1050L
NOTE:
With 'proper validation
this form constitutes an
CITY OF- LA QUINTA
encroachment permit
-APPLICATION,,. FOR PERMIT.
PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT)
7
'OVERSIZE-;LOAD*.�PERMIT 0
For the construction of public or private curbs, driveways, pavements sidewalks,- parking lots, sewers, water. imains
.
-and'other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS'
Subdivision Improvement Permit — Classj I
DATE- April 5, 1991 Minor Improvement Permit Clam]V.,,
:LOCATION OF CONSTRUCTION MOMP Peats11DRIP
7
(Street.address or Description of Location)
r 10"
rind
g
maide
" w
e
g -
PURPOSE OF CONSTRUCTION' boSketch (attach construction plans if appropriiitO,
green1weight,all-else-legal.
DESCRIPTION OF CONSTRUCTION Haul. Route: Washington.and,
'Fred Waring south 't':'Mr
0.
West to Eisenhowek.,and,':s6utli to
I
DIMENSION OF INSTALLATION OR REMOVAL NQg - ales, west 'to Herrera.
SIZE—;OF: EXCAVATION, IF NEEDED ''Haul.date: 4/8/91
APPROXIMATE TIME WHEN WORK WILL BEGIN
ESTIMATED CONSTRUCTION COST $
(I'ncldding: removal of all o6struction, materials, and debris, backfilling, com-
paction and placing perma.nent resurfacing and/Pr replacing improvements)
In conside6tion',of the granting of -this permit; the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, r6presentativei-and emp yees, harmless -from and against'any and all
lo
penalties;' liabilities or loss resbiting, from claims or court action and arising out of.any accident,joss or damage to,persons,or propefty'.,
happening or occurring as a proximate result of any work,undertaken under the permit granted' pursuant to this application.-
Noflfy'th6 Administrative Authority at least twenty-four (24). hours in advance of the orrt
time when wk 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,.Qu i nta ind.to pay for any additional replacement necessary as the result of. this work.,
_rPJ i�a Gra
Signature of Applicant or Agent
-
-Tarrnac PO Box 14050' Palm -Desert, CA 92260
Nam'e'6f; Applicant (please print)' Business Address Telephoni No.-
Name of, Contractor and Job Foreman Business Address Telephone N,6.
on.i e, on f ile
fll
Contractor's License NO. City Business License No:
on file'.
Applicant's Insurance Company Policy, Number
FEES: Subdivision Improvement Permit — Class Ill
Public, improvements: 3% of estimated construction costs 4
• Private improvements: 39/o ;f estimated construction costs 10.
Minor Improvement Permit — Class`IV: See attached schedule
-10.00
Inspection Fee $ PE.RMIT:VALIDATION
Permit Fee
PERMIT N0. 1050,
Penalty,•
-DATE AP . PROVED 4/5/91
Cash Deposit -Surety Bond
if requir6d4/8/91
...EXPIkATION;DATE
-10.00.
TOTAL.: $ !DATE ISSUED -4/5/91
keceiOt No.
Received by Date
Recorded by
Administrative Authority
TELEPHONE: (6,19) 564-2246
.. . "r ...wy 7. _ `n �� ,� r-rv�}._'=T...�-T .+.f yro _ .. :. _- ..- ., r a . --. r+. ' «•'-1e��.'�„tc,c' ... rr",^r`.'i+..' N�''C:`'.. � .�.:. � �.. !`
. `til `^ r•r' �-Ls'.. '1-r.r i `w "s+.Y-. t, r"fy'�"'"Tr"7T"�^'Y`�y'r f-''+.•1!� �.�'�
• � v
NOTE:
With proper validation
this form constitutes an
encroachment permit
t • . a.. k' �k
..,CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
fie• yy �i,lr e` ri,r iE t.
• OVERSIZE LOAD .PERMIT � ' , ��►� •
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
ib
Subdivision Improvement Permit — Class I II'
`^ DATE:' April 5, 1991 Minor Improvement Permit Class IV t"
LOCATION OF CONSTRUCTION move ePment
,..
,
(Street address or Description of Location)
PURPOSE OF CONSTUCTIO bomag grinder 10 1wide " '' Sketch (attach construction plans if,approprla'te)
green weigt, a else legal
'DESCRIPTION,OF CONSTRUCTION Haul. Route:. Washington. -and
Fred Waring south to Ave..' 5.2
west to Eisenhower and south to.
