1030j .:.tn y tM.]; r;L � a.. ,. 4 f e . Y..V,.. � - . ,i .. 1-r. v..•, y.. -.. .. .. '..e r. yy.• � � , � .w"S' i y -w., i...- .. �J(...
NOTE:
i 0
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 -
s . Subdivision Improvement Permit — Class III
DATE: 3-13-91 . ' Minor Improvement Permit Class IV
"LOCATION OF CONSTRUCTION 4 '°
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate).
• DESCRIPTION OF CONSTRUCTION BCM GPJ2MER HAUL ROUTE:
_9! 6'.' WIDE 14HI GREEN WEIGHT. VALLEJO—UNOGALES .:
TO EISENHOWER m0 52 TO WASHINGTON .i „.
DIMENSION OF. INSTALLATION OR REMOVAL ? TO HWY 111 r I
HAUL .DATE •3-15-91
' SIZE OF -EXCAVATION, IF NEEDED B8'E%WR MM DA'L'E THE 'NEST'DAY 1
3-15-91 ..
APPROXIMATE TIME WHEN WORK WILL BEGIN
'APPROXIMATE, TIME OF COMPLETION
;''ESTI MATED` CONSTRUCTION COST $
(Including removal ofall obstruction,'materials,.and debris, backfilling, com-
paction
om paction an&placing permanent resurfacing and/or replacing improvements)
Inconsideration of the granting of this permit, the ,applicant hereby agrees to:
Indemnify; defend and save the City, its authorized agents, off icers,,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 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 ROCK-P.O. BOX A4050 PAIEM DESERT, CA +
Name hof Applicant (please print) �. Business Address Telephone No:
Name of Contractor and Job Foreman Business Address Telephone No. "3
ON FILE'` CST FITS'
Contractor's License No. City Business License No.
CN
r ,Applicant's•Insdrance Company Policy Number
FEES. 'i Subdivision Improvement Permit - Class I I I .
Public -improvements: 3% of estimated construction costsa _ _
P'rivate`improvements: 3% of estimated con'stru'ction costs �: `
Minor Improvement Permit — Class IV:,See attached schedule
InspectionFee $ r PERMIT VALIDATION
20.00 z' x..
Permit Fee 1030
PERMIT.NO.
Penalty 1-13-91
Cash Deposit -Surety Bond DATE APPROVED
if„required' �3-15-91
EX IRATION AT
TOTAL:: $ 20.00' (. / • 3-13-91 x
DATE ISb�U '
` Receipt No.
Received by ` Dat,e*l Administrative'Authority
Recorded by _ TELEPHONE: (619) 564-2246
t}.•-.�s.y-� xi'�:a�..1 s� ..,,.�.�.-..+i„r",.4y'��'�..� C, �s �'r .`�y�i ['u�� +.: S,wF ,�. ti{..��, ..^,rnr �i {+�4: ,.t�.'t�" 1''j�=�.1 ".i. �'., i. .�.- -�. . , � i��d..~'v��.r-'-,+^i'.....,..`'i`'.�,w.i�.ih
^�
i
r
i. >
1
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
DATE: 3-13-91
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION BOMAZ GRPTER
9'6" WIDE 14HI GREW WEIGHT
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)
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE:
VALTZJO-n11OGALES
TO EISENHOWER WO 52 TO WASHING'iCN
TO HWY 111
HAUL DATE 3-15-91
HAUL DATE THE NESM DAY'
3-15-91
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
TAiM�C MASSSEY SAND AND ROCK P.O. BOX 14050 PAHM DEQ CA
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.
M7 FTT.F'
City Business License No.
(W FTC F
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
Y Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee 20.00
Penalty
Cash Deposit -Surety Bond
if. required
TOTAL: $ 20.00
Receipt No.
Received by Date
Recorded by
1030 �
PERMIT VALIDATION
PERMIT NO. 1030
DATE APPROVED 3-13-91
-�� 3-15-91
EXPIRATION ®ATEA''
3-13-91
DATE ISSZU D
By _
Administrative Authority
0 !S,*TELEPHONE: (619) 564-2246
,, ,.
