1027NOTE:
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
DATE
3-11-91
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 966 LOADER
15• HIGH 10" WIDE GREEN WMIGHT
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE 52
AT EASTERN LIMETS TO EISENHOWER 01
TO NOGALES AND VALLEJO
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 pe'rmanent resurfacing and/or replacing improvements)
4
In consideration of the granting of this permit, the applicant hereby agrees to:
DATE 3-11-91 OR 3-12-91
(ONE DAY ONLY)
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
TARMAC MASSEY SAND AND DROCK P.O. BOX 14050 PALM D19SEIIT CA 92255
Name of Applicant (please print) Business Address Telephone No.
r
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 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required 00
TOTAL: $
Receipt No.
Received by Date
Recorded by
1 027
PERMIT VALIDATION
1027
PERMIT NO.
DATE APPROVED 93-11-91
EXPIRATION DATE 3-11-91 Or 2-12-91
D d TE ISSUED
By
Adm vistrative Authority
TELEPHONE: (619) 564�26
i .
T � ��
_ ,.
�.
J. -
A_
4:
NOTE:
With proper validation
i this form constitutes an
.;',"I;crry OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
•
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)'
OF
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
4:
Subdivision linprovement Permit'—,Class III_
3-11-91
DATE- Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
q
PURP?SE-OF CONSTRUCTION 66 LOADER. Sketch (attach construction plans if appropriate)
50 HIGH 10111,WIDE GREEN WM0 I G HT- 7—
DESCRIPTION OF CONSTRUCTION HAUL ROUTE .52IiT EASTERN LIMETS TO'EISENH'OWER 09
.TO .NOGALES AND VALLEJO
DIMENSION OF INSTALLATION OR REMOVAL DATE: . 3 . =11-91 OR 3-12-91
(ONE DAY ONLY)
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-
S
paction and placing permanent resurfacing and/or replacing improvements)
In consideration, of 'the granting of this permit, the apl5ilicant -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'io persons, -or property
happening or occurring as a proximate result of any work undertaken under the permit -granted pursuant to this application.
f, 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 ancl.to.pay 'for any additional replacement necessary as'the result of this work.
Signature of Applicant or Agent
TARMAC MASSEY SAND AND DROCK" P.O. BOX' 14050 •PALM DWSERT'CX92255
Name of'Applicant (please print) Business Addrp'ss Telephone .4o.
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 1: 02 7
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION,
102-7
Permit Fee
PERMIT NO.
Penalty 92-11-91'
Cash Deposit -Su rety. Bond DATE . APPROVED
3-11-91 Or 3-12-91
if.required i e EXPIRATION DATE
TOTAL:
1-91
-$ �Ixsl IF n,
DI�T
Receipt No.
BV
Received by Date A nAuthority
thority
y
Recorded by TELEPHONE: 619) 564-.2246-", -
---.•'';}. .. .• _- � :•t, t}. ♦aF A_ ...: __--4.
With Proper v011datlon ' ' i t'r`• 4L
• •' thl. form
I .7 ,'1,`t• M1 mmo.l9em. �permlt C(TV OF, LA CUINTA
t APPLICATION FOR PERMIT
••'A. r '• 'PUBLIC WOIi1CH CONBTRuOTiON (lMNCROAOMMENT) i ,Ina
I . .