DIMENSION.OF INSTALLATION OR REMOVAL Nogales, west to Herrera s.
A
SIZE OF`EXCAVATION, IF NEEDED Haul date: 4/8/91
: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 andagainst any and all:,-`
F 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 thespermit granted pursuant to this application.
h ^ 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 ic,,Cify'',:of."^r'
'j La^Quinta and to pay for any additional replacement necessary as the result of this work.
Tina nranp%r .
Signature of Applicant or Agent
' Tarmac'. PO Box 14050 Palm Desert,-•CA.92260
' Name of Applicant (please print) Business Address Telephone No.•
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file rt.
Contractor's License No. - City Business License No.
' on file y;
Applicant's Insurance Company : ''"`' '' Policy Number
FEES: Subdivision Improvement Permit —Class III +
� c
t Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 0 5 4
e
,Minor Improvement Permit — Class IV: See attached schedule.
' '•Inspectiori Fee $ 10.00 ' PERMIT -VALIDATION
,Permit Fee 1050 s
PERMIT NO.
Penalty/ / 9Ir'
Cash Deposit Surety Bond DATE APPROVED l4` 5 ,,r
if.required EXPIRATION. DATE 4/8/9Lf,
10.00
TOTAL: $DATEISSU,EjDf� 4/5/91 r
Receipt No.
By.
Received by' Date ?' 3t.r f ,ss�i;r. Administrative Authority '
Recorded by TELEPHONE: (619) 564-2246
FR I 1 1 : 4T MAS„_,
APR— 5-91 .���.
NOTE:
Wish proper valkletim.
this form eor>atitettae an CITY OF L A GUiNTA
•nerooclrrrNnr oermrc •
APPLICATION FOR PERMIT
PUF3UC '1NORKS CONSTRUCTION (ENCROACHMENT)
For the onnwv mon of put ik or privets curbs, driveways, pavomarnt, sidewaw, partclrlg IOU, tevrerL Yeah
and other eke public w kt imprvvednseta in W1119en011 with MINOR IMPAOVEMENTS and APPROVED SUBDIVISIONO
SuWlvWon Improvorrhant Permit — Ctau Ill
DATE;- — � Mlrrtx tmprt;�ttient Pefm
COCATION,OF CONSTRUCTION
'list"" ow"a o► oft&weon of ux awe
PURPOSE OF CONSTRUCTION Skotch (attach Ze-
ction ns it *
0 RIPTI N FCON n CIiON GCj �1�eo, ,
• Ct�r�5�1'�5
DIMENSION OF INSTALLATiO111OR liEMOVAt � � `/ � �y �oe
SIZE OF EXCAVATION, IF NEEDED mph✓�l•J Pt�°�i/"
APPROXIMATE TIME WH1=147� /' r% d
WORK 1fY1LL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including rhtnovel of ali obetr mon, trtatepais, and debris, backfilling, o0nr
pa con and placing pemunent nsurfaaM andlor revtaang irnom"mmul
In consideration of the pitting df this ptrmtt, the aoptirsnt hereOV agraa to:
Intlammfy, dtfenp arhd 10" the ON, a eh►tnonled oa+rtts, odic", roowwwtltrrel and amow9es, nlrmlata r+om ana co 1111 WIV heed en
DbnellM1. Ihabdnln or 1*0 tawhtme trwn 04aft or court ah:taon Ind arming Oen of $fly beindmt, lots Or demaP to pfog no M eroowtr
matipannhe or omw" a a ptaugmta nuun of enY work unttlrto"" www the oh7 vvt Irontm PWewawhe 0 (Aha aapheleraw%
Nhnhfy tna Admhnmitti AvAtwtty w tow t#**vr4wr Wl howt in gonerwe of the tiro vtnln wont %"0 be mated.
Cohhhoty w Vh at, apo vwm City 40fdow— , tris tlrms shit osnAiticto of the owmtt erd au owithwe tviat ane newaiwd of *a cuv of
Nims of Aowant witsse onntl
9usinest Address,
Tatapcwxm NO.
Nara of Contra or no Job Foreman Sutlnass Address Tela No.
