1011f �t
NOTE:
With proper validation
this form constitutes,an
encroachment permit CITY, OF LA QUINTA
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
Februrary 12, 1991 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION at jrinder Sketch (attach construction plans if appropriate)
101wide, green weight, 411 else legal
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
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:
Haul Routes 52nd at Jefferson
to Durango to Eisenhower and
south to Nogales, west to
vellejo
Maul dates 2/13/91
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.
Tina Gracey
Signature of Applicant or Agent
Tarmacs/Massey Sana and Rock PO Box 14050 Palm Uesest, CA
Name of Applicant (please print) Business Address Telephone No.
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 $
Permit Fee paid permit 1002
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
PERMIT NO
PERMIT VALIDATION
1011
DATE APPROVED 2/12/91
EXPIRATION DATE 2/13/91
2/12/91
DATE ISSUED
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
R
CITY OF LA QUINTA
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 III
DATE: Februrary 12, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOS OF CQNSTRUCTION cat grinder Sketch (attach construction plans if appropriate)
O'wide, green weight, &11 else legal
DESCRIPTION OF CONSTRUCTION Haul. Route: 52nd at Jefferson
to Durango to Eisenhower and
south to Nogales, west to
DIMENSION OF INSTALLATION OR REMOVAL Velle jo
Haul date: 2/13/91
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.
Tina Gracey
Signature of Applicant or Agent
Tarmac/Massey Sand and Rock PO Box 14050 Palm Deseet, CR
*' Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file
Contractor's License No. City Business License No.
on f ile
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
paid permit 1002
Penalty
Cash Deposit -Surety Bond
if required
. r.
TOTAL: $ '
Receipt No.
Received by Date
Recorded by }
1011
PERMIT NO. 1011
DATE APPROVED 2/12/91
EXPIRATION DATE 2/13/91
2/12/91
DATE ISSUED
4
By
Administrative Authority
w.1 a,.
TELEPHONE: (619) 564-2246
Q t P3.O.Q11
Box 1504 i 3
ti- 78-105.,Calle.'Estado
U_ La• Quinta, CA .92253. '
s
•. 619-564-2246bKORKMATM
R
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OF
FACSIMILE TRANSMITTAL
FAX ',NUMBER :Z -750 `; :" •'F; ,
` FROM : • IV
i' FAX NUMBER: , 619-'564-.561.7'
OPERATOR:
TOTAL NUMBER OF PAGES. °� ;t r ►
F Af (.Including cover sheet) , • ' .£ ''
'. DATE, -SENT: CJf� kr^ +.•jt
TIME SENT:,5
• ADDITIONAL COMMENTS
41,
FAXFORM/CS
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- -- ----------------- - -- - -- - --------------------_--------
NOTE:
With proper validationR y
`}
this form constitutes an ` r
CITY OF LA QUINTA
encroachment permit
APPLICATION: FOR 'PERMIT; Fg
_PUBLICC WORKS, CONSTRUCTION,. (ENCROACHMENT)' r ,�
For the construction, of; public nor 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 r
�'
+
•° Februrary 12;''1991 - � x
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION moveequipment
r _ ` • •, ,.
.�� � - 'w. .fir .n '' � .
' r
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Cat .grinder .- . Sketch (attach construction plans if appropriate)
f
10'wide, green weight, all else legal
DESCRIPTION OF CONSTRUCTION --Haul' Route:'. 52nd -'at Jefferson'
to Durango..to Eisenhower and
south. -to Nogales, west. to
` a
DIMENSION OF INSTALLATION OR REMOVAL Vallejo
Haul date: 2/13/91•'o�"r.a,.
SIZE OF EXCAVATION, IF NEEDED
t-
'
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION r
ESTIMATED CONSTRUCTION COST$
_ " �
(including removal of all obstruction, materials, and debris, backfilling ,;com-
paction and placing permanent resurfacing and/or replacing' improvements) '
f '
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
• .a
;fa *'penalties,'liabilities or loss resulting .fromclaims 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. - -
__v.
Notify the Administrative Authority, atrleast twenty-four 124), hours in advance of the time when work will`,be started.. -
+•r
- 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:
`.Tina Gracey. r -
'
Signature'of Applicant or Agent
`
, .O'YBOx 14050 Palm Desert,:'CA
zi.Tarmac/Massey. sand "and;Rock ` P
' - *
Name of Applicant (please print) . Business.Address Telephone No.
n� •
Name of Contractor and Job Foreman , £ Business Address N . -, Telephone No.
'^
'ry .�♦
r on file, 4- ,
` on file
i
Contractor's License No.' City Business License No. `
on file
Applicant's Insurance Company ,.Y "Policy Number
FEES:Subdivision Improvement Permit — Class I II
Public improvements: 3% of estimated construction costs r
^_
r Private improvements: 3% of estimated construction costs,
• r W ,-� ti,
Minor Improvement Permit — Class IV: See attached schedule
J
Inspection Fee $r 5 PERMIT' VALIDATION 1 r+
Permit Fee Raid permit 1002
1031
_
• r PERMIT NO.'
!.
