Loading...
0828-�c�'7arrc:'•xirt,sl�r„w".:r-�L'4�•'�+�3:.ss.�6=�'�6^�'Y��i#�'�,cv:�l�a�wu•ti�°-'�'�,":::ft���.:::o•�!.,`�X.��-'�1:�!:,Y,�:*.,��t�:.�'��a�4..:r;A.�x3rt'��'�`,..,,��., ��,���+•e'�..s'c'r..••-.a.o.-r+.nw_•f.l'.w•.,....c.:...,...d::•.u:+:.;r`?..:Ovral.....'.:r'i..•,:..w.or,.'.y. • f i �......n- � .� �.... R NOTE: With proper validation ', _ •, c ` �7' r" .y '� � 4 this form constitutes an CITY OF LA' QUINTA :,.encroachment permit b ' APPLICATION - FOR, PERMIT PUBLIC .WORKS -CONSTRUCTION, (ENCROACHMENT) OF�wSw 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 im_ provements;in connection•with MINOR IMPROVEMENTS'and'APPROVED-SUBDIVISIONS , " Subdivision Improvement Permit -,.Class III DATE: September '14',,',199fl >' Minor Improvement Permit Class IV. LOCATION OF CONSTRUCTIONmove e4uipmen,t r e r (Street address or Description of Location);'' " , t s ' • ; �. PURPOSE OF'CONSTRUCTION l�—ti '1)isa.Pr . '' Sketch (attach construction plans if appropriate) •• 11: ] 0" 'hPi aht lfnctal - ori dlth, tragi rxlit- c_7rA�r► , DESCRIPTION OF CONSTRUCTION _ tit .. ,• Nogales and, Navarro' to_ Avenida pk Bermudas to•Ave. 52.to Washington D.IMENSION OF INSTALLATION OR. REMOVAL borth '.to kFredWaring=.and Adams �- .0 SIZE ,OFEXCAVATION; IF NEEDED' 'Haul` date:. 9/.17190'- APPROXIMATE /17/:90=APPROXIMATETIME WHEN WORK WILL'BEGIN' ' ? '' t • �' ' r `APPROXIMATE. TIME OF COMPLETION ESTIMATEDTCONSTRUCTION COST $ (Including removal'of a ll, obstruction, materials, and debris, backfilling, com ' paction and ,placing permanent resurfacing and/or'.replacing improvements) . In,c6nsiderati66 ofthegranting of'this permit, the applicant hereby.agrees''to:';_ :.,••� _ ` Indemnify; defend and save the Cit its officers, representatives and employees, harmless from and'against any and all` defend penalties, liabilities or loss resulting; from ,claims. or, court.agtion-and 'arising out of any•accident,-loss or' -damage to persons`;or property •,`_ happening 'or, as a proximate result: of any work undertaken under the permit granted pursuant to this application. Y _ r • Notify they - 'Administrative Authority at least twentfour (24) hours in advance of the time when work will be, started. 1 ° .<Comply with all applicable City Ordinances, the termi,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'ihe result,of„this work' 4 " �•• ,,�'J Signature of 'Applicant or`Agent"" s Mas'sey Sand: and Rock ' f `- PO `Box 1767' Indio', CA Z� Name of Applicant (please print)-, r ay ' *,' Business Address i`y Qp SBTelephone No. - -70leqOLrA4F90 TTA0lecAH1=on! -.;,Name of;Contractor and Job Foreman „' : ` • Business Address = Telephone No. • ' ' on '.file �; • ' f w 6 ' on 'file • Contractor's License No. +''•_ City Business License No. Applicant's Insurance Company. . Y , r - Policy Number r FEES: Subdivision Improvement Permit — Class I I'I ?'• �' -+ Public improvements: 3% of estimated construction costs •: ' Private improvements: 3% of estimated construction costs,' 'M•inor Improvement Permit —Class IV: See attached schedule (nspection`Fee $ _ ~y'' x -PERMIT , y � • e _ r Permit Fee • s 10 '00- ` ' ' 0828 ' - •PERMIT NO. Penalty,,{ 5 . ; 'Cash Deposit Surety Bond '' ' # f DATE APPROVED 9/14/90 if required • t EXPIRATION DATE 9/17/90 TOTAL:1 11 - ()n , $ DATE ISSUED /9/14/90 Receipt No. By r Received by Date Administrative Authority : Recorded by TELEPHONE: (619) 564=2246 -�� ^N.yij�YR�tw ��w r. 1r M M w.. !� .� w•.+ w s ai r. .Y r +n .i. r � aY r r w i. r. �r r ia� r• -.L.... •.. w r r w w w �. b .� r r d Mn al. w 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 P:=IT 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: September 14, 1990 Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION >D—S Do7o r Sketch (attach construction plans if appropriate) 1111011 height,. leaax tiidth . uP_i.crht_ crlrP?Pyi DESCRIPTION OF CONSTRUCTION Nogales and Navarro to Avenida Bermuda- ; to Ave. 52 to Washington tli.)rth to Fred Waring and Adams DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED Haul date: 9/17/90 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 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 iY!asseY Sana and hock PO Bon 1767 Indio, CA ,/ Name of Applicant (please print) Business Address Telephone No. on file O� Sr3 A 7�0 1A`t�� ...gyp io.00�4 Name of Contractor and Job Foreman Business Address Telephone No. on file on file Contractor's License No. City Business License No. 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 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL 10.00 $ 10.00 Receipt No. Received by Date Recorded by PERMIT VALIDATION 0828 PERMIT NO. DATE APPROVED 9/19/90 EXPIRATION DATE 9/17/90 DATE ISSUED -'`�^9/14/90 By Administrative Authority TELEPHONE: (619) 564-2246 NOTE: �•° • With proper validation tN►e form cgnseltuxas dri CITY: OF ' LA' QUtNTA 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 DATE: LOCATION OF CONSTRUCTION (Street address or Description of Locationi PURPOSE OF CONSTRUCTION DESCRIPTION OFRUCTION >��� J>Q �—f DIMENS'I'ON OF INSTALCATION OR'REMOVA SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) A�L 5 B a 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 (241 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 oft/hiiss work. gnature of Applicant or Agent Name of Applicantfplease print) Business Address 0 Telephone No. Name of Contractor and7Job Foreman Business Address Telephone No. Contractor's License No City Business License No. —z^-- 0110 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class I11 ;. Public improvements: 3% of estimated construction costs ' Private Improvements; 3% of aetimatod witructlon cosu . N'0 Minor Improvement Permit —Class IV: See attached schedule Inspection Fee $ Permit Fee Cash Deposit -Surety Bond . if required TOTAW ' Recelpt No.. I• Ried1vail by bate Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE QAT9 MAD ■ Administrative AuthorlW T�IsEPHQNIR; j9191564*2Z46 � '.