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0990V 7' NOTE: With. proper validation this f6rm constitutes an CITY, 017- LA QUINTA encroachment permit VAPPLICATION FOR -PERMIT PUBLIC WORKS, CONSTRUCTION (ENCROACHMENT)`' OF For the construction 'of public or private curbs, driveways,4•pavements, side walks,, parking 1 1 pts,' sewers, wateir mains and other like public works improvements in -connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 1-23-91 Subdivisiori'I'mprovemie'rit Permit —'Class III DATE: Minor Improye'rhent Permit Class IV LOCATION OF CONSTRUCTION -(Street address or Descripti6n of Location) BAReER',GR EBBE-PAVER % PUR.POSE,OJF CONSThUCTION, Sketch'(attach construction plans if appropriate). . e; - .- - I- " DESCRIPTION OF CONSTRUCTION 10 -10 WIDE. -HAUL ROUTE GREEN , WE'IGHT •ALL ELSE -LEGA, W.ASHINGTON*TO .52 to BERMUDAS TO' NOGALES,AND NAVARRO DIMENSION OF INSTALLATION OR REMOVAL HAUL -DATE 1-24-91 SIZE OF EXCAVATION, -IF NEEDED 14 -­ J.0 0j APPROXIMATE TIME WHEN WORK WILL ' BEGIN id 8 ?TTR� t APPAdXIMATE.TIMt OF COMPLETION _ ESTIMATED CONSTRUCTION COST $ '1(IAluding removal of all'obitruction, ateriaIs, and debris, backfilling,+com-4 ,` " - 'm' ' u paction and placing permanent resurfacing rfacing and/or, replacing inipro.Vem er�ts) In consideration of the, granting of this.per-mit.',"the applicant hereby agrees'to: Indemnify, -defend and save the City,' its authorized •agents, officers, representatives and'6mploybes, harmless from and against any and all penalties, liabilities ;r, loss' resulting from claims or court action and.arising outof,any accident,' loss; or damage tto persons or property r happening oloccurring asa 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 th6 time when work `will be started. L Comply with -all applicable City Ordinances, the terms ,and conditions of the permitand alljapplicable rules and regulations ofthe City -of La Quinta and to pay for any additional replace6At.*necessary as the result of this work. 0 Signature of Applicantor, Agent TARMAC_ MASSEY,*AAND AND #ROCKP.0,.. ,BOX V405-0 'PALMS DESERT C NarAe"of Applicant (please print) Business Address t Telephone No., Name of -Contractor and Job Foreman B Telephone No.' usiness Address ON VILE, Contractor's License No. City..Business License No: 'ON FILE -Applicant's Insurance Company -,­Policy�Ndmber- FEES: Subdivision Improvement Permit — Class lll Pu6lic improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs* 0.9 ImprovementMinor Permit'!— Class. IV: Se6'attached schedule Ns I Inspectioh Fe e PERMIT VALIDATION Permit Fee 16.0-0 PERMIT,NO., 1-2391.1 ly/ Penalty' Cash Deposit Surety Bond DATE APPROVED, if,re.quired • EXPIRATION DATE 1-24x91 10.00 TOTAL: /"/ — 3-91 $• DATE ISSUED Receipt No. - Received by Date Recorded by - Dy Administrative Authority! TELEPHONE:'(619) 564-2246 �/ r t{;.�'� � K'- "`3';'^r�-- � r�� � � � M' U }. �. � s,:�,_. .��f 1i � ., nr{ ,ri,.s. wp1 i:`.1 ,� �`Ti^�� ur.x-J(c'^sl s.�} .ri G�"��� •i. ? `^! i Ali. �S. .i"�.. js �? fe'j'„ �l l`, f 1. � � �Y.� �? t •?>7'.' .��. `y�Y' _x�. .:� �.,• �.� i . 'i i` t _v'. Y r �. l .�}� � t is �►� -�. M1.�'r.a ,�� • c_yini4.Ma r+,.rr..p:w,.-s�'Iq�'M�-++•..r-.. r ew r n. e, ,.�..� — .a. ,. �.e .!a....r ra was. m...w•.e_r. en .....w. Aa'�'`-fa.e:. >•J+ w. wn...�. s.�r, . .. .. r e.. s...w r.Ve:7s `-�' 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 1-23-91 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION i t (Street address or Description of Location) ' .PURPOSE OF CONSTRUCTION BARBER GREBBE PAVER Sketch (attach construction plans if appropriate) f� DESCRIPTION OF CONSTRUCTION 10,10 ." WIDE HAUL ROUTE GREEN WEIGHT ALL ELSE LEGA WASHINGTON TO 52 `to BERMUDAS TO NOGALES AND NAVARRO DIMENSION OF INSTALLATION OR REMOVAL v' HAUL DATE 1-24-91, .r' SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN , ASW; '4T6��a--qz iq,04 APPROXIMATE TIME OF COMPLETION ' i ESTIMATED CONSTRUCTION COST $ ; (Including removal of all obstruction, materials, and debris, backfilling, com- paction and, placing permanent resurfacing and/or replacing improvements) �4 In consideration,/o'f.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 Ouinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent�� fTAA<C MASSEY RAND AND ROCK P.O. BOX 14050 PALM DESERT CA l '. Name of Applicant (please print) Business Address �' Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. ON FILE Contractor's License No. 