Penalty _
DATE APPROVED 2/12/91'
'
Cash Deposit -Surety -Bond
'> •*'
if required "+ ' 2/13:/91
' EXPIRATION DATE
TOTAL: $ 2/12/91
DATE ISSUED
y .
Receipt No. t .
By
Received by r Date Administrative Authority
'Recorded by TELEPHONE: (619) 564.2246 '
4.P.O. Sox 1 04
'78-105' Calle Eatado
La Quinta,' CA 92253
• 619-564-2246
tom' S
C)I �'�� _ •FACS2M2LE TRANSiM2 TIAL • ♦• r
FAX N'UMSER
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FAX NUMHERa 619-564-5617 !•� +
OPERATOR:
-
' TOTAL NLJMHER 'QV PAfiES s '
(X n0muding Cov®r sliest•) t'c
DATE SENT s
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' T2.ME SENT:.
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FAXFORM/CS
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THIS DOCUMENT '(REDU.CED SAMPLE -.ABOVE)
WAS SENT i
COUNT '
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NO REMOTE STATION I.D. START TIME DURATION #PAGES COMMENT s
1 6193427504 2-12-91 3:37PM 1'33" 2 " _ "
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with orowwliitfir"aw
5 '� rl ' ; tntrwdtrns�rrt f CITY.,OF LA QUINTA tA.
' - APPLICATION FOR PERMIT t
4 •,'. +'' s s .,`:" PUBLIC' WORKS CONSTRUCTION • (ENCROACHMENT) r ,
•'` f t. -. Far the Gonsaructlon'ot public or privets Curbs, driveways, pavements, aidewalke,"parking matt, sawers,wistier ht*&.".
• v and otnir Iikia' publlo wanes IM peovemerm In connection with MINOR IMPROVEMENTS grid APPROVED SURDIVI>3 OM
r '
17
•t. " f, Subdivision m
• c :> art I provamertt Pannit - Clan III
Minor lfnprovtma Peht jj Clava IV
LOCATION OF CONSTRUCY'fON
1$peft eddrea ar OYtsY►leOn of Loma")` rt
PURPOSE OF CONSTRUCrOFI t ' Sketch lattecih inn
atructloh plant It
DE AtPTIpN F CONSTRUCTIAN y A A41 .Of ✓ c �1
+xt
•- " a '_ DIMENSION OF INSTALLAT ON OR R- OVAL
..'' t • •• � -1 .� s , "•' � �4�-���-'!✓ (Vis
r SIZE OF EXCAVATION, IF NEEDED
R� U.APPROXIMATE TIME WHEN WORK WILL BEGIN •:�
APPROXIMATE TIME OF COMPLETION
x ' `
ESTIMATED CONSTRUCTION COST S �' - -• / ^i'
•Ilncludirig rsmovsi of all obstruction, titatarials, and debris, bAdtfilling, carn. ������/
DacuOn ahtlladn -
.P 4 Permatharoc resurfacing an l" replacing imorovememss) f
= E_ ;' -* _ In ctirtanderathon of the granting Of .this permit, the appliant hereby agrees to:
4 * • IRoommty, Ce9tnd arka sena the City, nt ave+onaed a"mi, effleary. roptwmatrvr and amployne, harms from antl egeatee carr oast 40
•• • : Oan0we"'hahillliea nr lop rewitinq from clams ar coup action ano song out, at any accident, moa or dan,opa to pMtprti a• 10teparay 7 .
- nanoeiilnp ar otzurrtlq At t Waaiarrq result of ehv work urhaataken under the permit grenhad outwent to this oppticauoq!
r' Notify the Ad '1mnrnaq Auetairy, et lain tweri four 1141 noun in
e.'r . • - tY• adVarhee M the tlnle whin wank Wilt to teamed,
j - 0141 vrrth all bophhesbla City fyndinartoaa, too term and Conditions of the pervert and oil eppiic"" rums and mwationg of the city of
` 6a La t7uinta and to far any aeifft', i nioaoanent nacom" o efts +awN of M wwk;
krtors of ppliq r A
0/0�
• ,. y. Name or Aopucant 1 ase arms
t - 8usln013 Addrast Teloprione N �y
Name of Contractor and Job'F roman 9uatnass Address
` ' r .c Tal Phono ,
• ' t"^,,. Contractor's L,eense No, '
+ + City flushness Llanse o,
r ' Aoplt�tt•s Insursnta Com y
R _ Policy Nu
moer z
FEES: Subdivision ImcrOwrnaht Permit -Cissa 1114 ,1. t
t :Public imProvartiertti; 396 of enimatad const'urtfon cot
• d Private improvements: 3% of esilm' Ated construction costs
Minor Imorovemant Permit — Clan IV: Sea letteched Icheduls lr ,
•Insoaatigh per • $ + •�, ` -
PERMIT VALIDATION
- Qer"T Fee r
S r"r'x Pehalhy ti :r ° 4 �ERMIT.','O.
'Cath OeAosht•Suraty Bvrid q GATE APPROVED
if Fidutred
EXPIRATION DATE ~
'TOTAL:
< DATE ISSUED ` t
{ A4010% Nq. t ,
rfiset
Ivetl by '.. ' Clots' By = s.
R rded by Adminihtmmm Audtdl'ity
__..TELtHONL- 161014444240