0834NOTE:
With proper validation
♦;`this form constitutes an,
. • I CITY • OF 'LA OUINTA
encroachment permit --
• APPLICATIOWFOR ,PERMIT $ .
r • PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
.OVERSIZE LOAD, PERMIT (ROUND, TRIP)
t•ry For the co`struction, of public. or,privatecurbs,,driveways; (pavements, sidewalks, parking, lots, sewers,: water mains 1
�'= ,tend other like public works improvements in connection with' MINOR .IMPROVEMENTS and APPROVED SUBDIVISIONS'
� .. .ice �. � - ►. ',`
,� , A it ' 4 •, ,• R',, �P
Subdivision, Improvement Permit = Class III •'
DATE:.Septeitiber .191,,_19'901j. Y Minor. Improvement Permit:Class IV
l A,. . s
"LOCATION OF CONSTRUCTION • aMOVe equlpmerit` W} '
,,(Street address or Description of; Location). .• • "!' v "� `'.• ,
` PURPOSE OF CONSTRUCTION t� cfrl nt�r " Sketch (attach construction plans if appropriate)
10 ► -wide , all e1 e eaai ' f air�+�±n• caP cxh'h • r _ , 4 ' `
• ' `DESCRIPTION-OF CONSTRUCTION HAUL ROUTE NOG,ALES TO BERMUDAS TO
r C e. • ' v
$1VEa ,52 io�WASHtNIST6W OUT' d7 'CITY
'LIMITS •� ► tr ,.
DIMENSION OF IN OR_REMOVAL-
HAUL ANTE: 'A119190
-SIZE OF EXCAVATION,.IF'NEEDED''' '' • `; ; x
APPROXI MATE.TIME WHEN WORK WI1L'L-BEGIN,' 0``05�•�I32rA10u 7`3,iZOU�RiF- 1$-90 p 14
,io ,:cAsfi 1` i t ,20&400.1
i "'APPROXIMATE TIME OF,COMPLETION ' ♦ ' { '• ;� ` r 's` �" t
ESTIMATED CONSTRUCTION COST"$ ° `
F (Including removal: all obstruction, materials, and debris„backfilling;,com
action and placing ' `
p p g permanent.' resurfacingend/or replacing improvements)'
*'In consideration of the granting of thisrpermit,athe•applicant hereby agrees to:,..
Indemnify,: defend; and, save the. City ; its authorized agents; officers, representatives and employees, harmless from'and against any and all ,
r ,"•penalties, liabilities.oriloss- 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,. i 3
Notify the Administrative Authority at least twenty-four (24), hours advance•of the'time when;work,will' belstarted. ><
Comply with all applicable City'.Ordinances, the terms arid' conditions' of the permit and all applicable'rule`s and regulations of .the City of .,
La nuinta and to pay for any additional replacement'necessary,,as, the result"of this work. r. i
'� "� +� . ' �' •�• �t Signature'of Applicant or AgentY
�' .t •r .�
MasseV Sande 'and, PO �Bo 1'767 rndio,- CA:. 92201
Name of Applicant (please'print), ; , ' ".; •Business Address :'.telephone No: `
Name of Contractor and Job'; Foreman:. - f Business'Address' '` ' Telephone-'No.
on f i'le�: !• ' •On •file•
Contractor's L•'iicense,No.`'- '; + ry City Business License No. ,
on file i ♦, a. ; i ry ♦� r
Applicant's Insurance Company t '"Policy Number
FEES: Subdivision Improvement Permit = Class 11,1
Public improvements: 3% of estimated construction costs
Private,improve ments:,3% of estimated construction•costs r
�., ._ N2• ' 0834
Minor,lmprovement Permit — Class IV. See attached schedule , ; '
• InspectiowFee $ PERMIT, VALIDATION
-Permit Fee 20.00 t 0834,
PERMIT NO.
Penalty 9/18/90.
Cash Deposit-Surety Bond - ♦ DATE APPROVED
if required., ♦ EXPIRATION DATE 9/19/90
TOTAL: $ 9 (� .D0 t
DATE iSSUED 9118./90
Receipt No:
~ By
Received by Date Administrative Authority
• r .
