10445,
NOTE:
With proper validation
this form constitutes an `
encroachment permit CITY OF Lk 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: • 3-29-+91 Minor.lmprovement Permit Class IV
' LOCATION_ OF. CONSTRUCTION `
(Street address or Description of Location) r
Pyy11O�iWJt E OF CONSTRUCTION BARBER GREENE PAVER Sketch (attach construction plans if appropriate)
I�1' 6" WIDE GREEN' WEIGHT ALL ELSE LEGAL
DESCRIPTION OF CONSTRUCTIONS " ROUTE EISENHOWER ANDNOGALES
-NORTH TO 52nd EAST 0.UT-OF `
CITY LIMITS
DIMENSION OF INSTALLATION OR REMOVAL ,?
h
SIZE OF EXCAVATION, IF NEEDED DATE 3/30/91 OR 4/.1/91
APPROXIMATE TIME WHEN WORK WILL BEGIN ONE DAY ONLY1! ! ! 1 i ! !
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: w
r _
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 allapplicable rules and regulations of the City of
La Quinta and to.pay for -any additiona1,replacement necessary as the result of this work.
. Apr � � ., I�, •t
Signature of Applicant or Agent ,
'Tarmac'P.O. BOX 14050 PALM -DESERT CA 92255 -
Na e
2255'Name of. Applicant (please print) - Business' Address , Telephone No.
A
Name of •Contractor and Job Foreman Business Address Telephone•No:
ON file ' nu FTT.F
Contractor's License No. City Business License No.
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 y ,
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if'recluired
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
'
PERMIT NO. 1044
DATE A�RO'11- D 3-29-91 ,
1__� j 4-1-91 DD 3-30-91
I RATIONf6ATE
By
TELEPHONE: (619) 564-2246
y only 3-29-91
Administrative Authority
,jAbTE:
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
DATE: 3-29-91
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV _
(Street address or Description of Location)
P �iI,WE OF CONSTRUCTION BARBER GREENE PAVER Sketch (attach construction plans if appropriate)
(' 6" WIRE GREEN WEIGHT ALL ELSE LEGAL
DESCRIPTION OF CONSTRUCTION ` ROUTE EISEN O
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
H WER AND NOGALES
NORTH TO 52nd EAST OUT OF
CITY LIMITS
DATE.3/30/91 OR 4/1/91
ONE DAY ONLY11111111
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.
Signature of Applicant or Agent
Tarmac P.O. BOX 14050 PALM DESERT CA 92255
Name of Applicant (please print) Business Address' Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
ON file (1N FTLF.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
{ -4, 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 10.00
Penalty
Cash, Deposit -Surety Bond
if'requ ired
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT NO
DATE APPR
E,XPIRATIOO
DA• IS Ui
a1. -gv,
1044
PERMIT VALIDATION
1044
3-29-91
=D
4-1-91 mo 3-30-91
AT
ne ay on y 3-29-91
Administrative Authority
TELEPHONE: (619) 564-2246
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Trac• -- P.O. SOX 14030 .PALM DESLRT;CA. 9225$
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Contractor'. Lioan.e No: ,A ♦ ' ' 'City Buai nee. Llwnw No. - -
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PQRMIT VALIOATION�
PBRMIT NO. - •
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t' TOTAL: -lp' lO-.
PIRATIO AT6
t.sy Tf 3-29-91
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By
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R.e aci by i
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TBL6PHON13, (910)864-2218 _
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DURATION •
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OVEMENTS a APPROVED StiODIVISIOM 1T
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Subdivision Impra"priam: Permit'— CLM III
DATE- MIrw Impromtrwa Permit am IV -
LOCATION OF CONM ON,
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(S Wal sacci (w 0"&wv" of L40=01
PURPOSE OF CONSTRUCTION Sk*tM (attach c6ttlictlan. owns it &poop*
ti OFARIPTION OF,CONSTRUMON au, eut
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OF INSTALLATION OR REM
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oimewbN OVAL
T�G v1 Ci
SIZE OF EXCAVATION, IF NEE011 0
APPROXIMATE TIME YMEN WORK WILL 8EGIN
APPROXIMATE TIME OFCOMPLE11ON
ESTIMATED CONSTRUCTION COSTS
(IndludIng tommi of (ill owM;:tiQi%, marturvals, and debr;v, backfilling, eam-
PACO" L and'placing pernunamt e6urfaiii"'undjor - ripladinq h4proverrients) Aztec
In ConSiderellofi of %titgrartling of this ;xfm1l, ths vopIiUnt heffw AVe" W.
WdOMMY, GOO" afid W" In$ C;%V, jU luthahlvd 1141M, Of*411ft, VtOft"vM11ft" 61,141 41"toy"11. ton lroilf 9 W4 40.
offill)ll", lial"1111ft or to" rMiting " walm or courf W104 and Ansi" -tux •ar Inv vAld"I. I of dartwo" to de plaperty .<
hoe, a um ai mvmfq w a oramirmto mwit ci Inv uwirO uncwr vie permit onvitto ouniiant to this swcIft".
