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,TE: 41
With proper validation
this form constitutes an
encroachment OFLA' QUINTA:
permit '
APPLICATIO.N .FOR. PERMIT 1; '
PUBLIC_ . WORKS CONSTRUCTION '(ENCROACHMENT).'.:
01
For. the construction of public or.. private curbs, driveways; pavements, sidewalks, parking. lots, sewers, •.water mains .
,and other Like public works improvements in conriection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS .
I� Subdivision Improvement Permit — Class I I.I' 2
- DATE:2-2'0"91 Minor Improvement Permit Class IV
_ 4 LOCATION -OF CONSTRUCTION =
;(Stteet addressor Description of Location)'
t 'PURPOSE OF CONSTRUCTI?N d Sketch (attach.construction plans dappropriate)
'BACKHOE 1'5 ,,hag.. i8WIDE
1 DESCRIPTION OF CONSTRUCTION
v
HAUL ROUTE: ' STARITING AT
CARRANZA AND COLIMA '
DIMENSION OF INSTALLATION OR REMOVAL ROUTEEISENHOWER ..TO AVE 52 � '
1 52 to MONROE i.
-SIZE OF EXCAVATION IF.NEEDED
r" 0APP.ROXIMATE•TIME WHEN'WORK WILL BEGIN j
t �.. t PLIOT -CAR REQUIRED .
a{ APPROXIMATE TIME OF, COMPLETION HAUL DATE 2 ' 21-91
' ESTIMATED CONSTRUCTION COST
(Including:removal of aI1,obstruction,-materials, and debris, backfilling,.com- '
pactioin and placing,'permanent ,resurfacing and/or replacing improvements)f ,
wi -^In consideration of..the granting of.thisip mit, the•,.applicant;her`eby:agrees to:
F ,r , a
- Indemnify, defend.and`save,the City, its authorized agents, officers; rep resentatives'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 fo thi§ application: .
Notify the. Administrative ori ty at least.•twenty-four,(24) hours in advance of the,time when work will be started.
's Comply with all"applicable City. Ordinances, the terms and,conditio s�f'the permit and all applicable rules.and regulations.of the City of a
i n •. ,iLa Quinta .ancl jo pay fot.:'any additional replacement necessary asthe result of this work.
r Signature"of Applicant or Agent
w� ',T,3RMAf / nRAggEX gAND'AtTn-ROCK P_c BOX 14850 PALM•DESERT-CA'•9225-5 •7.75=8267
' `,Name of Applicant•(please print) Business Address Telephone No..
Name' f Contractorand Job FoTem n. BusinessAddress
s
.Tele hone No. .
�{ n_rT,IT.F. 4. "� ON FILE.
Contractor.'s License. No. �"" City Business.•License No:
i
':Applicant's Insurance Company Policy Number 4 �:
P TFEES: Subdivision Improvement Permit — Class l 11 QQ5i8'' 02 �Q 91010�
TO�AL:..`i
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 VALIDATION' -
Permit Fee
PERMIT NO. 1086
°i Penafty•
Cash Deposit -Surety Bond' - DATE APPROVED' 2'"20-91
2.-21-91
df,required : 'r EXP..IR�ATION-DATE. '
TOTAL: $ 10.00 ; . /
DATE I SOED 2 0,-91
:Receipt No.
Received by Date
Recorded by
By
TELEPHO
Administrative'Authority
E': =(619) 564-2246
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NOTE:.
With proper validation
this form constitutes an:t,
encroachment permit 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 APPROVEDS UBDIVISIONS
Subdivision Improvement Permit.'_* Class I II
DATE:- 2-20-91 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION,
(Street address or Description of Location) '
PURPOSE OF CON TBURTIJU Sketch (attach construction plans if appropriate)
BACKHOE 15 hig to
DESCRIPTION OF CONSTRUCTION
HAUL ROUTE: STARITING.AT
• CARRANZA AND COLIMA,
J ROUTE:
DIMENSION. OF INSTALLATION OR REMOVAL EISENHOWER TO . AVE 52 woAVE`
m 52 to MONROE
".SIZE OF EXCAVATION,'IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN PLIOT CAR REQUIRED "
` APPROXIMATE TIME OF COMPLETION-
ESTIMATED CONSTRUCTION COST $ - HAUL DATE 2-21_-91
(In'cluding,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 Ci,ty,•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 damageto 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 regulationi of the City of
Ill Quinti and -to pay for any additional replacement necessary as the ?esult of this work. { ,,
r
.~Signature of Applicant or Agent
TARMAC / MASSEY SAND A9D ROCK-P.O. BOX 14850 '.PALM,DESERT CA 922:55 775-8267
Name of Applicarit (please print) Business Address Telephone No.