For the mnatruotltan of,Publlo or Priv—ourb.. `drive ;. wwment•,`.fdew.lka, pt
.rking lo., •ewe/.,,,water m.IM
• i .�',�.; and other ..Me publlo works Improvements lin o nnectlen with MINOR I MPPlQVGMHNTB.nd APPROVHO EUE bIV 1810N■
+_�',• .r t t ' �OAT9.3-1-'91 • bdWl'UMinor
m I71.wmemnt nPoP.1-ft- COI,..YN II V 1t
-
1 LOCATION OP CONSTRUCTION -
i•�t • .r. 1 ,i • laereet edtlr•N er Oeserlptlon pf Lemelonl ,! _. ,S ,' 1 1 t F , . , S
PU RP Op pWST T - sR 07�D8'R - eketoh (attach Conotrudtlon Ple n. If opProptlaita) '
,`�'f• „ OBBCRIPTION OP CON8TRUCTION SiAVL� ROIITffi 32+ -
AT MA8(iT$RN LZb12T19 Q•O ffi243E1NF10VMlk -
' ,t � • -�. • TO NOALEB VALLEJO F•
�•'' • f ' ,y OIM@NSION OP INSTALLATION OR REMOVAL DATE 3-11-91 't AND OR' `3-12-91
• 87YH OP BXGAVATION. IP N6E0130 - •r (ONffi •DAY ONLY)
v _ •'• j♦� APPROXIMATE TIME WHEN WORK WILL-EEOIN. - fp.3 • .t'R- - ra' _
`S
APPROXIMATE TIME OF COMPLETION " '•/" n / v ,
EETIMATENTR
O OgOUCTION COST 8
(thcii dwng r— .4 of .11 oo•truetlpn„m.[orlcl., .nd'debrl•,-b•okTlllln0, mm. �' •(', r _. - .
P.otf.. .-I plecing Permanent re•urfeelne —cilPr replacing Imprearom�nte) - - . • -
F In een.ldaf.tlen of Yhe, g—tlna of MI• Pormlt, the opperc— heroOV car... to:1
• . t Ind••nnlN,•tlefand end N the GItV, 1[e .u<heN••e a to eff1l•+.. /•ProNnbalwe end emPloyef. n•r...l•.p tram end Ne1M •nV .ntl gal 1
• . ,+S t ^enel[I•e, II•blllrlee o Neul<Inv Trem claim. a ra •Delon .ne erl.lnp oY[ OT •nV .oeltlenf.-ION.er tlelwa.i to e•r.e•r• er .wPlr[t•
• � PNninv a nOl�e Prerlm•t• re.ult-O el•t• -k untl.rf•M•n,under t . Pormlt .tentel p [hie .PPllstlen. ' -
' '• • 'F� Not1TV < • Atlminl.[reelw AutherltV 10A.1 twentV•feur (ac) h • In 60Ve o th• elm• when .rhnwlll oa
0a 1V t eendd.1mntl ell .pPllo•bl• r •nal ••vul.nbl•e e1 the Gley e . +
• ti V Q41ntaend te P•V'/e/ •nV .ddl[•enel r.oleoetnentn MetMN .. ens r t .1 MI. WO[M.,. • ulM. ,),i -- r ^ [ '
e a ®Igns[ure of .t ,F -. ♦.a
,•( r, T •4; •t•AR116AG MABBY +APPllwnt or Anent
✓SAND AND ROCX 8.0. SOX'140.SO nALM•DSBSRT CA 92233•
• 'Nom. of ^ppli— (PH7Na. prinel -' - 0u•Ine•• AtldMY. r - TelOPltpr•o No. -
,N.mc of Cpntr.btor .no Job Poremen' r• 'Susineu AtldreN . t y a,Tetephon. No. RI•' ' -
.. r Cont/.otor•. Li.-. No. .• - S CItV Bu.tn.N Lloenq No.
.._ r
Applr... t'. In.0 r.ner CPnep..,r - - Poll.Y Number
- - PEgEI BubtllvlelPn ImProvoment P.rmlt - O1... 11!
Publle 1r"p //�� "r '
' +-« ve h. •2196 of ..drh aO con etruetlon go.te
3% of eon , 1.027
2•-S I
•_ •"'f • t PrIV•t• Im P•'OVementel e.tlm.t.d etral PtiPn eo•te ~ ♦ • ' ? 4•f
f' Minor-/rfl Prpvement Permlc'- CI.N I V,. E.. att.=he s.eh.dule - - •. } -
l•f '' Inepemlon Pea , i (_ 8
10-00 ” • T• �� ,'�.' i • PERMIT VYLIOATION - •• ` S
Permh Pea l PERMIT NO. _ 1027
!_ •. ".. .: ..