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. i Received by Date Recorded by PERMIT VALIDATION 0990 PERMIT NO. 1-23-9-1 DATE APPROVED EXPIRATION DATE DAT By' 1-24-91 r 1-23-91 TELEPHONE: (619),564-2246 Administrative Authority 'OTE; 1111E pfoof VaUdafilam i ils form constltutas an ,LA' QUIN7A icroachment permit CITY: C1 F.. 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 I I )ATE:— �! `r` Minor Improvement Permit Class IV .00ATION OF CONSTRUCTION Street address or Description of Location) 'URBOSE OF CONSTRUCTION ,���� ��� .'Sketch (attach construction plans if a'pprop riate)' )ESCRIPTION OF CONSTRUCTIO DIMENSIA OF'INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TiME WHEN WORK WILL BEGIN /l�ari��ra APPROXIMATE TIME OF COMPLETiON ESTIMATED CONSTRUCTION COST $ A,1— a- e (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 1241 hours In advance. of the time when work will be stoned. Comply with all applicable City Ordinances, the terms and"conditions of the permit and all applicable rules and regulations of the City of La Oui�nta and to pay for any additional replacement necessary as the result of. this work. Signature of Applicant or Agent Name of Applicaryf (please print) Business Address Telephone No. Name of Contracto an Job Foreman Business Address Tel phone No. qL Contractor's License No. City Business License N. ,Applicant's Insurance Company Policy Number ,FEES: Subdivision Improvement Permit—Class III ?`> Public improvements: 3% of estimated construction costs Private Improvements; 33'0 of estimated constructlon costs".'�7o Minor Improvement Permit — Class IV: See attached schedule - 1V Inspection Fee S "```' ,; "' PERMIT VALIDATION Permit Fee PERMIT NO, Panelty ; i ;.. l3ATEA0PROVED iCash Deposit -Surety Bond . (; `''I'`• if required } ',•;:?: °''� EXPIRATION DATE TOTA1.1 OATH MU© ey Naiad by bato r AdrAlnlstralve Autnarlt, Recorded by TEL,EPHQNE; 11219) 664.2246 ' • ,.3 _ r; '� � . Vim+ ��� `•• �.rt r� - ^`r .•' -. .;^^, -' •� NOTE: f•. 'With proper validation- ee this form constitutes.an ` CITY- OF LA QUINTA - fi r ^*,encroachment permit , ,�� ; ,,APPLICATION FOR PERMIT ; • �` ��'-r +: '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 ,... `1-23'-91 _ _ . 'Subdivision Improvement.Permit = Class III DATE: Minor, Improvement Permit Class IV LOCATION OF,CONSTRUCTION ` (Street address or Description of Location) ` ,}, r PURPOSE OF CONSTRUCTION. BARBER, GREENS. PAVER Sketch (attach construction plans if appropriate)- DESCRt�TI, N OF CpNSTRUCTIpN 0' WIDE ;HAUL, ROUTE H GREEN. WEIGHT ALL ELSE EGA ;WASHINGTON TO..52. to BERMUDAS 'TO NOGALES AND NAVARRO.,t _DIMENSION OF INSTALLATION OR REMOVAL ' • HAUL DATE 1-24-91' SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN' r- ' F• ' i �85S8A� S4TSTAL3-9i 04 . APPROXIMATE TIME OF COMPLETION t s ESTIMATED CONSTRUCTION COST $• . '(Including removal of all obstruction, materials,'and debris, backfilling, com- , ' paction`and placing permanent -resurfacing and/orlreplacing improvements) '4 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, i : 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 r les and regulations of the City,of s ' La Quints and to pay,for any additional replacement necessary as the result o this work. s , Signature of Applicant or'Agent •TARMAC MASSEY SAND AND. ROCK j.0.' BOX, 14050 t. PALM`DESERT C ` Name of Applicant (please print)- , 'Business Address oV Telephone No. e ' Name of Contractor and Job Foreman _ Business Address Y '�-'k ;, Telephone No.. !, ,, , ON FILE Y r i Contractor's License NO. 4r'' +. _, City Business License No. ON - FILE „ 1 " " Applicant's Insurance Company'', S- Policy Number 1 FEES: Subdivision Improvement Permit t Class III t• ~ �'• ' Public improvements: 3% of estimated construction costs: ` Private improvements: 3% of estimated construction costs r ' Minor Improvement Perinii - Class IV: See attached schedule N2 u Inspection Fee _ $ y �" r PERMIT VALIDATION t 10.-00" ., 0990 {. Perms Fee M PERMIT N0. - Penalty 1=23-91 r s til 7d.y • DATE'APPROVED Cash Deposit -Surety -Bond - t+ if required -91 E RATION E-91 ;t TOTAL: $ 10 00 , — iDA I1SU Receipt Nod By Received by ' Date Administrative Authority _ 5 •, ;