0872• NOTE: _ •: o , - .
With proper.validation • "` Q
this form constitutes an
' CITY' OF LA. 'QUINTA o
encroachment permit -
• .' APPLICATION FOR 'PERMIT - , • -- �
'
PUBLIC 'WORKS CONSTR.UCTION (ENCROACHMENT)
OF
For they construction of public or private curbs, 'driveways; pavements, sidewalks, -park lots, sewer's, water mains'
and other like -public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
+ : Subdivision Improvement*Permit = Class II I`
• DATE: 10—X6--90 ' y _ r:. Minor Improvement Permit Class IV '
LOCATION OF CONSTRUCTION
K
-(Street addressy'or Description of Location)
P RPOSE.OF CONSTRUCTION Sketch(attacH construction plans if appropriate)
DESCRIPTION OF• CONSTRUCTION_ •��TDE , HAUL, ROUTE j
f`TtT . !_T?TATT1'�A Q.t G 1�
GREEN WEIGHT ALL ELSEMEdAL7 51 TO BERMUDAS'TO.NOGALES -
DI,MENSIONOF INSTALLATION OR REMOVAL« HAUL DATE •10-17-90
SIZE OF.EXCAVATION, IF NEEDED '
APPROXIMATE TIME WHEN WORK WILL BEGIN,' 3
• i .
APPROXIMATE TIME OF COMPLETION• ` f , k .
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 herebyagrees 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 asap+' timate 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.' «r
Comply with ail 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 4result of this work. ,
• t a r j Signature of Applicant`or,Agente: i
'MASSEY SAND AND ROCK PO..BOX.'14050 •PD'.
s ., � rt 'r. t • i. r
Name of Applicant (please print) ,. „ r { Business Address Telephone No:,
« . • ' Name of Contractor and J0' 1 Foreman" Business Address Telephone No.
n*; cTT_T:; ON,(UT,ri f0- 7629 '10-1b...:gp. i4
Contractor's Licerise,No. •, ''. �t1 i.>a•�" �• I U I L �I av,v0
• City Business'License No.-
T., TT
Applicant's Insurance Company Policy Number '
FEES: Subdivision Improvement Permit— Class- I I L x• '` r : s : ' it ��
Public improvements`. 3/0 of estimated construction costs -
Private improvements: 3% of estimated construction costs
,�,-087
Minor Improvement Permit — Class IV: See attached schedule o 2 „�
Inspection Fee $ ♦ ` ;PERMIT,• VALIDATION R
Permit Fee 10.000872.
PERMIT NO -.
Penalty `- —16=9.0
DATE APPROVED 1.0.
Cash'Deposit-Surety BoAd -
T 9 • _ SI
if required r'r /, 1:'0-17-90
EXPIRAT•t N DATE
TOTAL: $ ' i 'I!� n r .. 4 f ,r // «
DATE ISSUED 10 ,
Receipt No.
_ _ r r.By-
+ Received by ' : Date!Administrative' Authority
Recorded'by f TELEPHONE:,(619) 564-2246 .
t,
r
• NOTE: _ •: o , - .
With proper.validation • "` Q
this form constitutes an
' CITY' OF LA. 'QUINTA o
encroachment permit -
• .' APPLICATION FOR 'PERMIT - , • -- �
'
PUBLIC 'WORKS CONSTR.UCTION (ENCROACHMENT)
OF
For they construction of public or private curbs, 'driveways; pavements, sidewalks, -park lots, sewer's, water mains'
and other like -public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
+ : Subdivision Improvement*Permit = Class II I`
• DATE: 10—X6--90 ' y _ r:. Minor Improvement Permit Class IV '
LOCATION OF CONSTRUCTION
K
-(Street addressy'or Description of Location)
P RPOSE.OF CONSTRUCTION Sketch(attacH construction plans if appropriate)
DESCRIPTION OF• CONSTRUCTION_ •��TDE , HAUL, ROUTE j
f`TtT . !_T?TATT1'�A Q.t G 1�
GREEN WEIGHT ALL ELSEMEdAL7 51 TO BERMUDAS'TO.NOGALES -
DI,MENSIONOF INSTALLATION OR REMOVAL« HAUL DATE •10-17-90
SIZE OF.EXCAVATION, IF NEEDED '
APPROXIMATE TIME WHEN WORK WILL BEGIN,' 3
• i .
APPROXIMATE TIME OF COMPLETION• ` f , k .