`Name of Contractor and Job Foreman Business Address Telephone No. <
t
ON FiT:F. ' ON FILE
Contractor's License No. �" -- City Business License No.
0W FTT.E
Applicant's Insurance Company Policy Number,
FEES: Subdivisiori Improvement Permit - Class III
QQis io oai� (y 20-9s o
Public'imprbyements.: 3% of estimated. construct ion costs ► U ASH i TOT i 10� Q(�'
t. Private improvements: 3% of estimated construction, costs ` �' 0.8 v L,
" Minor Improvement Permit = Class IV: ..See attached,schedule
h '
PERMIT Inspe+ tion Fee $ VALIDATION
Permit Fee 101 0( 1086 }
PERMIT NO. f.
` Penalty a
Cash Deposit Surety Bond DATE APPROVED 2-20-81
Q t
if.. required � 2-21-91
104.00 EXP/IRATION,DATE
TOTAL:. $ ;.. r/ 2 /ZO-91 ` ri
r. DATE ISSU D'
tE'txrp<r.1F, • 7 ��.rtTA�ti,k �.
Receipt No. '' I
- Received by Date i Administrative, Authority
s Recorded by TELEPHONE: (619) 564-2246
a NOTE:4,-
With proper validation
k
' - this form`constitutes an
t- CITY OF LA QUINTA• . t ',,•-
• encroachment permit ; ►
APPLICATION FOR` PERMIT'
t ` PUBLIC WORKS CONSTRUCTION
:• (ENCROACHMENT)
+•r
MOF
t Tft8
•- v • ;
-
For the construction; of ' public or ` `•, '
R p private curbs; driveways, pavements, sidewalks, parking lots, sewers; water mains
,
, rr" ~
`and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONSUk
.
•
y Subdivision Improvement Permit — Class II I
DATE: 2-20-91 Minor Improvement Permit Class IV t
r
•'LOCATION OF- CONSTRUCTION
* - (Street address or Description of Location) r ' ' * + • '+ + f
:PURPOSE OF CONSTRU TI?Nlr'' Sketch (attach construction plans if appropriate) '.
t
BACKHOE' 15 high• 12' , r
DESCRIPTION OF CONSTRUCTION -k
.. HAUL';'ROUTE:` STARITING AT w-
4 CARRANZ'A AND .COLIMA'
r
ROUTE: ' a•�
9
.. r AVE
DIMENSION OF INSTALLATION OR REMOVAL
• EISENHOWER TO AVE: 52 �� ,
,
52 to MONROE
••�' a
j
SIZE OF EXCAVATION, IF NEEDED, ' . „
� • '?•
rn ' •
r
�PIP;OT,'
�APPROXIMATE:TIME WHEN.WORK WILL BEGIN - '
_ _ a CAR'REQUIRED
• APPROXIMATE TIME OF COMPLETION',, HAUTE DATE 2-21-91
t
ESTIMATED CONSTRUCTION COST $ 'i y.r `
.• r;:
(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,claimsor.court action and arising out'of any accident, loss or damage to persons 'or property, r.
happening or'.oecurring as a prommatre 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
t La Ouinta and to pay for any additional replacement necessary as the result of this work. Z"
•'
.• .-
� y , •'� •L: r� a r+r
.'
`
• _• .- .i � �a i
w �
'
• y r - . Signature of Applicant or Agent: „
-
Ti1RMl1r / MA°SFY SANT)ANI7 -ROCK P.. 0', BOX 14050 .PALM DESERT CA 92255 775-8267
• Name of Applicant (please print) 'Business Address " . Telephone N6.�r
' Name of Contractor and Job F_ oreman 7 Business Address Telephone No.
- e ON FILE
+ zRTT.F'
n t 4 +
- Contractor's License No. , ' _' City Business License No.