• ''.Caen O.Do•t t-0.,rbev ®Pnd + GATE APPROVED
3-11-91 i
• _ elf required EXPIRATION OATH 3-11=91- oz' 3-12+91 -
,. - . „ TOTAL• ij8 _ ' O 81 ED X91' "T" s -
., 1 ♦Retl.Ived by 0... t i A• w AutherlcY
• ♦Reeoeded by _ T6LEPMONEt IEt91 E94-4
• R(_ _ Ia . 1 + [ � ' �[�.:1~~ `S.' 4 ♦ r " r ` 1 � t c�,r' s �'i. ',r .
Y TRANSM I S'S IDN REPORT'" f '
• 'S � •4. 1 . f t. ' • V }
THIS (DOC
WAS �UMENT*, .(REDUCE,U `SAMPLE' ABOVE), ,• A tr,
�s •�•. •�:�:. :S ENT'
� � �r �• •' - . ; � ' 1, ; ; ....a ° ., � �.. �.� l •,:y .. ^ +Y
_ Y •t` { a # 1 l _ •1
l v • f•,f ''�� �� .� • [ �,. a - •i .141-+ }-f ^ f'. ,.. �, L'•
TOTAL • ` 0:01
-XEROX TELECOPIER
7020'""
�•-START TIME
+;DURATION'
•' '` COMMENT s'.
NO
REMOTE STATION ,I.'D.
.a
,
,#PAGES'
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1
- 6193427504
3=1.1-91 ' 11 :44AM,
1 ' 01 ""=
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,
xl
♦{.'
t*,+�
1
TOTAL • ` 0:01
-XEROX TELECOPIER
7020'""
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NOTE: *.` ;�
proper validation
M '
,With
this form constitutes an CITY OF LA QUINTA
encroachment permit -3
'APPLICATION :FOR. PERMIT
.. : PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) �` w
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
•
D Subdivision Improvement Permit — Class II I s
t
*3-11-91"k Minor Improvement Permit Class IV
DATE:
' f
LOCATION OF CONSTRUCTION
(Street address or Description of Location) t.. - " - ,_ .� ;.,r -,. • -
_� t " �• . + '
' .F
LOADER ,
PURPOSE OF CONSTRUCTION Sketch' (attach construction plans if appropriate)
,
15 HIGH 10 WIDE GREEN V.11SI HT
• � n
yli •..
- - - HAUL ROUTE. 52
DESCRIPTION OF CONSTRUCTION +'
X r
AT EASTERN' LIMITS. TO EISENHOWER •
I'
' • TO NOGALES AND ' VALLEJO
-+ rv
;
µ ~
DIMENSION OF INSTALLATION OR REMOVAL ' y DAT 3-11— 1
E` 9 OR'3-12-91
art
+
(ONE .DAY. ONLY) _41
SIZE OF EXCAVATION, IF NEEDED'"
"
' • 1�=a`*" �s.`.
APPROXIMATE TIME WHEN WORK WILL BEGIN
•+ r
it ^'
'APPROXIMATE TIME OF COMPLETION
t
EST IMATED CONSTRUCTION COST.$
(Including removal of all. obstruction, materials, and debris, backfilling, ccm- f
ti.
t_
paction and placing permanent resurfacing and/or replacing improvements) ^
^ '��- +i; `''
•' In consideration of the granting bQhis permit, the applicant hereby agrees to:
• i'4`+.i - �. Y. �'
z_ `' Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
' t r
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or, property•;,
I happening or occurring as a'proxilate result of any work undertaken under the permit granted. pursuant to this application:
• s• < )
'
w "Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
t
• ',`,,1_ ,� W` ' •
r r
Comply with, all applicable City Ordinances; the terms and conditions of the permit and all applicable rules and regulation of the City of •, f
- r
La Quints and to pay for any additional replacement necessary as the result of this work.•
t Signature of Applicant or Agent
TARMAC MASSEY`SAND AND...ROCK P.O., BOX 14050 'PALM DESERT CA 92255
Name of Applicant (please print) , ' Business Address r Telephone No. .
4A
Name of Contractor and 'Job Foreman Business Address : Telephone No.
ON FILE t" '* -,,ON FILE _
Contractor's License No. y City Business License No.