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 herebyagrees 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 asap+' timate 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.' «r
Comply with ail 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 4result of this work. ,
• t a r j Signature of Applicant`or,Agente: i
'MASSEY SAND AND ROCK PO..BOX.'14050 •PD'.
s ., � rt 'r. t • i. r
Name of Applicant (please print) ,. „ r { Business Address Telephone No:,
« . • ' Name of Contractor and J0' 1 Foreman" Business Address Telephone No.
n*; cTT_T:; ON,(UT,ri f0- 7629 '10-1b...:gp. i4
Contractor's Licerise,No. •, ''. �t1 i.>a•�" �• I U I L �I av,v0
• City Business'License No.-
T., TT
Applicant's Insurance Company Policy Number '
FEES: Subdivision Improvement Permit— Class- I I L x• '` r : s : ' it ��
Public improvements`. 3/0 of estimated construction costs -
Private improvements: 3% of estimated construction costs
,�,-087
Minor Improvement Permit — Class IV: See attached schedule o 2 „�
Inspection Fee $ ♦ ` ;PERMIT,• VALIDATION R
Permit Fee 10.000872.
PERMIT NO -.
Penalty `- —16=9.0
DATE APPROVED 1.0.
Cash'Deposit-Surety BoAd -
T 9 • _ SI
if required r'r /, 1:'0-17-90
EXPIRAT•t N DATE
TOTAL: $ ' i 'I!� n r .. 4 f ,r // «
DATE ISSUED 10 ,
Receipt No.
_ _ r r.By-
+ Received by ' : Date!Administrative' Authority
Recorded'by f TELEPHONE:,(619) 564-2246 .
... '.fr;�i�::f:'_`�:SQ•�"�i �1=3rat'rd',..a �•ap. .•.'fi. � .«:�,igi�r; t� ti:3sj:, � �
. "Y.�.i!Y�4l�C�t-M'"�4 i�,•�a. M. M5. :� ..+i w� w Y 0�'IM r w. w 09� �i. tl --1+ �? i. M.�Y .IP1� N Be H-rr M i � Y — Yw.. lw'N'rr � tl tl � .�-a, wi a
NOTE:
With proper validation -
this form constitutes an CITY OF 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
Subdivision Improvement Permit - Class I
DATE: 10-16-90 Minor Improvement Permit Class IV
LOCATION,OF CONSTRUCTION -
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION r`nm r_VTT,Tr)r,-ta a i r n L.? HAUL ROUTE
GREEN WEIGHT ALL ELSE LEGAL 52 TO BERMUDAS TO NOGALES
DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE 10-.17-90
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.
Signature of Applicant or Agent /
MASSEY SAND AND FOCI; P.O.BOX 14050 PD I
Name of Applicant (please print) Business Address Telephone No.
'Name.of Contractor and Job Foreman Business Address Telephone No.
nXI VTT,V
Contractor's License No.
ON Ai IP► 10 7629 10-16-90 14
City Busine'U Licerise�No� H� f i�'.vU
Applicant's Insurance Company Policy -Number
FEES: W 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 10.00
Penalty .
Cash Deposit -Surety Bond
if required
TOTAL: $ 2. of)
Receipt No.
Received by Date
Recorded by
N2 0872
PERMIT VALIDATION
0872 _
PERMIT NO.
DATE APPROVED
10-16-90
"1'b-17-90
EXPIRATION DATE
DATE ISSUED
'10-7 6-90
7
Administrative Authority
TELEPHONE: (619) 564-2246
., NOTE: . •
With proper validation ` �F
this form constitutes an CITY OF LA QUINTA
encroachmentpermit
: I
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
x A • ,4
Subdivision Improvement Permit - Class III
DATE: 1t7-16-90 • Minor Improvement Permit Class IV'
LOCATION OF CONSTRUCTION
7 -
(Street
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION ti Sketch (attach construction plans if appropriate) '
DESCRIPTION OF CONSTRUCTION Chi 6RIbiDgR -9 1 fill igT ,E HAUL ROUTE ,
GREEN WEIGHT•ALL ELSE LEGAL .52•TO BERMUDAS TO NOGALES
DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE 10-17=90 .
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- J
paction and placing permanent resurfacing and/or replacing improvements) t
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, losi or damage to persons or property
• happening or occurring as a proximate 'result of any work undertaken under the permii 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 Viand 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. '
` Signatu1. re of Applicant or Agent
MASSEY SAND AND ROCK P.O.BOX 14050 PD d i'
Name of Applicant (please print) Business Address' Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
041 4 I� "- ' •" ON 10 7629 10-16•-90 14
Contractor's License No: City Busi6M Lice o: Y
• 041 � � �•,� '
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
Z
Minor Improvement Permit - Class IV: See attached schedule N"n 9 %
Inspection Fee • $ PERMIT VALIDATION
r ,
Permit Fee 10.00 0872
PERMIT NO.
Penalty Ir '
"x Cash Deposit -Surety Bond DATE APPROVED. 10-16-90
if required PIRA NDA 10-17-90
TOTAL: $ 60 A E ISS/1.6-4o
Receipt No.
By.
Received by ` Date r, Administrative Authority
Recorded by ' TELEPHONE: (619) 564-2246