0993•
4
NOTE:
With pr6per validation
this for.m constitutes an,
encroachment permit CITY'OF LA QUINTA
APPLICATION,,. FOR -PERMIT
PUBLIC WORKS ,CONSTRUCTION (EN
CROACHMENT)
OF
For' the construction of public nor private curbs, driveways, pavements •sidewalks,, parking lots, sewers, water mains
and other like public works impro-vements in connection with MINOR, IMPROVEMENTS anc(APPROVED SUBDIVISIONS
Subdivision Improvement nt Permit u Class III
DATE: ..1-28--�91 I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OFCONSTRUCTION Sketch (attach construction plans -if appropriate)
KOMATSU PC .400
DESCR!�,IION OF CO.NSTRBCTION
B . 'KHOEL W __ E'141b" HIGH99.6"
..40rqu , tsaxle., MOve
HAUL' .ROUTE' WASHINGTON,I.AND FRED
DIMENSION OF INSTALLATION OR. REMOVAL
•WARINGIO 52 , -TO CL DURANGO
TO,EISENHOWER.AND SOUTH TO'14
ARROBA.JOB,,SITE
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 de6'ris,.ba'ckf illingi com-
pactiori and placing permanentresurfacing
urfaci;g and'/or replacing
placing improvements) i 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 6ut'of � any accident, loss or damage to. Persons or prop6rty
happening or occurring a's '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 wh6n work will -be- started.
Comply with all' applicable City Ordinances,'the ' termi and'conditions of the permit and all applicable rules. and -regulations of the City of
La'Quinta and top any additional replaceMent necessary as the result Of P!s work.'�',
Signature of Applicant or,Apnt / '
-STANDON CO INC
Name of Applicant (please print) 136siness Address Telephone No.
Name of Contractor and Job. Foreman Businesi Address Telephone No.
ON FILE ,.ON -FILE
Contractor's Licenie No.,'
City Business License, No.
ON FILE
Applicant's`lnsurance Company Polic y Number
FEES:,,- S6bdivision:l rnprovement Permit — Class II I
'Public improvernents: 3%
of e'stirnat,ed'cbns'truct*i6,n'costsNARi "."A ?WT -9'-.0-A0
.'Minor Improvement Permit — Class IV: See'attached schedule
Inspection -Fee $
Permit Fee 10 00
Penalty
J, Cash beposit-Surety Bond
if required
TOTAL: 10.00
'Receipt No.
Received by Dite
Recorded by
PERMIT VALIDATION
0993
PERMIT --NO.
DATE.APPROVED 1-28-91
EXPIRATION DATE 1-29-91
DATE ISSUED
Admidist.rative.A6'thority
TELEPHONE: (619) 564-2246
y_� .p•._. �. _'�1•r � "1•x.1.' ..s„ -I -. — _• �"�. . �'•_ •k u� '• a,.t ,^W..., -�y',.:._' '��.a., K
y� __ _ -�+.�J►.Nk1�•+!s!¢�I�c-.'+ Y -w .M w .4 M.. w"v a� � y... !! .. ea. .3.�9 M.la r�..e...M- E1. eR.e. e9. N�.a .....R� .b �..c:•.. 1's...... S+-.+. iw r.....0 -« o e� !V...► e►.'
yJ
Y G
NOTE: .*r
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
DATE: 1-28-91
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
U ".`SU PC 00
DESb---tt�N�00F iOf�SIl i� Tl��I6" HIG "
MNG—Baxle MOVE
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if, appropriate)
HAUL ROUTE WASHINGTOK AND FRED
WARING TO 52 TO CL DURANGO
TO EISENHOWER AND SOUTH"T0
ARROBA JOB SITE
DATE 1-29-91
,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)
s 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 /
STANDON CO INC
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.
ON FILE
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
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
10.00
$ 10.00
Receipt No.
Received by Date
Recorded by
ss A �i gid D 0A1. �..�� 10.0h0
PERMIT VALIDATION
0993
PERMIT NO.
DATE APPROVED 1-28-91
EXPIRATION DATE - 1-29-91
—28
—22
DATE ISSUED ,.
Administrative Authority
TELEPHONE:. (619) 564-2246
t
I V,
TOTE:
J -11h Pwaf Vaiida'tida
his form constitutes on CITY! OVLA
QUINTA �
rttQreeeltfriertc �eFr�ilt v
APPLICATION. FOR ; PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking Iota, sewers, water mains
'and other like public works improvements In'connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
e g Subdivision Improvement Permit —Class I I I
)ATE: -' .' .' �••.•,•.r' �'t •i : Minor Improvement Permit Class IV
.00ATION OF CONSTRUCTION
Street address or Description of Location)
'URPOSE OF CONSTRUCTION
JE RIPTIA'n)� OF CONSTRUCTIQN ,L .C,d7 S —t' E� 'S`oJLJ
�oi,. NL/i / i/
J
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
.-ffl"
ecl
a �
SiZE OF EXCAVATION, iF NEEDED S�y>,Xnwe0 A9
/'
dl- /-i _-,
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)
IIn 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 clalms.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 s4'conditions of the permit and all applicable rules and regulations of he City of
La Guints and to pay for any additional replacement necessary as the result of. this work.