N011tI'the Adminvirvirwo Auvwwm st Masi ";1v4wr 441 h;kn in Ids of the time whin work woo to mmits.,
camolit YAM all sw%,4w4 CAW ovokkamm . thq t" CM Qwwmc,rd* of Me potmrt end o3 4WW11de FUWA -quuftm of the Qw tat
La OullimAnd 10 04V fw of" Waftiwo mwtt*ffiffl facomv Is lite r"Uit 44 this "*NIL:
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Name of AcaucAnt Wesse wintl Susirgi3 Addrest Teleatar N0.
Name at Contractor an Ja Folemyn 0. Susineu go"" Addrest
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'ContrIctor's-Umnse
No City Sustrials LiCents No.
Acpheant's Insurance Commy Policy Numwr
-,FEES. Y,
Public innuravamenw.3% of trortutso7cammittion w%ts
Private lmoro"Mmu. 3% of eMmated aortitruCiiaft =M'
Minor Improvement PermitCLin IV. S" stpched schedule Ir
Insoactlaft htPERMIT VALIDATION
P-Tml% Fit
IS M I T.,'.'O,.
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Psnaltv
DATE !4PPROVE0
C10 0ectov-0urtry Sand
If requited
EXPIRATION OATR
TOTAL:
.ISSU90
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NOTE:
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With proper validation •!
t
this form constitutes an " "
CITY -OF• LA QUINTA
-y
encroachment permit s y w
APPLICATION FOR PERMIT' '
PUBLIC WOR KS�CONSTRUCTION (ENCROACHMENT),"
4 `
V OF Tf1�9
'
i'n - Forthe -construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains • . ;
and other like public works improvementsin connection with MINOR IMPROVEMENTS and"APPROVED SUBDIVISIONS
r r
_
,Subdivision Improvement Permit -Class III
DATE: --29—`91 ' . , Minor Improvement Permit Class IV
'
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
•
k-:
PURPOSE OF'CONSTRUCTION BARBER GREENE PAVER Sketch (attach constructionp laps if a
p ppropriate)
_
_
10' . •6'-' WIDE GREEN WEIGHT -ALL ELLE LEGAL . = �� i Y1 r v„. ►
'DESCRIPTION OF CONSTRUCTION ROUTE EISENHOWER AND }NOGALES
NORTH TO.`52nd .EAST. CUT: OF _
-
”
" •"' J
CITY LIMITS,
' r
DIMENSION OF INSTALLATION OR REMOVAL
_ DATE 13%30/91 6R.4/1/91
SIZE OF EXCAVATION, IF NEEDED'
ONE DAY ONLY!!!!!!!!
•
APPROXIMATE TIME WHEN WORK WILL BEGIN '
APPROXIMATE TIME OF COMPLETION r
ESTIMATED CONSTRUCTION COST $ w •� ,' . ':
(Including removal of all `obstruction, materials; and debris, backfilling; com-
. ' !'
paction and placing permanent resurfacing and/or replacing improvements)
*, i
a +
`In consideration of -the -granting of this permit, the applicant he_reby'agrees to: -_ j •• +',
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r
Indemnify, -defend and save the City,'its authorized agents, officers, representatives and employees, harmless from and against any and all ,
' ' - "- •
h
',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. J, _
•
'
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Notify , the . Administrative Authority at least twenty-four (24)' hours in advance of the time when work will be started.
• � - w . _ -
•all.
•
Comply with applicable City' Ordinances, the terms and conditions ofthe 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. "` - . •ti. 1 _
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i ' Signature of Applicant or Agent r ,
_
Tarmac P.O. BOX 14050'.PALM-DESERT CA -92255'- t
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Name of Applicant (please print) s -Business Address T • Telephone No. ,
•
Name of Contractor and'Job. Foreman Business'Address ' Telephone No.. ,
=y
4 ON. file 1 flN FTT.F. r Y
-..,Contractor's License No. - City Business License No.
Applicant's ttran_ce Company f Policy Number
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FEES:' SubdivisiontI mprovement Permit - Class I I I' r "
v w A .. r J -•
Public improvements: 3% of estimated construction costs -•
a
Private improvements: 3% of estimated construction costs 1 Q 44 ' J
t
Minor Improvement Permit —'Class IV: See attached schedule • s, .
•-
Inspection Fee $
iPERMIT VALIDATION r^rJ, •{
x'
Fee
Permit 10*. 00
PERMIT NO. 1044
.�
•
Penalty
,3-29-91
-
r •
Cash Deposit -Surety; Bond •
DATE D
4=1-91 or 3-30-91
if required ' -
PIRATIO ATE
-TOTAL:, $ 10.00 t�A
ne day only 3-29-91
Receipt No.
-
BY
Received by Date
Administrative Authority
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Recorded by
TELEPHONE: (619) 564-2246