; NOTE:
y With proper validation L
f.
4 this form'constitutes an t a t
permit `• � � CITY.OF LA QUINTA
� ., :• � ,
' ±«
encroachment ^. - _ p
:APPLICATION' FOR: PERMIT
�
PUBLIC WORKS CONSTRUCTION +(ENCROACHMENT)c
. _
w �` ., y.v
.r • - _ - 'f,`. Oil
' �y' f? - _ !'
��
+."*y.
,For the constructionof public' or'Fprivate ;curbs, driveways, pavements, sidewalks, parking lots, sewers,^water mains
• ,__`
�`,r (> �;' and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS , t
'
1 ry ' ' . `'' e • ,', 'Subdivision Improvement Permit —Class II
' c
3-13-91 T"
DATE: ,' Minor Improvement Permit Class IV
%,LOCATION OF.CONSTRUCTION '
;y
„(Street address or Description of Location)-
'
PURPOSE OF CONSTRUCTION �' Sketch (attach construction plans if appropriate)
s.
DESCRIPTION OF CONSTRUCTION BOMAZ GRINDER HAUL ROUTE:
41 9' 6": WIDE 14HI GREEE VV WEIGHT SVA=0 NOGALES'
;TO'EISENHOWER.TO.52 TO WASHINGTON
,DIMENSION OF INSTALLATION OR REMOVAL` TO. HWY 111 ' r
HAUL DATE 3-15-91
"SIZE OF EXCAVATION, IF NEEDED' ' `; REIYTRN HA� DATE THE NEXT DAY
-� 3-15-91
APPROXIMATE TIME WHEN.WORK WILL BEGIN
+
!. APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ "fir yam,
(Including removal of all obstruction, materials, and debris, backfilling, com- ( '
:t ra
'paction and placing permanent resurfacing and/or, replacing improvements)
T' {
In, consideration of the granting of,this permit, the applicant hereby agrees to: r .
•.+ -
Indemnify,�defend and save the City, its authorized-agents, officers, representatives and employees, harmless.from and against any and all -~ ••-t„
penalties, liabilities or loss resulting from claims of court action andarisingout of any-'accident, "loss or damage to persons or property
t 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 (24hhourstin advance"of the time when work will be started. -
^ ' •
'Comply �with'all applicable City Ordinances, the terms and conditions of and all applicable City
r,-
,� .the permit rules and regulations of the of
La Quinta and to pay for any additional replacement necessary as the result of this ,work.. r
^ < Signature of Applicant or Agentf"
r
' TARMAC MASSEY SAND AND ROCK',P.O. BOX'14050•PAIM DESERT'CA ,
Name•of Applicant (please print) ;�' Business Address . Telephone No.
Name of Contractor and Job Foreman ,• Business Address - Telephone No." ; -k .
CN 47 ICU P=N
Contractor's License No. City Business License No.
� :1
• �
•-
f � -
'(
.. '�.
r TAT FIT.l'- 1. ♦ s .
'
Applicant's Insurance Company Policy Number '
'-FEES; , Subdivision Improvement Permit -'Class III:'`
f
i . Public improvements: 3% of estimated construction costs r.
.1:030•
r.
Private improvements: 3% of estimated construction. costs
•- Minor Improvement Permit =C lass IV: See attached schedule
• Inspection Fee t k PERMIT '
-$
a - 20.00' i" 4 ,.
•Permit Feer
VALIDATION•
. • �: -f ,
1030
•
PERMIT N0.
k
r .Penalty 1, r.
Penalty
DATE APPROVED 3-13-91
p Cash Deposit-Surety
+
` r.^
if required '
3-15-91
(RATION AT
I TOTAL: $ 20.00
"1 y3-13'91��
No. y. r
• TtIF
Receipt
f
:•.
