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�I,�,�,p'�+iy"•y�., � +.ti„f. er.ite. M,'f, • l+ •�:.- r.' •a+h1.:i.1,r. t�q. Kuwr+- w'Ky,F•t...L+-:'ab�1.�'•I+*+�.,:r:.-.M.F+..W.,a..d.y:.r..i.-.;`••:......`w.w�i........••��.+:r• .—y�..•.•,.y,..�..–A.e•'..Tr"r
- NOTE: �. •*'"+ ., I � 4 '
•,With, proper validon
atii 2
�
,this f . for constitutes an CITY OF LA aQUINTA
T .encroachment permit: ' • . .
' APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)��
ONE TRIP..OVERSIZE LOAD PERMIT `0F TF1
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
�y Subdivision Improvement Permit Cass III”
DATE- Sept. 21,, - 1990 i< `;' Minor Improvement Permit Class IV
LOCATION OF.CONSTRUCTION move ecruiiDment
(Street address or. Description of Location) 4
PURPOSE OFCONSTRUCTION' ��* �X:4 v; Sketch (attach construction plans if appropriate)
-i.,p y 1+ ; �rt.t' Anfi1 7 c�«,_}A s., a,..,P, r,a i�a l Route: +NoCJaa eg to BE3XIitudas
f C C J T Ta
DESCRIPTION OF CONSTRUCTION to the 5`'2 and oiit, ,of City limits
• DIMENSION OF INSTALLATION OR REMOVAL
r At3ul `Dater 9/21/90
SIZE OF EXCAVATION, IF NEEDED' .
APPROXIMATE TIME WHEN WORK WILL BEGIN
APP.•ROXIMATE'TIME OF'COMPLETION
ESTIMATED CONSTRUCTION -COST $
' (Including removal'of all.obstruction,,materials, and debris, backfil'ling,'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:
r
Signature of Applicant or'Agent
• Massev Sand axad Rock PO'Box ox -1,767 tn.dio. CA 92201
�. -Name of Applicant (please print) Business Address I 'Telephone No.
Name of Contractor and Job Foreman Business Address t - Telephone No.
on file on file
Contractor's License No. ' - City Business License No. ,
' on fele•
Applicant's'Insurance Company . _ '! Policy Number
' r
FEES: Subdivision'lmprovement'Permit —Class III i
" 00 518 i0 7i 09-2 -90 10: 00 0
Public improvements: 3% of estimated construction costs' 10 ASH . i .. TAL 1
Private improvements: 3% of estimated construction costs'• ' pp
`Minor Improvement Permit —:Class IV: See attached schedule No �'p 3 8
q
Inspection Fee $ a PERMIT .VALIDATION
Permit Fee _ 10.00"
'PERMIT NO.
A, Penalty ' .. < , * { . 4:
Cash Deposit Surety,l3ond DATE APPROVED 9./21190
if required EXPIRATION DATE 5/21/90
TOTAL: %`,/9/21/90
DATE ISSUED
ReceiptNo. c j'
By—
Received
y Received by Date' 'Administrative Authority
Recorded by a." 'TELEPHONE: (619) 564-2246 , ,
' 3�t�'��.t.d�-"#:.:-v.i7�,y„at.+-a"^s-.•.t"�E•.+..-'�'�-,r.,.��v?.+�•.��..Y„F'.•...+�•'- �'Yr-...�v'�.-w'�t4'•+--..b.��✓.,.-.,�ti-,�:�(.e:�.�•'�..j.et.ikn �:�'a•1.�._+/� 4.*�yp-���-a"'.;'�'P+s.+-..�
1
4 Citi �`•�•� 1!r !V M G.'M !` �. Y.... r --- W — — — — Y Y ! r �. �. w w. `W {? Y r. ar"W�.�.. b ... V Y Y' M- b �►� � -r Y Y « �}-b' ys' b
i
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA-
encroachment permit
APPLICATION FOR -PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
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
Subdivision Improvement Permit' Class I II
DATE: Sept • 21, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION moue ectuiDment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION r•a+ nr n.iA+' Sketch (attach construction plans if appropriate)
101 -..yir4a'- 1arra1 hpirrht- Haul Route: Nogales t0 Bermudas
DESCRIPTION OF CONSTRUCTION to Ave. 52 and out of City limits
DIMENSION OF INSTALLATION OR REMOVAL Ahu1 Date: 9/21/90
SIZE OF EXCAVATION, I'F 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 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
Massev Sand and Rock PO Box 1767 Indio, CA 92201
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 I1 — gg
005152 10 70A 09 i - 90 10.00 p'
Public improvements: 3% of estimated construction costs 10 CASH 1 1�Q
Private improvements: 3% of estimated construction costs
38
IN -
Minor Improvement Permit — Class IV: See attached schedule
�t: ®�
Inspection Fee $
Permit Fee
_ Penalty
Cash Deposit -Surety Bond
if required
10.00
TOTAL: $ 10 � 00
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 0838
DATE APPROVED 9/21/90
EXPIRATION DATE 9/21/90
DATE ISSUED!''J9/21/90
By—.1�.+.
v
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes arta. QPIA 1QU01�1��
Ill .
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: � ` 0
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit— Class III
mor Improvement Permit Class IV
■
(Street address or Description of Location) '
PURPOSE OF CONSTRUCTION
DESCRIPTION O CONSTR CTION �
7
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach c nstruction plans if appropriate)
SY�u� 1i
p �a
. l
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 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.
Name of Applicant kplease print)
Name of Con ractor an Job Foreman
t
�j /l
Contractor's License0.
of Applicant or Agent
Business Address
Telephone No.
Business Address T lephone 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
osts'Private improvement:; 3% of estimated conatructlon coati , NO
Minor Improvement Permit — Class IV: See attached schedule �.
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT NO.
p&fl;ll�lj DATE APPROVED
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TQTAI.I • IDATE IBM - - -
Receipt tJo..
Naiad ey Data Adminittrativ• Authority
Recorded by _ _ ... TELEMNE; (019) 564,2246