Contractor•$ Lctft? No, + CitV Business License No,
Aaaurant's Insurance Cornoany Policy Numoer
FEES; Subdivision Imoroverram Pel+nrt Cess Ill
Public irnam"Inst, t: 3% of atomated conMction COM
Private hmoro mmnts: 3% of mrriated constmenon cora N°
Minor ImoroyomMt Permit — CNet IV: See atacned scliedule
intoecnan Pee S ! 96RMIT VALIDATION
panni( Fee
penalty '
Caul Oeaoeht•Surety Bond
-
TOTAL :
Receipt No.
Rtahvtd by 006.. - --
GATE APPROVED
EXPIRATION DATE
DATE ISSUER
By
00,
r
t-
�+ i
r �•
P.O. Box •1504
78-105= ,Calle Estado`
V
La >.
Quanta, CA 92253
_—
619-564-2246
44
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TRANSMITTAL
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TOTAL NUMBER • OF -.PAGES-:
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ADDITIONAL COMMENTS:
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NOTE: `, f; f' , .� Yr
>
'With proper• validation
this form constitutes an
CITY; OF, LA'QUINTA
s..x
encroachment permit r a r
- APPLICATION FOR PERMIT,'
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
v
6B
-
r
,• , .�
OVERSIZE LOAD PERMIT OF 1689
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
r
at
}
ti •' Subdivision Improvement Permit -Class III t i
DATE:April 5 , ' 1991`• s '. N1 Minor Improvement Permit Class IV
r
e'
LOCATION OF CONSTRUCTION move Prnt i i�mant
• •-
•(Street
-
r address or Description of. Location) •: r. ,. - - a. , •' .e - .' '� '
-
+•, PURPOSEOFCONSTRUCTION• bomag grinder 10 reside' Sketch (attach construction plans if appropriate) t
greenweight;. all else legal-' . ,.
•
t
,,.DESCRIPTION OF CONSTRUCTION -Haul . Route:,, Washington and • 4,
.
Fred Waring r south. to Ave ..'' 52-
' west. to. Eisenhower: and' south .to
`DIMENSION OF INSTALLATION OR REMOVAL Nogales, west. to Herrera, ,
t'
' ^ ti..
_ !
' T
, SIZE OF EXCAVATION, IF NEEDED, Haul. date- 4/8/91;
1".2 •'
lk APPROXIMATE TIME•WHEN WORK WILL BEGIN,' .".: : a'
APPROXIMATE TIME OF COMPLETION '
,`ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling,'com- r r
'•paction and placing permanent resurfacing'and/or replacing improvements) j a
`r .� *�: I
Inconsiderationof the granting.of this permit, the'applieant hereby agrees to:-
`
^ Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all '•
r
',penalties, liabilities or, loss resulting from -claims or court action and arising out of'any accident, loss or damage topersons,or property
- .�.. 1 I
r ► happening or occurring as proximate result of any work undertaken under the permit granted pursuant to this application.-
_ •I >t I
'Notify -the Administrative Authority at least twenty-four 1241 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
L
t La Quinta and to pay for any additional replacement necessary astheresult of this work.
Signature of Applicant or Agent
Tarmac. PO. Box•,1"4050 Palm `Desert, #C 92260 '
• I
Name of Applicant (please print) ". Business Address Telephone No.
Name of Contractor and Job Foreman '; Business Address , r Telephone No.
; • 4
on file',,' �. s , , }s� �; On file ,
l
Contractor's License No. City Business License No.
„
'•
* .on -.file•, >t Y
• :t t
Applicant's Insurance Company = ' � Policy Number. - -
r
',�
s 1y,4 r
FEES: Subdivision Improvement Permit — Class III try `' •f ^ ,' �+
a4.
' Public improvements:. 3% of estimated construction costs
_
• Private improvements: 3% of estimated construction costs' 1.0,5 O
}$
_ «
Minor Improvement Permit — Class IV: See attached schedule ,
#,
Inspection Fee $ 10.'00 ^!
PERMIT VALIDATION
-
Permit Fee
.+
PERMIT NO. '' 1
1
Penalty.
.050
° 4/5/91
'
Cash Deposit -Surety Bond,
„'.DATE APPROVED
if required :r „w
EXPIRATION DATE 4/8/91
}i
10:00
TOTAL; y$
DATE ISSUED 4/5'/91
► *' j
Receipt No.
.
ByTN
Received by Date ”
Administrative Authority,
f� y.
-
Recorded by *
i
�=.TELEPHONE: (619) 564.2246