�,
r
~
*' Applicant's Insurance Company k Policy Number w
"
- FEES: Subdivision Improvement Permit = Class I IIp2 2
pp 519.22 iip '.QQ2 • 0=91 x=•: ii0
f " i"0'.00 ":
TOTAL 3 • .
• Public improvements: 3%.of estimated construction costs i c
I.O
/
Private improvements: 3% of estimated construction costs U
Mirior Improvement Permit — Class IV: See ttached schedule ' • • r a
J. +
4
Inspection Fee, ,r $- PERMIT VALIDATION
?
Permit Fee 10 00 r r.• PERMIT NO. 1086 +
,. Penalty~'2-20-91
"' DATE APPROVED
i' Cash Deposit -Surety Bond _
2-21-91 �` f •
- if required EXPIR ATE.
+« _
•
TOTAL: $ - 10.00 . f 2.
_
�, ,.. Y E
.s . Receipt No.
'
a
By _
~ Received by Date Administrative Authority -
y
�`
�••
- Recorded by ,,-^TELEPH NE: (6 1`9) 564.2246
'
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NOTC,
With Prow v*1kl1rA*r
d
CITY .,OF LA QUINTA,?
this form cc n�sft 12" an
enemachrmnit camm
APPLiCATION FOR PER
IT
'(ENCROACHMENT) "!z
UBUC WORKS CONSTRUCTION
For the catu%rucion of public or p Ww",
rvv*t* vurt%. drivrmyg. paveMera, sidewtilkii, parkir I
and other like public works jmprvy#m4nw in corinemon with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
.7
subicilyhlon Imorcivormnit Permit CLW III
DATE:
Improvitmem
WOW Permit Claw IV
LOCATION.OF CONSTRU=ON
tN'
PURPOSE OF CONSTRUCTION Sketch (attach autmuction
ORCRIP719N OF CO%Rtfn N
e -
f f Poole; n,. Z
:1 4,
OiMENSION OftINSTALLATION OR REMOVAL
SIZE OF EXCAVATION. IF NEEDED Aw -Wr
APPROX IMATE TIME WHEN WORK WILL SECSIN caw 47et
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSTS
4
tIncluding wricival of all obstruction, rimm"411, VW debris, tmckfilling, Oro• �/Q u � r ' ^" �'�� �• �'�"'R
psevan and Placing Ottmanam reratuvi indlor replacing IMPraintriuml
In tonsidernan of the granting of 1his permit the applicant tlemby afire" to:
Indornnify, d4f*nd via t" the clvv, to Autho"106 wn. OHIO", mm"f4av"s 604 r"larve". harmism from am agwo &W ww di
a emItin. ilsbiotin at too rmitkno train civnis or mum smian and Grmrq amt of any uziom, ion or awharp to pnroiy Or pa"WIF
maowsn or Oww" a a OFOX&MO Mwit at any *a& y NM uncal' the Do noft 9"Aled oungmil to this 7lmx*V�11,
NolitV ths Admitinvion Auttioirny 0 susi tywoTy4aur 1241 hwin in sat4sul4 at The tifft when YAW% vois be no
caffigwv vote sh Awsag* City orawntem. IN terrne stay catwitimm of ON pwrrix siv all 111091kobiq ruift MW nVA&toite of YdW City of
LA ominal and to 04V far Inv tociftm "vW0""&M VIMANNV as 0%0 ft" a this VMM.
2
fu A
o
77r gent 56C.4 XI -IVY jlPeril."'4�V I KY
Nome of Agoliwt Iple4A print? 8us,ne I Add s
Tolowwd No
0 at Contra or no Nam Jot) Foremen Siifiku Address
T I one
Contra on L C N
o. -QtV 841'reU License No.,
Avolican;'s Insurance CoffAwy Sil'—
Poliev Ntimclat
FEES: Subdivision lm*rwmm9tvcP"tt—C4ss III
Public imorovirrimm: 3% of esomyed aanwiictiorl Wit
Private imorovemanu: 3% of estimated coonrumon tom
Mi,nar I mortive"WT permit Cas IV: s" 5tactivol schedule N 04 V,
11410ection Fit S I PERMIT VALIDATION
Ptrrntt Fee
PSHMITNO,
Cash 0600SIS-Surery Bond
DATE APPROVED
if required
EXPIRATION DATE
TOTAL.
-OA (=EO
y