1034ra"fR R ,3 f -t;. *, 7: i..,,t.••. -
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-NOTE: �.
With proper validation "
this form constitutes an J
encroachment permit CITY OF LA� QUINTA
APPLICATION:° FOR -PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
- •'s. SOF TRS
For the construction - of public or private- curbs, driveways;, pavements, sidewalks, parking lots„ sewers; water mains
..,and other like public vGorks improvements in.connection with'MINOR.IMPROVEMENTS and APPROVED•SUBDIVISIONS.
r Subdivision Improvement Permit= ClawlI I
•r ,
Manch 18, 1991 `
DATE:' Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move eguirmPnt
(Street address or Description of Location)
Bemag grinder
P ,R QS F CONSTRUCTION Sketch (attach construction,plans if appropriate)
.� lde, green wt, all e se egal
DESCRIPTION OF CONSTRUCTION' Haul route: Hwy 111" and
Washington-to Ave. 52-o
Jefferson
DIMENSION OF INSTALLATION OR REMOVAL '
,. haul date: 3/19/.91.1 '
SIZE OF EXCAVATION, IF NEEDED
,APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME.OF!.COMPLETION
ESTIMATED CONSTRUCTION COST $ s
(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: f
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 undei the .permit granted pursuant to this app,llication.
Notify the Administrative Authority at least twenty-four (24) hours imadvance. of the time when work will be started. "
Comply with all applicable City Ordinances, the terms and conditioris'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 Y
Signature of Applicant or Agent
`Tarmac/Massey Sand and Rock PO BOX 14050Palm Desert,•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 f ile'
Applicant's Insurance Company Policy Number ;
4
•FEES:.' Subdivision Improvement Permit =Class III
Public improvements> 3/v of,e'stirnated,constwctionrcosts
Private improvements: 3% of estimated construction costs.
Minor Improvement Permit -Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee' • 1 Q , nn. .PERMIT NO. 1034
Penalty ,
"Cash Deposit Surety Bond DATE APPROVED - /_ 103
if,required EXPIRATION DATE 3/19/91
3/18/91.
TOTAL: $ ^ ^^ DATE ISSUED
Receipt No.
By—
Received
y Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246 '
,r �' - •"'V'"�'"' ��;."`4:' vi -:r-% = . .: ��7r'..y .,+.Z ��. '�-,.- ..-•,$�:.-int...; ��-.:—ti--. � • ..'rtiil? FiY'�.,.�. .�t'�-; . _,�, ,.�? ..
u
NOTE:
With proper validation 4
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
Subdivision Improvement Permit— Class III
DATE. March 18, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — move equipment
(Street address or Description of Location)
P B QS F CONS JRUCTION Bemag grinder Sketch (attach construction plans if appropriate)
'1 rein Wt, a else legal
DESCRIPTION OF CONSTRUCTION Haul YO t H 111
\.
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:
u e. wy and
Washington to Ave. 52 to
Jefferson
Haul date: 3/19/91
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, lbilities 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 Desert, 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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by _
Recorded by _
Date
ai
1034
PERMIT VALIDATION
PERMIT NO. 1034
DATE APPROVED-- 3/1R/41
EXPIRATION DATE 3/19/91
3/18/91
, DATE ISSUED'
,BY/JYG�
Administrative Authority
TELEPHONE: (619) 564-2246
-ti------.-- --- -
- �-------------=� -----k------`-------_, 4,- - - - - -
--
` a,: ��. K�•I;r �� .� ear. ,, • x "� r ...
_ • ,,: NOTE:; ' + ` :,.• /
Y a j With proper validation
• this form constitutes an
encroachment permit x -
" CITY,OF LA QUINTA
* i ,
• �,.. � �* =• APPLICATION -FOR `PERMIT _ � •
,.
PUBLIC WORKS'CONSTRUCTION .(ENCROACHMENT)
f. :,+ wS
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 MINO.R_IMPROVEMENTSend APPROVED SUBDIVISIONS
;�' ,,. . "° , '' " a ' • t ` f. ` Subdivision Improvement Permit — Class I II
DATE' March 18 , -,1991 .0 'f4.+_ ,
MinWlmpr_ovement Permit Class IV'
-LOCATION OF,CONSTRUf TION - f move t-qij i ninPnt • '
r.
V., 5r
' _ e r - " • (Street address or Description of Location) 3 1R
{� • Bemag .g:rind`er
i P ji QS F CONSTRUCTION Sketch (attach construction plans if appropriate)
' �ide, green wt, a else
egal r
f DESCRIPTION OF CONSTRUCTION•
Haul route: Hwy 111 'and .
Washington'.
`Ave. 52`,tb'
Jefferson r;
+ j'• DIMENSION OF INSTALLATION OR REMOVAL
J `,Haul'date:,,,3/19/91
1'
'SIZEAF EXCAVATION, IF NEEDED I y �; r '" �•
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
' ESTIMATED CONSTRUCTION COST $
* • I l(Including removalYof all obstruction, materials, and debris,'backfilling, COT•
�~ + paction and placingpermanent resurfacing.and/or replacing improvements) '
" • f In consideration.of the granting of this permit, the applicant hereby agrees to:.
•� ; j f•. 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
•� r•#. ;`.' _ happening or occurring as a proximate result of any work undertakenunder the permit_ granted pursuant to this application.