Signature of Applicant or Agent ,
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Te ep one No.
/L//�1�
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit "Class III '
Public improvements: 3% of estimated construction costs
Private improvements: 399 of estimated construction N
O
Minor Improvement Permit — Class IV: See attached sehedtilti ill
Inspection Fee $ �' "'`' PERMIT VALIDATION
Permit Fee :. 'PERMIT NO.
D DATA= APPROVED
Cash Deposit -Surety Bond j' ';.. ,•
if required EXPIRATION DATE
• i. '. _'6
TOTALI 61 OATH ISSUED `
f ficelpt No.
Ri i?9�Uili� b bats] ' �Y. Adrtilnlstratly• Authorlu
Recorded by TELEPHONE; (619) 664.2246
JUL 1 . , , 1 !,' o'tic, ii60 01 Cli 1'�ia' ���i_i� i;�0H0 F'OA
7h
%7�-
NOTE:,
With proper validation - • �- .
this form constitutes an
r� encroachment permit ' CITY OF LA QUINTA,
- APPLICATION FOR PERMITS
PUBLIC -WORKS CONSTRUCTION ~(ENCROACHMENT) f
OF Tfla9�S ' j.
For the .construction of public or ,private curbs; driveways, pavements, sidewalks, ,parking lots, sewers, -water mains.'
r' and other.like public works improvements in connection with MINOR IMPROVEMENTS'and APPROVED SUBDIVISIONS
• �'. .` r , ,, •'� *. +• ova•+ + •• �• ••_ ^.3., ." r ,T. " ` ) -
M -'' a ` • iii .'°. Subdivision Improvement Permit - Class I I I
I
f ;
DATE: 1-28-91 a �' Minor Improvement Permit Class IV ^• ' t
Y _
LOCATION OF CONSTRUCTION f y + • •r '
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction pl4n's if appropriate) i.
DESBAL•K.W&F JON
�DT1KOMATSU-P14.rf C 4 400.-
Saxle .90ve
s-
HAUL.ROUTE.WASHINGTON AND FRED
r+
DIMENSION 0F INSTALLATION OR REMOVAL' '' WAR ING T0.' 52 TONCL . DURANGO . •'
'. f� TO'EISENHOWER AND SOUTH TO r
ARROBA JOB SITE
SIZE OF EXCAVATION; IF NEEDED ' " Y • <
I j, APPROXIMATE TIME WHEN WORK WILL BEGIN DATE 1=2.9-91 - • •
• •� 1 APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com• a
paction and placing.permanent resurfacing and/or replacing improvements) ' •.
st.
In consideration of the'granting of this permit, the appiicant-hereby,agrees to:, -,ti; Y �'� W 4
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 approximate result of any work undertaken _under the permit granted pursuant to this application.
*, + 'Notify the Administrative'Authority atleasttwenty-four 1241 hours in advance of the time when work will be started. _ • -
c ' ,i _ _
•Comply with all applicable City, Ordinances,•the terms and conditions of the permit and all applicable rules and regulations of the City of
, w
La Quinte and to pay for'any additional replacement necessary as the ::::I:, �frork.
_t .
{ "-f Signature of Applicant or Agent
STANDON COQ INC.
' - Name of Applicant (please print) " , Business Address Telephone No. t
i Name of Contractor and Job Foreman r Business Address `, Telephone No.
P Q]V FILE rr' ON FILE' `
Contractor's License No.,, City Business License No..
ON'+FTLF.
Applicant's Insurance Company ° 3 Policy Number
FEES: Subdivision Improvement Permit Class III • '+
Public improvements: 3% of estimated construction costs 3- o 5182 ip'96 8`91 0
i� CATH .i �O�AL 3 , 10:0
Private improvements: 3% of estimated construction costs
wwtt
099.1
? Minor Improvement Permit - Class IV: See attached schedule • !r� ,r
Inspection Fee $ r� . - PERMIT VALIDATION
• Permit Feer 10:00 .
'' •' r y 0993 '
PERMIT NO., '
Penalty DATE APPROVED 1-28-91.
Cash Deposit -Surety Bond
if required EXP
ON DATE 1-29-91 * -
;TOTAL: $ 10.00 D IS 1-28-91-
Receipt No.. =�
Received by Date' Administrative Authority
r
Recorded by TELEPHONE: (619) 564.2246