0935•FTrJfi'Wv •yyJyj,q,� ••'T�'iJS:�}+,4�'' .�4 l'r`�dl.:xp�1}bp f - � - -
++EE'�'6.�py;..,,��i,1l�M1?Y,�'"'�'Yj J Vis. � •rwr..•., + \�. - !' „- rt. .r .. _ �.. ?x'. � 1. + i
s.....d...u+r.w•rcJee.ii-,aS�:r .r-rvw ..r+•w i.. -:., *..��y, _� - , -
NOTE: -
h With proper validation.
this form constitutes an
encroachment permit'. CITY OF. LA OUINTA
APPLICATION FOR PERMIT
' . } PUBLIC , WORKS CONSTRUCTION (ENCROACHMENT)'
' OVERSIZE LOAD-PERMIT,
For the construction of i public or private curbs, driveways, pavements, .sidewalks, parking lots, sewers, water. mains
and other like public works'improve6rits in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivisiori ImprovementrPermit — Class l I I
DATE -Nt�yember 28, .1990. Minor'Improvemenf Permit Class IV
LOCATION OF CONSTRUCTION move. equipment
(Street address or Description of Location) ' - „� 0
225 cat excavator
PURPOSE OF CONSTRUCTION ` _ Sketch (attach construction plans if appropriate)
10' 5w, legal' height•••
DESCRIPTION OF CONSTRUCTION �,�•
weight-and 4ength 'Haul route: Washington-and Miles
• + south to Eisenhower west to
Fernando _
D.IMENSION.OF INSTALLATION OR REMOVAL
haul date: 11/28/90.
move 'in and move out same•'d�a
SIZE OF°EXCAVATION,>IF,NEEDED Y
' k APPROXIMATE TIME WHEN WORK WILL BEGIN ,•, f , o
_ H .
• APPROXIMATE TIME OF COM12ETION
_'ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, Com-
l
+` paction and placing permanent resurfacing and/or replacing,improveme6ts)
In consideration of the granting of this permit,�the applicant hereby agrees to:
Indemnify, clefend 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 o�.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.
i
I - Notify the Administrative Authority at least twenty-four (24) hours ins 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 fo any'additional replacement necessary as the resdlt of•this work.' :-
} '.
A1�
• S11.1--ol
of Applicant or Agent f
X77580. Robin 'Rd. Palm Desert. ` •345-5212
'Walton's`Backhoe Service
Name of Applicant'(plea'se print)) " Business Address Telephone No.
Piconi Trucking �J..
.Name of Contractor and Job Foreman Business Address , ' Telephone No.
on file • ,on file
Contractor's License No., ri r City Business,License No. - `•
on ' f ile ;s
Applicant's Insurance Company • ,Policy Number `
FEES: Subdivision Improvement Permit — Class 111
t� .. 00�5i$" inJ51$ 7 2g=90 i0
Public improvements: 3% of estimated construction costs f` �• iA,rt 3 TQ�i AL i ,.0.00 5'
Private improvements: 3% of estimated construction costs ,'' •r '
_ ,Minor Improvement Permit —Class IV: See,attached schedule �•�I" . '
•InspectionFee ' $ 20.00 PERMIT- VALIDATION.
it Fee • 0935'
PERMIT NO. .
Penalty
Cash Deposit Surety Bond DATE APPROVED .'11/28/,90 Fr'
if required EXPIRATION DATE• ll/.28/90 ,
TOTAL: $ 20.00 11128/90
• DATE ISS llFn�
Receipt No.
By—
Received,by Date Administrative Authority
Rornrrlarl by - TGI GPI-1(1NC• /R'101 �RA_7'JAR
J •
+�1«44t -µr. +, x'f -,:�
"'�^�GYi•y� :w� .,.,... .1.. -•.., - 'Lr :Ly � •r.ae,,..�f y .1 �.. a`..M,... � , -` r �''t �jyE7,'• ti'!� � j.�'�"`i'f'
' t
1.v r.i' M .. byZ"fY-W...b ..w'.n RF rw.�yS.�...4.�M.s...En.�.4i.r...a+r wy.W:; .!!r4�,s tl-.5-== �.R[•'•'!.-._.p;.r.r .� 1.. w..wc....-w..at^i
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
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
DATE: November 28, 1990
LOCATION OF CONSTRUCTION move . ecruipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
225 cat excavator
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction planes if appropriate)
DESCRIP ION OF CONSTRU CTION 1015w, legal height
weigT,t and ength Haul route: Washington and Miles
south to Eisenhower west to
DIMENSION OF INSTALLATION OR REMOVAL Fernando
haul date: 11/28/90
SIZE OF EXCAVATION,.IF NEEDED move in and move out same day
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
Le Quinta and to pay for any additional replacement necessary as the result of this work.
. _!.✓- :c
S gnature of Applicant or Agent
Walton's Bacghoe Service 77580 Robin Rd. Palm Desert 345-5212
Name of Applicant (please print) Business Address t Telephone No.
Piconi Trucking
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 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 $ 20.00
Permit Fee
Penalty ,
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$—`
' 20.00
Received by Date
Recorded by
PERMIT NO.
0f)� i8j iSN 81 Tt3iAL 2f --90 24 . QO 0
%TO61, 0015
PERMIT VALIDATION
0935
DATE APPROVED 11/28/90
EXPIRATION DATE 11/28/90
DATE ISSUED„ 11/28/90
By
Administrative Authority
TELEPHONE: (619) 5644246
1111111 ,
NOTE:
With•pimm validetion
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 in
. nge-}
and other like public works I improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS"
Subdivision Improvement Permit —.Class Ill
DATE: % �� g - Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION —M 0- W
(street address or Description of Location)
PURPOSE OF CONSTR CTIO OVA a°�t 5 �� Sketch (attach construction plans if appiopriateV,
DESCRIPTION OF CONST RUCT10N MOVE � / l – Z.g- qC)
DIMENSION OF INSTALLATION OR REMOV
SIZE OF EXCAVATION, IF NEEDED
As+{ i n (e s
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S �� J
(Including removal of all obstruction, materials, and debris, ba -*filling, com- �j )0
paction andplacing permanent resurfacing and/or replacing improvements)
'In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and Sava the City, its authorized agents, officers, representatives and employees, harmless from and against anv and all
penalties. liabilities or toss resulting from claims or court action and arising out of any accident, loss or damage to persons or plapasiy
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 and regulations of the OW of
La Quina and to pay for any additional replacement neaestry a$ the result of this work.
Signat re.of Applicant or Agent
�A�Ta h/ s 1,kt�o� ���✓�C 7%S Y10 ii✓�� �i�s Sze
Na a of Applicant (pleas�l
m
/ Ort) % Gk/
Name of Contractor and Job Foreman
.V 41le .
Contract4r's.Ltcense fsp.,
Business Address
O rJ 7
Telephone o.
LOA) AGE
Business Address Telephone No.
City Bu (mess cense No.
Applicant's Insurance Company Policy Number
FLIES: Subdiviainn Imnrnvemant Permit—+rlast III