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)
O1IVRSI2E LOE11% PEL"IT (ROUND TRIP)
For the construction of public or private curbs, driveways, pavements, sidewalks, park ing-.,,6ts, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: September 19, 1990
LOCATION OF CONSTRUCTION mmve . equipment
Subdivis;•-ol'l Improvement Permit — Class III
r Minor Improvement Permit Class IV
,X
(Street address or Description of Location)
r
PURPOSE OF CONSTRUCTION cat arxnder Sketch (attach construction plans if appropriate)
.10' wide. all alae l ectal . areen wr - ...xt
DESCRIPTION OF CONSTRUCTION — HAUL ROUTE: NOGALES TO BERMUDAS
AVE. 52 to WASHINGTON OUT OF CITY
LIMITS
DIMENSION OF INSTALLATION OR REMOVAL
HAUL DATE: 9/19/90
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 0(3:.un io 7100. 09.48-90 14
30 SASH i 'FOCAL i 20.00
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.
Massey Sand and Rock.
Name of Applicant (please print)
Signature of Applicant or Agent
PC Lox 1767 Inaio, CA 92201
Business Address
ephone 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 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 20.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 2C.00
Receipt No.
Received by Date
r1S' 09`'4
PERMIT VALIDATION
Recorded by 11 TELEPHONE: (619) 564-2246
0834
PERMIT NO.
9/18/90
DATE APPROVED
9/19/90
EXPIRATION DATE
DATE ISSUED
9/18/90
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
vriui NrvNcI vanuauun
this form constitutes an CITY" OF 'LA : QUINTA
encroachment permit
APPLICATION FOR PERMIT
"PUBLIC WORKS- CONSTRUCTION L (ENCROACHMENT)
OVERSIZE LOAD Pm L.,LT (ROUND TRIP)
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
9
September 19 ,° '1990 Subdivision. Improvement Permit — Class 11.1
DATE: Minor Improvement Permit Class'IV
" LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION cat gri ndPr Sketch (attach construction plans if appropriate)
10' wide, all else legal_,, green wP; Uht-
DESCRIPTION OF CONSTRUCTION
, HAUL ROUTE: NOGALES TO -BERMUDAS TC
�..- AVE. 52. to.WASHINGTON.'OUT- OF CITY
DIMENSION OF INSTALLATION OR REMOVAL LIMITS .•
HAUL'DATE 9/19190
51ZE OF EXCAVATION, IF, NEEDED
APPROXIMATE TIME WHEN.WORK WILL BEGIN 005182 10 7100 09-18-90 14
io CASH i TOTAL 1 20.00
--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 ules 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.61r Agent
Masse Sand -and Rock PO Lox 1767 Indio CA 92201 • Z'.
Name of Applicant (please print) Business Address elephone 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 III
Public improvements: 3% of estimated construction costs,'
-Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule, N2 - .083-1
Inspection Fee $ PERMIT VALIDATION
Permit Fes '' .20.0`0 PERMIT.NO. 0834
Penalty 9/18/90
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE 9119190
TOTAL: $ 9n nn
DATE 1w 9/18190,
Receipt No. 1
Received by Date
Recorded by
By.
Administrative Authority
TELEPHONE: (619) 564-2246
f
�� .�. ..�. �.� �� �� .�� �..� • � .� . �� .r �.� �.� , w�.+- ��� w�� �� ��w wwn w.+r. ewer. .�. �� ..,.� .r. w �.i
NOTE:
t
Mth proper valldatlon
this form constitutes an CITY OVLA' 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
f /f—
DATE:-
Subdivision Improvement Permit — Class I I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION O�0NST Rl1C�lON
r.�ir ,o n P « A,is
DIMENSION OF INSTALLATKIN OR REMOVAL
etr�grH9nd
----- ;Fopriate)
/ 5 a X -5f
SIZE OF EXCAVATION, IF NEEDED t7
/�
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETIONV 1
)
ESTIMATED CONSTRUCTION COST $ �/a
(Including removal of all obstruction, materials, and debris, backfilling, com- i
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 thi; work. XA/
r
Name of Applicant (4lease print)
Signature of Applicant or Agent
Business Address
Telephone No.
Name of Contractor a d J b Foreman Business Address Te ephone No.
Contractor's License o. City Business License No.
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 $ I
Permit Fee
Pgnplty
Cash Deposit -Surety Bond
if required
TOTAI*i 41
mecelpt No.•
RiiaaluiA 6y dote
Recorded by _
PERMIT VALIDATION
PERMIT NO,
DATE APPROVED
EXPIRATION DATE
TELEPHONE; 019) 664.2246
AdMinlssrf+tive Aut1110FRy