0895::...,nL�-•r-'^ �'�•'Lc: .a'-+.. - _ .-. •-•-.•y-•-.....^y1-:••���:,.s,..,j...�.,1•.,_-.-.., .,.-.,,: '�^y�.'..- -+,-Ver-m-.,t-c-.-..._..�.�:.�,--•.-
'NOTE:
With proper validation
this form constitutes an H
encroachment permit CITY `OF 'LA QUINTA
APPLICATION' FOR PERMIT
j
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 I
DATE: 11=m(I1-90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
;,
' (Street address or Description of Location)
MOVE .EQUIPMENT, y' y
PURPOSE OF CONSTRUCTION " Sketch'(attach construction plans if appropriate)
DESCRIPTION OF- CONSTRUCTION emTjM13 MAC'! FR ` HAUL' ROUTE FRED WARING ESB TO
` - JEFFERSON S/B TO AVE 56-
DIMENSION OF INSTALLATION OR REMOVAL - 1 V0 F"•`N
48'-1- 1.19, 300 -LBS
SIZE OF EXCAVATION, IFNEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 60-" '`" ONE OVERSIZE TRIP .`ONLY PERMIT
APPROXIMATE TIME OF COMPLETION +
ESTIMATED CONSTRUCTION COST $�' `
(Including removal of. all obstruction,, materials, -and debris, backfilling, com- haul ' date• 11-68.90
paction - and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of ,this ,permit, the applicant'hereby agrees to:
'
Indemnify, ds' d
defend and save�the City, itauthorizeagents, officers, trepresentatives and employees, harmless from and'against any and all -"
penalties,' liabilities'' or loss re.sulting'from claims or court action and arising 'Out 'of any accident, loss oridamage to persons'or property
happening "or occurring as a.proximate'result of any .work undertaken under the permit granted pursuant to this application.
-four (24) hours ,in advance of the time when work will be started.
Notify` the. Administrative,Authority at least twenty
Complyiwith.all applicable Cify 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 t4 result ' f this work. „
`' + ,■
a i . Signature of Applicant or Agent
WIMMt+TacnnT• V0T7TUMPNT14 R7-11 1 'KF.NNF.R, 1"A7-1719
Name of Applicant (please print); „ti 'y ,'Bu Hess Address r Telephone No.
Name of Contractor and Job Foreman = ,h Business Address ; Telephone No'.
1073'•
' ' ` City Business Lico,
Cantractor.s License'No. x ense N
499568 Wi. t. la'Trtc- +rPNr•y .TF'r,g9T'. 138349 A
+' - - vti aswa. iv nnen s < ..AL_OA 14 +
Applicant's Insurance Company r r Policy _NumbeEMSW J.+ TOI�ALV 1 10.00
FEES: Subdivisiondmprovement Permit — Class III
'Public improvements: 3% of estimated construction costs°h
Private improvements: 3%'of estimated construction costs '
Minor Improvement Permit —Class IV: See attached schedule. N2. ; r
Inspection Fee $ > PERMIT VALIDATION
Permit Fee 1 n • n n
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $. 10.00
Receipt No.
Received by Date
Recorded by '
PERMIT NO. n>.qK
DATE APPROVED
D/ATE�SSU_ E
11-1�7.7U3
1;1-7.-90'
By. i %-►
:TELEPHONE: (619) 564-2246 ••
A- 0
Administrative Authority
i• "'-'Y�:,t«;,;f' . - r r 'v, �.'t .. _ r .....- fit` .1+r : i,.y�.. :i+ . r� ..,R. , , r ;err •� ms's _
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Vo
_. .'.r -r �w .s� �f... ......b w•.•r �► w-.J,...,u..�M-�.!...re w. .r! .cam-�!.•.m a.���1:...P_-..Lo•M .. �e-+!mow qM-w-r.:�.w .. w --w .�.w�w.•.wi.. w -x
1
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 II
DATE: 11—IAS-90 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
r
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT
DESCRIPTION OF CONSTRUCTION crrrtMO MnQTPP
DIMENSION OF INSIT�ALL�AOTION
OR REMOVAL 1 1 � r" WLB
48'
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
HAUL ROUTE FRED WARING EIB TO
JEFFERSON S/B TO AVE. 56
APPROXIMATE TIME WHEN WORK WILL BEGIN i i —g—gn ONE OVERSIZE TRIP ONLY PERMIT
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com- haul date 11-6890
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
raTVN1nr-Pg0N1! F.C1iiTPM0NT 92-113 KENNER 347-1719
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
1073
Contractor's License No. City Business License No.