_
Received by Date "*
Administrative Authority
Recordedby
y .TELEPHONE:"(619)5642246,
. c
f
Mf
I
-.thh form Const4VM on -
permit
Ul i T UP LA ULIINTA
"APPLICATION FOR PERMIT
PUSUC W.ORKS. C , ONSTRUCTION (ENCROACHMENT)
For the conamc!uon of putaik or private curt$, driveways, Pavements. sidewalks, parking lots, stivn". Witsiat-miiria;
and other like Public wob*3 impro"trierra flNeonnc=i3n with MINOR IMPROVEMENTS and APPROVED SUBDIVISI"
Subdivition Improvierrions: Perm.n CU III
DATE Mlncw Irriomywrmn Permit C40 IV
LOCATION OF CONMUCnON
(Staff 011eirs011 Or Ca0VIO111010 Of WXXbOnI
PURPOSE OF CONSTRUCTION 7— Skatdi (atuch ewsaruction plan$ if
nF-SL21P,TION 9F WRU= .10, lid- 01
op L4
U
OtMENSION OF INSTALLATION OR READVAL
SIZE OF EXCAVATION, IF NCCOEO
APPROXIMATE TIME WEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTAUC-noN COST'S
(including reft'
Viral of III obwruedon, inatso als, and debris, badcfillinqj com•
paccon and 01&4ng lxmmnant rfturfawn and/or rtsitaicing
In Consideration of the gritniing of this permit, the tootimm; hereon agrw
Indamfulv, offend " z" the city, ns sumorizod Witco dtf-cm. regrswnmarsa and W"OlOve", flarmle" from 11110 11011+"4" and an
OrNuill", liatIffiti" or 400 19,W111roe Irm ou" or taiin action " tirising M of 44Y wtwq, ion Or Ounage to OfrtaM W straptany
hapoetistv ar ocWMnq a a OMXNMM omn of ariv V490k unow"Tuton URW Vis 1119111 it on -Moo pkjmwt to mt, *004tv"804
NOWY the Adminarinm" Auvmnw at tairst w4anvy-MUt 124) hOVM In SGIVIA00 Of the tune notion Vold mil be nepud,
COMIXY YA%" 411 SlWio" C$11V Ordin~. M rmns st4 condirtiord of the DW"ft and 40 til kimble Met am MpAotwsl of Me Ctv of
U Cult'% 11110 to W for MY kWdtnd fin"binvitif nw**WV as Trio rratill *?)fill ward
of A pl.cant or Agent
Name or Atipitcant Ipjase Drint) Business Address Tait No.
K",
Name Contramot
a.
-hI
of No J b For strisn Susinem
Address Telephone, No
Cantraeor's L No
atv Business rist No.
7ems
Iniurance C4mmy
Policy Numt*r
t.-
FEES: Subdivision Intwomrnerit Permit -Class III
Public Improvements. 3% of "tirrieted construcliorl cam
Private 3% of emmaxed 0on-Ar0ction cism
Minor Imarovement Permit -Get IV: Seib Imcned Ichtouto
N9
Inscaellon Fre
PERMIT VALIDATION
Pirmit Fee
HERMIT N10,
Y.p',
Cash Ofoallit-Sufstv Sond
DATE APPROVED
EXPIRATION DATE
TOTAL- I-
OATFE 1=90
Recitiot NO,
41
AtcWtv0d by
' �. NOTE: a. � • r .
With proper Yelldaslon•
thle I.r oa n Otltgtev an
eroaahmrnt permit CITY' OF. LA QUfNTA
- - - - APPLICATION FOR PERMIT' r
PUBLIC I/VORIC9 CONSTRUCTION (ENCROACHMENT) -
Par the' OO nstruclian, of publlc'orPrIY a urbs, drlvewr Vt:, Pavements, aldrwrlks, perking late, vewsre,, we[er•mtlns
` and other like Publfr -k. IMO/o vamrnte In Oann I.h with MINOR /MPROVEMBNTe and APPROV120 eUBO1V1910Ne
, - 9ubdlvlalen Improvement Permit - Clue 111
DATe: -t -41 1 Minor Improvemtni Prrmlt Clay IV
LOCATION OF CONSTRUCTION -
(street endrea! or 0.•vrtet— of Looenanl - - ,
PURPOSE OP CON6TRUCTION Skatch (atttch oonatruaclon piens If appropriate)t ,
n '1 _
.,� OES RIPTION OP CONSTRUCTION MACST PLJCTSY'9t '
9 t S4 wiL@ 3.4112 Q2E2MW D®SGa-rr - - {>r�.yffi71O _.,o.•,-•,-, r v= ^
- TO LS�R.7L71•�ia�Rl'] 32 RO D0L013=7t7112J'
OIMENBION OP INSTALLATION OPI REMOVAL - 'M 2MC 111 ..
