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0994
....-s.+-ao,•t.�•u•r.�.�•...-c.r+...yti'^-"":�.;,,ea.Rn•r+l-,�: � r^�,+•x ate.. ,o"•a�":'^,,• Y`^�••�^�e.�.,..�,..,r'^•.s•,te...r,-.....,,...�,.,....,.x.,.d�<..-.,....a. .a•'-..-•...-,r-+.-,e....^x.--r-,r-••3^•...^<.r.F..,r NOTE:"r t With proper validation this form constitutes an.'t y v QUINTA ; y r04 ` encroachment permit CITY OF LA' ' ` APPLICATION FOR PERMIT S! '' PUBLIC WORKS CONSTRUCTION •:(ENCROACHMENT) `. 4. 4 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 SUBDI'VISI'ONS • 1•-28-91 'Subdivision Improvement Permit — tClass;IIl' - ; DATE: Minor Improvement Permit.Class IV - w LOCATION OF CONSTRUCTION 3 (Street address or Description of Location) PURPOSE OF CONSTRUCTION, • • -Sketch (attach construction:pians if appropriate) `DESCRIPTION OF`CONSTRUCTION . PERBER GREEN PAVER 10' 10"' WIDE BREEN .WEIGHT -ALL ELSE '. HAUL,ROUTE NOGALES -AND NAVARRO LEGAL 4t BERMUDAS,TO'52 TO•WASHINGTON ..OUT OF CITY,. IaIMITSrr• DIMENSION OF INSTALLATION OR REMOVAL ,. HAUL DATE `.1-28-91� SIZE OF EXCAVATION, IF NEEDED - ` APPROXIMATE TIME WHEN.WORK WILL BEGIN k _ APPROXIMATE TIME OF COMPLETION_. + ESTIMATED` CONSTRUCTION COST $ (Including removal of all obst'ructi'on, 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 tKi time when work will be started.' Comply with all'applicable City' Ordinances,•the'terms and conditions of the permit..andall applicable rules and regulations ofjthe City of La Quinta'and'to pay for any additional Yeplacement.necessary as the result of this :work. Signature of Applicant or Agent .-TARMAC MASSEY•SAND AND-ROCK'P.O. BBX.14050 PALM•-DESERT,CA'922 =4050 Name of Applicant (please print) Business Address' Telephone`No. + 'Name of Contractor and Job' Foreman Business Address Telephone:No.` ON iFILE r Contractor's License No. ` City Business License No:. ONFILE .. • ...j _ Applicant's Insurance Company ''' Policy Number, `. , FEES: 'Subdivision Improvement Permit- ClasH'lI 1 8AA _ pp 9G+i•• i. -TOTAL S8T�2 SO � �' ,R i g Public improvemenfs:•3% of estimated construction costs Private:improvemenfs:.3% of estimated,construction costs To ` Minor Improvement Permit -Class IV: See attached schedule - Inspection Fee $PERMIT VALIDATION VALIDATION '. 10.. 000 *� 0994 , Permit Fee I�IPERMIT NO. Penalty „DATE APPROVED 1`28'-91', *' Cash Deposit Surety Bond Y f +. < 29-9.1 if required ' /1 10.00 EXPIRATI.ON'DATE {..' TOTAL: $ DATE ISSU D Receipt No. _ Received by Date Administrative Authority a Recorded by TELEPHONE: (619)'564-2246 ” �v4 di �.'.k�e� '�#' 'e'�`s_�.,.s'�. . • '� 0", - .�.�.!D•PC`�.',���iw.w r •i, v .N- 4 �+� r► .i M Sr-IM-W..C•�•/1�--4«E�+/3C'� i9. F� +}':^i!`^�}4 !`�-b lF �V C-�'b �'! /l. sa M►.M-IM1F TTw�.�u R.�M.M �., �.•!'►w.► a l J NOTE: With proper validation r� 2 this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) r 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 -as -91 Subdivision Improvement Permit — Class I II ' DATE: 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 ER GREEN HAUL ROUTE NOGALES AND NAVARRO PAVER 10'10" WIDE BREEN WEIGHT ALL ELSE TO BERMUDAS TO 52 TO WASHINGTON LEGAL OUT OF CITY LIMITS DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE 1-28-91 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. Z_ .t Signature of Applicant or Agent TARMAC.MASSEY SAND AND ROCK P.O. BDX 14050 PALM DESERT CA 922,55-4050 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. ONFILE ON FILE City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 11128-91It CSf f � g6 (Q i(i , ��, Public improvements: 3% of estimated construction costs VV `• Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 10.000 Permit Fee Penalty Cash Deposit -Surety Bond if required 10.00. TOTAL: $ Receipt No. Received by Date Recorded by PERMIT VALIDATION 0994 PERMIT NO. DATE APPROVED 1-28-91 1-29-91 EXPIRATION DATA DATE ISSUED, 1-28-91 By: .r . --�•. Administrative Authority TELEPHONE: (619) 564-2246 TOTE: h1h 01`6061' his form cohstltutes an ncroachment`permit CITY: OF. LA'QUINTA APPLICATION;, FOR; PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 17p 1111 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. III ?ATE:— Minor Improvement Permit Class IV .00ATION OF CONSTRUCTION Street address or Description of Location) 'URPOSE OF CONSTRUCTION *RIPTION OF CONSTRUCTION P DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED .'.Sketch (attach co struction plans /if�'ppropriate) , u �e'- Nom' Y. . %�' ell -f. APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLEI'1QNu / L —91 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 of 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-4conditions 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. S•gnature of Applicant or Agent slame of ApplicantAplease print) Business Address . Telephone No. Vame of Contract r and Job Foreman Business Address Ze7lehone No. Dontractor's License No. .: City Business License No. Appiicanta Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs Private Improvement:; 39'0 of estimated conatructlon costa`°:.` '. No . lr Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee PERMIT NO. Cash Deposit -Surety Bond >; r ? DATE APPROVED if required ,.",,;t;., + ' '. i ' t "- " EXPIRATION DATE TOTAlar 6`DATA ISSUE© Kesel pt No,.* �.a.: • �y AeeAIVaIl by .bate Administrative Authurlt; Recorded by TEhEPHQN; I6191664�246 .l NOTEic, �w s,.' -•;,� 1' With proper validation t a' -' v this form constitutes an; �_ $ �' • CITX, OF LAcQUINTA' �.. }• ' ' S ` encroachment permitl•r' • ° + + M .4.., - ' ` ye, - : _ -•?i APPLICATION FOR PERMIT -. '� +• . _ ' ,.PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) , .. ,For the construction-�of public -or rivate curbs,'driveways,?. ' p ppavements; sidewalks, parking lots, sewers, .water mains t + ` { " and other like public works improvements'in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 'Subdivision Improvement Permit — Class II I' 1+-28-9 i .� DATE: Minor Improvement Permit Class IV T ~ LOCATION OF CONSTRUCTION a a .. _ (Street address or Description of. Location) t -, "',, , Q r •., } • �' PURPOSE OF• CONSTRUCTION "` `; r Sketch (attach construction plans if appropriate)', "'' ' r Y ' DESCRIPTION OF"CONSTRUCTION- BARBER' GREEN 4 PAVER 10'.10"WIDE GREEN WEIGHT ALL ELSE •HAUL ROUTE' NOGALES AND NAVARRO +TO• O: 'BERMUDAS'T52 .TO WASHINGTON"." - a, =LEGAL` OUT. -OF CITY•. LIMITS }� i, DIMENSION OF INSTALLATION OR REMOVAL,' �. HAUL DATE 1•-29-91 t SIZE OF EXCAVATION, IF.NEEDED — _s rt APPROXIMATE TIME WHEN WORK W(LUBEGIN F APPROXIMATE TIME OF COMPLETION ^ . ! E r CONSTRUCTION COST $ • _ESTIMATED t w (Including removal of all obstruction, materials, and debris, backfilling, com— paction and placing; permanent resurfacing and/or, replacing improvements) •� j'' 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 v - rpenalties, 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 resultofany work undertaken under the permit grented 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 for any additional replacement necessary as the result o this works �' -� . • •. _to_pay - ,_ a` - eta' r _r �w:- j c 1-•. r � - • ' Signature of Applicant or Agent' . TARMAC MASSEY" SAND: AND 'ROCK P .O. BOX. 14'050 .PALM DESERT~CA 922 —4050 Name of Applicant .(please print) ` ' •- ;;� - Business Address Telephone No.' ' -- j. Name of Contractor and'Job Foreman Business Address ;' ', - ^'! Telephone No. _ " ' - ON FILE '� 'ON FILE, r Contractor's License No., ' „ , % City Business License No. r' ' - j. ONFILE t �.. ol Applicant's Insurance Company, a Policy Number. ,. r ' ii FEES: -Subdivision Improvement Permit —'Class III , 'f�g518?OA� 916Q�4=218:-91 , SO.OUB, • Public improvements: 3% of estimated construction costs 4-r ;.. "Private improvements: 3% of estimated construction costsAll r - •;., ', Minor Improvement Permit — Class IV: See attached schedule . - - '' `"' • , ,- ' ` �Inspection Fee, -• $ , s .,PERMIT VALIDATION � ,+ - t 10:000, Permit Fee, r. • ' 0994 "�'• s. PERMIT NO. Penalty' - •• , '<. ., t : b DATE APPROVED 1-28=91. > r Cash Deposit•Surety Bond - -f 29—,91 ' if required EXPIR N DATE ' i7 `'.. TOTAL: ^ $ -10.00' - 3 y - r y �D TEI $ — — Receipt No.. By ' .. '-• Received by Date ' Administrative'Authority r a . Recorded by TELEPHONEct(619) 564.2246 s