the applicant hereby,agrees_to: a
i ',•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'feast 'twenty-four. (24) hours in advance of the time when work will<be_ started. `
'Comply with'al'I applicable City Ordinances,ithe 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 Agent F% `
,E:L: �Yeatter'' 1995. Aucra Morita ' Riverside, 'CA 1-W-222-5630.'
Name'of Applicant (please print) Business Address ° + '-Telephone No.
•Name of Contractor; and Job Foreman `• Business Address - ,''., Telephone No.
~ . file • ' .. • •L�, -
E on file.
on , f.
Contractor's License No. j k , • City; Business License No:
on file
Applicant's.lnsurance Company Policy Number '
r nn,rr rim ..t A L-74 -z 1%0--7. _on 1-4
FEES: .Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs d
Private improvements': 3%of.estimated construction costs �- ' i ;»,•,trt
Minor l'mprovement Permit—Class IV: See attached schedule 's° 0S
r t
Inspection Fee .. $ t PERMIT"VALIDATIONc
Permit Fee
i PERMIT NOr. ,
Penalty
Cash Deposit-Surety Bond, _" y F' DATE APPROVED, 8/31/90
if required EXPIRATION DATE * 9/4/,90
r TOTAL y 10' o n / / 0�
> - $ DATE`ISS_UED. -�°' s8. 31 9
f
Receipt No.
7)
Received by i Date �Administrative Authority
Recorded by - . TELEPHONE: (619)'564-2246 .
row ..' W eM er eG rt w Ki L W �► W. e+e..�► w er w'ti. W're www v e. �►•� "N 'Nr 2�
NOTE: '
With proper validation
'this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
DVERSIZE LOAD ONE TRIP 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 -Ill
DATE: August 31, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move. ecxui-oment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION T—1 f3 cnti+h nn ranch; r%rr/-nrl Sketch (attach construction plans if appropriate)
to Highway ill
DESCRIPTION OF CONSTRUCTION
61MENSION.OF INSTALLATION OR REMOVAL h 14-4:
W 14'4", legal weight
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 9/4/90
HAUT, ROUTE I-10 south to
Washington, south to Hwy 111
Haul date: September 4, 1990
one day trip only
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ PILOT CAR REQUIRED
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In 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 Agent
E.L. Yeager: 1995 Auga 2.onza', Riverside, CA 1-800-222-5630
' 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
^^trAnh 4A A747 A})-74._On
14
FEES: Subdivision Improvement Permit —Class Ill
3.0-� ZA9li f TOTAL 1 10100
Public improvements: 3% of.estimated construction costs
Private improvements 3% of estimated construction costs
091-1
Minor Improvement Permit — Class IV: See attached schedule�A "
Inspection Fee $
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:. $ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
0811
PERMIT NO.
DATE APPROVED 8/31./90
EXPIRATION DATE 9/4/90
DATE ISSUED • 1' 8/31/90
By r , .�� ? Y ✓�t
Administrative Authority
TELEPHONE: (619).564-2246
NOTE:.
With- proper- validation=-
this form•constium--awn--
enc roachment•permit
CITY "OF LA QUINTA
APPLICATION FOR' PERMIT
PUBLIC.- WORKS. CONSTRUCTION- (ENCROACHMENT)
For the construction, of public or private curbs, driveways, pavemerns: sidewalks,._ parking lots- sewers; watWrn8b
and other like-,public°.works improvemem in connection with MINOR IMPROVEMENTS"and APPROVED SUBDIVISIGW� -
f Subdivision ImprovemenrPermit — Class 111-
DATE: Minor. improvemem Permit C1asa.lw
LOCATION OF CONSTRUCT70N-
(Street addressor 0atnption o1 Loeationi.i /
d W /a I/— ® A) /0
DESCRIPTION OF CONSTR &TION -
W DIMENSION IV -4111
F,I- 411 z ALLATIOOR FiEMOAA� (,� p r -9 _W1
,TSIZE OF EXCAVATION, IF NEEDED_
VAPPROXIMATE TIME WHEN WORK WILL 13EGIN
r%APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S �.
(Including removal of all obstruction, materials, and debris, bae—kf'llling, com-
paction and placing permanent -resurfacing and/or replacing improvementsl
Ske--tcch�h iattach
2-C)Vv c
tructtin plans if apprppristillw::
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnity, defend and saw the City, its authorized agents. officers, representatives and employees. harmless from and against anwand•all-
penalties. liabilities or los= resulting from claims or court action and arising out of any accident, loss or damage to person or orepeteb•,
happening or occurring as a proximsin result of any work undertaken under the permit granted pursuant to this application:
Notify the Administrative Authority at least twenty-four 1241 hours in advenp•ot the time when,work will be started.
Comoly with all aouli able City Ordinances. the terms and conditions of the permit and all aW ieable•rules and regulations of the City of
La Quints and to pay foi any wWitkwwi•repiacwrwnrnecasssrY=sa the result of this work.
Signature of Applicant or Agent
%�1�aDze�rvSS,"Ic %-
Name of Appucant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
1 Aoplicant'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
Minor Improvement Permit — Class IV: See attached schedule
insoectlon Fee S
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by r Date
Recorded by
N.
PERMIT VALIDATION
PERMIT 414'0.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Ad m i n istrative - Authority
TELEPHONE: -16191564-2248 -