}j[ •\
4 Notify the Administrative Authority at least Vtwenty-foui (24) hours in advance of the time when work will be started. t
Comply with a all. applicable City- Ordinances,'the terms and conditions of the permit and all applicable rules and regulations of the City of
�� ' y l + 'f; A •,t• 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- RockPO Box' 14050 Palm tDesert', CA'
_z , Name of Applicant (please printf ; Business Address Telephone No. ,
Name of Contractor and Job. Foreman r:, . . f " Business Address "= Telephone No.
on on .fife
'.Contractor's License No. ` ` t ,
- I _ � City Business Licen3e No.
'on .file •t , �K r
Applicant's Insurance Company s Policy Number
FEES: Subdivision Improvement Permit —Class I I I
+� Public improvements: 3% of estimated construction costs i
,Private improvements: 3% of estimated const
mruction costs '
! , Minor Improvement Permit— Class IV See attached schedule' s M•, A
Vr� 'Inspection Fee F w' • PERMIT VALIDATION
Permit Fee , a` i $ 1 0` .00 `r •t' ' • •' � 'r-
.PERMIT NO. 1034
t . Penalty ', a r.'
�•`' j Cash Deposit-Surety Bond DATE APPROVED•01
a ` ••ifrequited x 'EXPIRATION, DATE ILL' 3/19/91,'
�• ' • ' , TOTAL• '..} $ f10.09_t - 3/18/91.
• ;� +�_' DATE ISSUED
Receipt No:
• - BY
Received by Date . +• Administrative Authority
�y.Recorded by TELEPHONE: (619) 564.2246 r
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this form conetrtusw an
CITY C?F LA CIUINTA
ent roacnmerrt nemre >
- `APPLtCAT10N F�Qi - PERMIT,.
PUBLIC WORKS CONSMUCTION. (ENCROACHMENT)
. p ' '� •' ^ ' fir: �' }1
For the conmut mon .of; public, or private cvms, driveways, Imsmems.'sidtwralks.- park ino Ints, sewer,
' y and other like puolic vrort,sirnwavwna isn co
_ in with MINOR IMPROVEMENTS anOKS
d APPROVED SUBDIVISI
;, .
Subdivision Improvement P n: w Class III'.
lO trio
'DATE -
LOCATION
. MI Imp:ov w"m rt Ciera ~ 4,`e•
DATE: rfor Penn IV
LOCATION OF CONSTRUCTION
(Straae oedrap ar tiaawwwoat ucxt irt) iF;,M
F PURPOSE OF CONSTRUCTION - +— - — Sketch tasach co Orion Plans 0 appeaxa'
'll�., eee "
D C IPS tON OF COSTRUCT'lON S* /'' r i s ,. �•
DIMENSION OF INSTALLATION OR REMOVALg.
41
612E OF EXCAVATION. IF NECOEti
TIME APPROXIMATE E WHEid WI FIk WALL BEGIN i;c •; ..
74—
APPROXIMATE TIME OF COMIPLM014 •�tl�'I ;�1 �{, P:`
ES'FIMATEO CONSTRUC11ON COSTS
(IndudiN rernoal of all obsa =on, mr w,els, and debris. bac0lilnq, carr,•
prcaon and placing permanent resur•feeisyq and/or ftoladnq.irmorova»wMI
In tons,dearain of %he.grentinq of this Do it, the app{irrnc.harobY
tndammfv, 110arl0 ana taW eha'C1eb, re iud+onaAd Agmt.`elfiesM eagr.w+rarnraa and trra,weai. harmiaaA from A+W agaa+ae anY ones all - '",•c•{{�
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• NeaPy the Admrn,rtraen't Augwrev ar Marc rwanzY-lour 424A nowa in Waft* of the tuna w1+an worre wnll be ab►tvd, ;s•�
ComaV w,dr W at 90%4 CIN O+diwo. rho 10M $nd eoncmom or me oeem,r tna Al) ! Sy r
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- lJ Cu,nla 4n4 to OW eta atnr eddni" mowamaanr Avoom ry as of moult f thlt wont. ��: , X •; '
• /G� _ ///��,• I5ignaturs t Appil"2Rr f4gana
r
Name_o? AmicantAlpleastl cr{ntA usiness Address TNo.nk�• %`'?
Name or Contraao rn Jon Foremen Suslness Address' •` TA aborta Na. y °M« r >
Contactor rt'oan�t N C;eu License No1E^'�+'•`r
't Ins
Aag leans
+ uranrtr Camowiy , -' Policy Numoer • -s • •.;,:; '.4 ���>%��t;.
• � FEES:•.
Subdivisiar. Imamovamars Pernmrt — Gars III
y
Public improv"mm: 3% of estimated constructwn costs ;
Private imorovem m: 3% oftsbmatedoonttrucaonCosta �T
Minor Imorovemtni "it — C4a IV: Sar omcned sttiedute 3�
int
Fee
x aact�on , PERMIT VALIDATION " y<a;••ti,''h
pirmit Fee
'Penalty'' :. . ��e•,.
G1h Daanu etv Sand
ATC-APPROVEb
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EXPIRATION OATSTOTAU
. :DATe ISSUEDBy
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V �La, .Quin'tai-CA ., 92253
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