ON FILE
-Applicant's Insurance Company A . Policy Number
`
FEES: ,Subdivision Improvement Permit — Class III
i. Public improvements: 3% of estimated construction costs
i
Privati improvements: 3% of estimated, construction costs 027.
' . •' ; �'�
Minor Improvement Permit - Class IV: See attached schedule `
•Inspection Fee $ PERMIT VALIDATION F �' • :, 4`
+ 10.00 1027 r.
Permit Fee
t• PERMIT NO.
rte• '.
Penalty.,' s= 3-11-91
-
Cash Deposit -Surety Bond' DATE APPROVED' '
`,'
ti, •-
if required g I 3-11=91 or 3-12-91
EXPIRATION DATE
TOTAL:- $ s D E�D/l 1{
Receipt No.
ti
By
;t.
Received by Date Adm is .. Authority ,
„ r..
Recorded by ' TELEPHONE: (619) 564-22 6 - �'
MAR— 11 "ION to,:
M A!S
a WMMI
NOTC
40 With
row valwattiort
thlsforntcofhstittrtpan CITY OF LA QU I NTA
emen01c1ment offnirt
Arrmw%ii iviv rwn rrmmi i
' Y
PUBLIC WORKS CONSTRUMON (ENCROACHMENT)
V
For the Construction Of Public of prristh turret. driyewatet, pavamenu, sidwalka, parking tau, sevoon wa'twrr1I*w:.
and other R6 ouWc works jrnprmtrrw= In cznnecuan with MINOR IMPACVEMENTS and APPROVED SUBDIVISIM
Subdivision Impravernertz permit Class
DATE: Minor Imwevertram ptmk Cho IV
LOCATION OF CONSTRUCTION
'01
(SUW warew or cat"b" of Lambft)
PURPOSE OF CONMUCTION Sketch (armCh CWTVUction titins if aporqjprwftl
Of CO flu
=0
113
C&ENSION OF INSTALLATION Oft REMOVAL
SIZE OF EXCAVATION. IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMMON
ESTIMATED CONSTRUCTION COST S
(IneJuding removal of Ili obstr=iart, triner;41s, and Oebm, ba,*filling, 4ar".
ps=on and placing permanent resurfacing andlat replacing imProve"aml
In tortuderAtion of the granting of this permit the goolicant hereby SOTM to:
authoratid 9"wit, off icirm. ritatirwouirv" and wivi"it", Nmea front and b"em wpp cited all
Indamettv, defend am woo " City. to
peftitim. 6411411" or IQU requiting train 401i4m or asunt satan am inatin out of eery wtisdol. Wn or dawasge to osrow or plaisawly
haca"Ing or isamrnrii; as 4 pirtaxweiars ftwit of any wooft wbatitruts" under the PM n I 9nimpo purliMft to tMA OMMMF4,
Notify the AdMpftmv*" Auisiorypii at w4st f"nfy4o" j241 %cunt in wrovas of this tww whir" vtows VM bs nwv"L
comaly WAIM sit awCg04 City orok—we. ft trim and canditkwis at thit oft"FT " $11 awkvwo rwwa arld momaboft af the City of
to Cuing tim to ow far " oodrtkrw ritaisawriaw ovawwv an 010 ff"t f miq iii,
signarfact opwarit ar Agent �b j
Name of Acaticardiobew artntl Business Address
Name at Contractor and Jcp is roman Business Address Tele
FaZraciaf s LxAmt 14a. City Business License No.
zo—pitc-An—Vt I—Mur'Ince Cath y Policy Numoer
FEES, SUbdiiiilian IMW*vwn%M Permet CU11 III
Public horeivitinsm 1, 3% of tswriiated comny=laft hosts
Private imptovermitnts: 3% of tamattd coftza=om costs
Minot ImaTaveent Permit — Cju IV- Sao sitUct" schedule N9
Improvement
insoetiton Fee S PERMIT VALIDATION
Is
potrn't Fee
ERMITN'O.
Cash 090*511-SuretY Sand
CATE APPROVED
reautred
EXPIRATION OATS
TOTAL: -
-DATE ISSUED'
R6011iPt No.
Y
Yltese(ved by Dau_
Al