• BALE.. =A== 3-19-91
' SIZE OF EXCAVATION. IF NBEDED » HAr= LvLWM mmm `DZ7CS r Ai
-
APPROXIMATE TIME WHEN WORK WILL BEGIN-
" .APPFIOXIMA-re TIME OP COMPLETION
SSTIMA r 0 CONSTRUCTION COST e
(Inolutling r -oval of til abs r.etlon, matarl air, !nd debrla, Wakfllling, 00 +� • -
' ? r
It I..'end Die Ol no permanent r Urfaaing and%Or'replaaing fmprovemonve) -
n - sans ldaration tat the granting of this permlt: the applioant horrbY aareee to:
nd emnl/V.doMnd ant! My the OItY, It• eu[htrla'e0 scents. atllaa/v. fsa/e•entetiv�• entl emPlOVeea. nermleoa tram -no
Iaelnat vnY end yll
- nvltlse. tbOalHet o lov. Ina from v nd .•lo op 'n e1 env aePltlent. ION ar damage tb terse—.er p ptrtY
' bePaenin0 O ins a Be
,ef . ai Wilmaksn under the Pemat aramed ja --rt t ehl• epppytlen.
Wtthe Adm nletrr th.e a •ttw n rear 1201" 01ra I ra o at ! time when w will be alrt•d. -
- - Cprn PIV w 011aetl e' CI<y Ordlneneee, tly ! and eOndItl0 Mneldths Pr/m l! end all taaPllarblerrulee and rstule[10— of tna CI<Y O1
I.e'�ulnte len Y'fel sr, dai[lenal NDIOeemant nesseeerV a• the •Gault OI this wore.
t
„ SIgnO[YYe of Appl{Orn[ or Agon[ � -
Tl1.b>D9iC•.-P9#9r.�ft SJUM AND nOCK: Vo0, -CDC 140.90 HALMSRT-
Name of Applitmn[ (pl este print) - 9uv1nas, Atldreee TrleDnons No.
• Nemo of Contractor and ,lob Portman BuslneN Address - Teleph ono No.
' ON n•rr.sr Ciai Ii'^�
' - CentreatM't Llpenao No. '• OItV eWJn__a l;.loanse No.
.. Applloene'e Ineuranee Campanv - POIIOY Number -
PalaBl Subdfvislon Improvement. Permit — Clew 111
Publlc ImprOveman<st' 396 Of eetJmated olonst—otlen ea ate
PrlVate Improvamente: 396 of estlmaeed mnstrue[lon aa.ate
- { 'Manor Irli provement Parmle — Claaa I V: Sea —voched sohrdule r '
' Ins Pae .n Pee t B _ PQRMIT VALIDATION -
Permit Pee • .20.00 'Paptmm NO. 1020
1
P. 1[Y
` Ctan Oapo•1 a•aure<Y Bond - DATA APPgOVaO 2'13-91
If required ' f
f, ON A 3—.23�3—
TOTAL
I A 20.00 31 _
•,� Re aelpt No.. ♦ BS's" +--
. Rpea [Yad'by .Dtte '•e Admin LtratiVt Authority
• • t- Reoorded by TELBPMONet (OTS) 804.2240 '
T'RANSM I SS I ON' REPORT,
NO REMOTE STATION I.D. START TIME OURATLON•#PAGES COMMENT
1 • 6193427504, 3-1379) 4:1BPM 1'00 1
TOTAL 0:01'00" 1.
XEROX JELECOPIER 700