499568 NT A_ TNS ArP.NCY JFGSOL 138349
nr+,nn 4^ f1hE P1 At AF..CI% 14
`.Y 1+.I.1.4.r b. v v.+vdi
Applicant's Insurance Company Policy IVumberASy 9. TC1TALv 1 W iv.v1
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 S 0 S q
171
'Inspection Fee $ II PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
1(1-n(1
$ 10.00
Date
PERMIT NO. 0895
DATE APPROVED 111-6790
EXPIRATION-DATFl 11-7-90
DATE ISSUED
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
WM propervslidatione
this form consdttttes an
encroachment permit'
CITY OF LA O.UINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION_ (ENCROACHMENT)
For the. construction of public or private curbs, driveways, pavements. sidewalks, parking lots, sewers, water, imeb
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS:
Subdivision Improvement Permit — Class Ill
DATE: f l d Minor -improvement Permit Class IV
LOCATION OF CONSTRUCTION — --
lStreat address or oaaenation at Locations
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL �� � 4
4 C l /I 9, _q ed /6 .5 -
SIZE
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ZZ'
Sketch Latf�' construction piVs if apptpp iiilm) .
t,aH to R_0 4-_TE�t t
Avc 56e
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal -of all obstruction, materials, and debris, bat:.kfMing, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemmfv, defend and saw the Citv, its authorized agents, officers, representatives and employees, harmless from and against arty and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persdine or prdpersy,
happening or occurring as a proximate -.result of env work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four 1241 hours in advance of the time when work will be started.
Comply with all applicable City ordinances, the terms and conditions of the pannit and all applicable rules and regulations of the C1ty of
La Quints and to pav for any additkutsi replacement necessam as the result of this work.
-q
Q� ✓� /�-�./ .lin
Signature of Applicant or Agent
Y
Name of Aopllcant (please print) �/ ' Busines ddr ss Telephone No.
:Fs! C�
Name of Contractor ano Job Foreman Business Address Telephone No.
Contractor's License No.
/ U %--?
City Business License No.
Applicant's Insurance Company,//' nom_ A74G� e ✓ Policy Number 7-)4 4
FEES: Subdivision lmorovement 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 S `
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
I
TOTAL: S
Receipt No.
Received by Date
Recorded by
N°
PERMIT VALIDATION
PERMIT %'0.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619)664-2246
NOTE:
r With proper validation
this form constitutes an , CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT.
a/
(PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) - -
awop TO L
« 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
• f DATE:- 411-06-90 Minor Improvement Permit Class IV
r E LOCATION OF CONSTRUCTION
.. (Street address or Description of Location) _
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT Sketch (attach construction plans if appropriate) r,
DESCRIPTION OF CONSTRUCTION STUMP MA'GTF'R HAUL . ROUTE FRED WARING E/B TO t ,
' JEFFERSON'S/B TO AVE-56
s g.• - DIMENSQN OE . IN$TAL 4 flOLff REMOVAL 11 r 61' W
SIZE OF EXCAVATION, IF NEEDED' ' r
^' APPROXIMATE TIME WHEN WORK WILL BEGIN 11--6-90 ONE OVERSIZE TRIP ONLY PERMIT
' APPROXIMATE TIME OF COMPLETION
+ .x' ESTIMATED CONSTRUCTION COST $ _
9'«
(Including removal of all obstruction, materials, and debris, backfilling, con- haul date l l-6-90
.a:. .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
c' 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 regulation of the City of ' .I
r A La Duinta and to pay for any additional replacement necessary as the
/resulltt of this work.
k, ignatu a of Applicant or Agent
•"'~ • s iirNT)rRgQN -EQIITPMFNm A7-11 'A 1CF.NNF.R' 147=1719
' Name of Applicant
• � ,y_ t (please print) Business Address Telephone No.
a' ' Name of Contractor and Job Foreman l Business Address Telephone No.
1 1073
Contractor's License No. City Business License No.
.F :« 499568 .. '
Applicant's Insurance Company Policy mb4kSH S 04T L` 1 0.00
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 089 .5 r ,
Inspection'Fee f ` $ PERMIT VALIDATION
t Permit Fee �i 10 0^ v. PERMIT N0. 089 , f
L
Penalty -: e t DATE APPROVED
t "• • —
Cash Deposit-Surety Bond
r if requiredEXPI T 11-7-90
t TOTAL: $ 10'.00. } ATE 1P0
Receipt No, ., ^
t,Received by Date Administrative Authority
Recorded by `
.TELEPHONE: (619) 564.2246 :