0871-�g"H�s A�' z� t5 1: �'"t J, 4' a'a- b �;d; y,Ir. .rc�*�. rs 4"4y, ,• fit. ;�n. �- rrl+ i•.•
'a'Y '., �P«L�'� r D,;�:(y �sN k:�ds ,4t +� r�'t,�:- .bY'1�� r�*'G�iE�"•'�. ""s.�7 u;:.,�tiij, �'T' ,�n..+�y �e��•�i�:�ej`:`',�,,7rCd'R� —'4' �' aai�44 �a3, "�,. �:+5� �,5 d�rr.
NOTE:
With proper validation
'this form constitutes an. 1 �,
encroachment permit, CITY -OF. UA QUINTA
. ' lF APPLICATION ,FOR PERMIT r.
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 111
DATE:October 18, • 1990-x.
Minor. Improvement Permit Class IV
move equipment .,
LOCATION OF CONSTRUCTION'
(Street address or Descriptiori of Location)
PURPOSE OF CONSTRUCTION aridexi 9' 6 n -wide- Sketch (attach construction -plans if appropriate)
arppn wpi ciht r all else leaal
DESCRIPTION OF CONSTRUCTION HAUL ROUTE: . ' NOCALES AND NAVARRO
TO VE•RMUDAS TO AVE. .52 out..of
r - -- CITY LIMIT. ..
DIMENSION OF INSTALLATION OR -REMOVAL
Haul date: October 18, 1990
SIZE OF'EXCAVATION,`IF•NEEDED
• R
APPROXIMATETIME WHEN WORK WILL -BEGIN -
APPROXIMATE
ILL BEGINAPPROXIMATE. TIME OF COMPLETION
ESTIMATED'CONST.RUCTION COST '$ ,r• '
(Including''removaliof all obstruction, materials; and debris, backfilling, com.
paction and' placing permanent resurfacing and/,or replacing improvements)
'In co'nsideration'of-the granting. of this permit, the.'applicantFiereby agrees to: -
f
`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 an8 regulations of the City of'.
�• La Quinta and'to pay -for any additional replacement necessary as'the•result of this work.
u ' 'Signature of Applicant or Agent
Massey Sand .and Rock `PO Box 14050 Palm Desert,'CA 92255,4 50
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.
ton• file
Applicant's Insurance Company '' Policy Number
FEES: r Subdivision Improvement Permit— Class I
1 76 73 lo
Public improvements: 3% of estimated construction costs -I W I ML I
Private improvements: 3% of estimated construction costs pp -
v Minor Improvement Permit — Class IV: See attached schedule'. N2 ' '0.871.
71'.
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10.00 0871
PERMITNO.
Penalty 10/18/90
Cash' Deposit Surety Bond R DATE APPROVED
if required.`' EXPIRATION DATE. 10/18/90
.• TOTAL: $ i 10/18/'90'
DATE"ISSUED' ,l
Receipt No. `
By l_'z�l
Received by Date . Administrative Authority'
Recorded by TE L'EPHONE:,(619) 564-2246
cA;��j4Niw�w'a+"Ga Niv.-1i�='IW by r Mh Mw A �.(i* r_..r ---------------
w Y Y — - w — - N
� r w rw: pf N* -------------------- M •
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
-6 '1�RIP 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
October 18, 1 sa 9 C Subdivision Improvement Permit — Class l l l
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION C7t;'i&2m 916" vide Sketch (attach construction plans if appropriate)
(xro-,n waC:a_crht. all else lnc-al
DESCRIPTION OF CONSTRUCTION HAUL ROUTE: NOGALES AND NAVARRO
TO BERMUDAS TO AVh. 52 out of
CITY LIMIT
DIMENSION OF INSTALLATION OR REMOVAL
Haul date: October 18, 1990
SIZE OF EXCAVATION, IF 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. ,
Aasaey Sand ane
Name of Applicant (please print)
Signature of Applicant or Agent
P0, BOX 14050 Palm Dasort, CA 92255-,"a 50
Business Address
Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on €ilo
Contractor's License No.
on filo
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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
av`
PERMIT VALIDATION
PERMIT NO. 0871
DATE APPROVED 10/18/90
EXPIRATION DATE
10/18/90
10/18/90
DATE ISSUED—'
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an CITY: OF: LA, QUINTA
encroachment permit
APPI-ICATIQN FQR FUNIT LEI
PUBLIC WORKS CONSTRUCTION (ENCAOACHMENT) .
'� +'li'• OF„Ip�
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 III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location) I
PURPOSE OF CONSTRUCTION
NSTRUCTION
Sketch (attach construction plans if approp -late)
(/
DIMENSION OF INSTALLATION OR REMOVAL
/�9_ D a
SIZE OF EXCAVATION, IF NEEDED
7a
` _4
APPROXIMATE TIME WHEN WORK WILL BEGIN /
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ A -
(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 124) 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 Ouinta and to pay for any additional replacement necessary as the result of this work.
Name of Applicant j4lease print)
Business
re 9f Applicant or Agent
Telephone No.
Name of Contracto and Job Foreman Business Address Tel phone No.
, -
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class
Public improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated conatruction Gott,
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Peltelly
Cash Deposit -Surety Bond
if required .
S .•
TOTALI �1
Receipt NO..*
Ria,OW68 by Dote
Recorded by
N°
PERMIT VALIDATION
PERMIT N0,
DATE APPROVED
`: EXPIRATION DATE
DATE 16SUID
lir
By�•..:.., :.:.`
Adlnlnittpative Ankh®Flt
TELEPHONE; 019)'5154,N40