0861^ ..,14�,A'•`��f«4s��+u...P,'.3ia��ffi�.,`��� �'��.�`�-'�'����'zi'-•..e�.,j'..'�,JW��J'�+N3•�i'^.fi,�-w«" � 'F�,�-"'oi4.:d..:3.:a-'✓-• ,A�J�•iy'�.�y�'M,alMiL`
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NOTE: t
Withro er validation F Q'
P P
thisrform constitutes an �. o
encroachment permit CITY OF LA QUINTA
-• APPLICATION FOR PERMIT
.PUBLIC WORKS -CONSTRUCTION (ENCROACHMENT)
MOVE EQUIPMENT `roFTIS
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 II I
DATL1 (-_nq-qn Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION'
(Street address or Description of Location)
rr
PURPOSE OF CONSTRUCTION move equipment Sketch (attach construction plans. if appropriate)
DESCRIPTIONTOF CONSTRUCTION 225, cat excavator HAUL ROUTE:
eisenhower and, Fernando
DIMENSION OF INSTALLATION OR REMOVAL 10'5"W 12'h
e/bto washington
• ,. n/b to hwy '111
• SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
haul dalte 1.0-05-90
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'ihe 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.
• 1
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
WALTONS BACKHOE &77580 robin palm desert 34.5-5212
Name of Applicant (please print) - Business Address Telephone No.
PICONI'.TRUCKING ON. FILE
'Name of Contractor and'Job Foreman Business Address Telephone No. .
ON FILE '
Contractor's License No. City Business License No.
n>,r r rr ON FILE.
Applicant's Insurance Company `. Policy Number
FEES: Subdivision Improvement.Pe,rrhit — Class I I I
0QQ518 74 0•-0 -90 g0
Public improvements: 3% of estimated construction costs 10AH 1 TOTAL i 50..00
Private improvements: 3% of estimated construction costs
NS
Minor Improvement Permit — Class 1V: See attached schedule O 1.
Inspection Fee $ PERMIT VALIDATION
.'Permit Fee 1).)) 10.00.. 0861
PERMIT NO.
.Penalty.
Cash Deposit -Surety Bond. DATE APPROVED 1 0=0.5-90
?if required EXPIRATION DATE 10-06-90
TOTAL: $ 10.00 10-05-90
DATE ISSUED
Receipt No.
Received by Date Administrative Authority
Recorded by -TELEPHONE: (619) 564-2246
r�-.�-"�'�`-`h:s.:�,.-�I.,a...�..rY+�+dui�Yj.,..+a,.. ^i+.�jf�•S.�'aiS-x, ",.v.';w:�= • wwt...:�.-,.:r` - «� :, ::i�.��.<...:w.. ... v7�j� n+
- '•� -. ' '1tK_'�±^�h-�.'sn � a_b �j. if �.•� Pe r r/.� L. r..iw . Y..r Y i'J va. w. O �M Y !� M Y •0 !►i� Y � r i0r Wince. w a F� r` i. �? !�. raw r �Y r 1� �+ M !l wi i �
'NOTE:- V
ootWith proper validation. Q'
P P . /.
this form constitutes an . CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
MOVE EQUIPMENT
,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 l l l
DATE: -1 1711-n5--90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION move equipment
DESCRIPTION -OF CONSTRUCTION 225 cat excavator.
DIMENSION OF INSTALLATION OR. REMOVAL 1.0 5"'W 1 h
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN .
Sketch. (attach construction plans if appropriate)
HAUL ROUTE:
eisenhower and fernando'
r. a/bto washington
n/b to hwy .1,11
haul date 10-05-90
APPROXIMATE TIME'.OFCOMPLETION
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
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
44
Signature of Applicant or Agent
WALTON$ BACKHOE &77580.robin palm desert 345-5212
Name of Applicant (please print) Business Address Telephone No.
PICONI' TRUCKING , ON FILE
Name,6f Contractor and Job Foreman Business Address Telephone No.
ON. FIi,E
Contractor's. License No. _ City Business License No.
` nit PTr ON FILE
Applicant's Insurance Company Policy Number
FEES: Subdivision] mprovement Permit.— Class I I I
0 5182 74 g o -0 "�-90
'
Public, improvements: 3% of estimated construction costs i00 �A�I^j 1 �OTAL � 10,0+7
Private improvements: 3% of estimated construction costs
061
Minor Improvement Permit.- Class IV: See attached schedulers 8
Inspection Fee $.
Permit Fee 1 ')) 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 0861
DATE APPROVED 10-05-90
EXPIRATION DATE 10-06-90
DAT..E, ISSUED 10-05-90
By 401.
/-� Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With -proper -validation -Z_
this form constitutes an -
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC- WORKS.- CONSTRUCTION • (ENCROACHMENT)
For the construction of public, or private curbs, driveways, pavements, sidewalks, parking lots, sewers;, waW.,,rttaillri•
and other like public works•, improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS;
Subdivision Improvement Permit — Class Ill
DATE: Aa Minor Improvement Permit Class V
LOCATION OF CONSTRUCTION aa�� n l X CAvtr+7b i2
(Street address or Description of Lo=tion)
Pt1RPOSE OF CONSTRUCTION l?�I�VF ass / x G{% � iatta�t construction pians if agoroorim)*l 3=
nFSCRIPTION'OF CONSTRUCTION' / EkA)A1V,6o o -m AAJZ
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
IE ISEA)AIOu)E 0�-2 As p-- 7-v
66q-SHIAIG7 7Z) A) /I/0P-i-7-11
8 /C) U16S /111J67 /V IJ
/a -, -9v
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, badkfilling, 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 0100tH"
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 Quints and to pay for any additional replacement- necemrwas the result of this work. .
Signature of.Appiicant or Agent
77-5
Name of Applicant (please print) Business Address Telephone No.
J6 OqAJ P/ c o /l i TI2C. GKi� �, 9A)
F a— E
Name of Contractor and Job Foreman Business Address Telephone No.
o AJ r-/ Lk- 0 AJ i c
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 imorovement Permit — Class IV: See attached schedule
Insoectlon Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
z TOTAL:
Receipt No.
S
$
Received by Date
N°
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Recorded by _ 41' TELEPHONE: (61916642246
Administrative Authority.