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1092t "!NOTE::'" Wlthtproper validation" this form constitutes an .'CITY OF . LA *QUANTA R encroachment permit APPLICATION - FOR 'PERMIT PUBLIC WORKS CONSTRUCTION; (ENCROACHMENT) • ' �C� X45 `� OF For the construction of 'public, or private- curbs, driveways ,^pavements, sidewalks, parkin lots }sewers' water'%mains 9-. and other like public works improvements in connection with MINOR'IMPROVEMENTS and-APPROVED.SUBDIVISIONS• .` Subdivision' Improvement Permlt'- Class 111 DATE: (-'30'-' , V `� ` + �- , f.;,� �s Minor;ImprovemenfPermit Class IV r LOCATION'OF CONSTRUCTION`!` : ;f , (Street address or Description of .Location). 3 PURPOSE OF,CONSTRUCTION" x < y Sketch (attach constuction'plans•if appropriate) : F . BE . 265< 0,019 '10 6" - ,` , DESCRIPTION OF CONSTRUCTION • ' Route* 'NOGALES $ BBBBERA" TO WIDE GREEN WT ALL ELSE LEGAL ` 52 TQ =9MGTON Oft'i OF CITY LIMEYS' ,f DIMENSION'OF INSTALLATION OR REMOVAL' f DATE V 5-1-91 ' SIZE OF EXCAVATION, IF NEEDED: ov APPROXIMATE TIME WHEN WORK WILL' BEGIN :r ; APPROXIMATE TIME OF.COMP.LETION + ESTIMATED CONSTRUCTION COST (Including removal of all obstruction, materials, and debris, backfillinj. g rr paction and placing permanent •resurfacing,and/or•replacing improvements) In consideration of the granting of `this permit, the applicant hereby agrees to.,•y 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 or court action 'and arising out of any�accident; ,loss, or dam_ age' to'persons`oF'property happening or occurring 'as''a•proximate'resultof'any work undertaken under the permif,granted pursuant to this, application. a' • Notify+the Administrative Authority at least twenty-four (24) hours in advance'of the ,time when work, will be started` = t= t- 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. y. `« , }• - ,Signature'of Applicant or Agent 's r TARMAC,NASSEY P.O. BOX 14050 PALM' DES$RT. - CA ' 92255 "' x' :Name of Applicant (please print) Business Address `,; ` c Telephone: No. r ON Em +.` Name of Contractor and Job, Foreman > Business Address-', a Telephone No. " ON FISB ' _ , . r: ON FILE 'T ^ Contractor's License No. s City Business. License No. ' -.Applicant's Insurance Company f ' Policy Number FEES: Subdivision Improvement Permit. - Class 111 ; _ « Public improvements: 3% of estimated construction costs . Private. improvements:, 3% of estimated construction costs 1042 " Minor Improvement Permit - Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if, required TOTAL $ 1Q;,00 Receipt No. Received`by Date . Recorded by PERMIT VALIDATION, PERMIT N0. 1092 DATE APPROVED 4-29-91 • EXPI DAT By_ 5-1-91 N DA,- 4 -29 -91 - V PHONE: (619) 564-2246 Administrative Authority ^ -. - _ r • _ f .. ..�'• ,. r' .� r i L,.'+. ..J �t. rt; -r" , '�' ,�'s� r.�.� `.'ti' (' Y".' tr t._..f • , �,y , w l . 1 e �f � NOTE; � Wii�,; l:oper 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 I DATE: 4-30-01 LOCATION OF CONSTRUCTION (Street address or Description of Location) Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION BG 265 PAVER. 10'6" WIDE GREEN WT ALL ELSE LEGAL DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Route; NOGALES IE HERRERA TO 52 TQ ARK MGTON OUT OF CITY Ll=S DATE 5-1-91 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 HASSEY P.O. BOX 14050 PALM DESERT, CA 92255 Name of Applicant (please print) Business Address Telephone No. ON ZiE$ Name of Contractor and Job Foreman Business Address Telephone No. ON FIS Contractor's License No. ON FILE 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 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if. required TOTAL: $ 10.00 Receipt No. Received by Recorded by Date 1092 PERMIT VALIDATION PERMIT NO. 1092 DATE APPROVED 4-29-91 EXPI R.AMLON.DATE 5-1-91 DAT E -t S HE'D 4-29-91 By Administrative Authority TELEPHONE: (619) 564-2246 30'— 9 Y� TUE A ' �� . .. ti �� �r �� `:� � �� .r•n�►.� �r.�.�.�.+��. �t 4L �.m oi„p �r r,ra �. .S � L ; • ,' a' NOTE. A '~ �•. :: - W�►Orot�Mlidatlore• 1 +. 'f•'i: ;1 ' C thi's rrn 0 r1 �~ bCITY OF LA QUINTA y . � anp'datttrrwant patinK � ° . APPLICATION FOR PERMIT ,7. PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)4 } • � / .' ' Y -. ; r.• - .ter. • � • .. For the constructwon -of public 6r ortvaty• Curbs, drivtwvors, paver+at . aideiaotkii, parkirq Iota, asnveuti, wgbw mzk,, ' and Otho? tike Public vwovks imt5reretrw- In oonn"non with MINOR IMPROVEMENTS tinct APPROVED SUBDIVISIONS ,,. / ' Subdivision improvmmant Puffin Etas 111 Dari:' t� 9/ :. Mirw 1mP,,,,,� -- • LOCATION OF coNsi'Ruanaw � - :P?+"'"'""` a+a aV , . '•,r : +' .: lStwet aoarvw peaes�nwt of Lotooraodt6 r `' PURPOSE OF CONSTRUCTION —.: ands (attach convauggir pla7e!5 apprro{risq�. ,'s ' OFSCR'Pl ON OF CQ UCTION IGl� ' ZI' DIMENSION OF IN5IALI ATI OR t{bAIOVAI SIZE OF 9XCAVATION, IF NEEDED 1 Ail APPROXIMATE TIME WHEN WORK •WILI. BEGIN APPROXIMATE TIME OF. COMPLETION ESTIMATEO CONSTRUCTION COSTS Undudinp reffemi of all obruucrian, mwwvaIs, and debris: Aaekfillfrq, oonv! + palvon and p4dny panhanaeit nswfatartq and/or roptael�g improvt+mehel In consideration of the tier I tfta tans hereby , "ming o petm�t. the eao agrees Indemn+N, oRbao ono sae the CIN. in au0+or,rid 4"rm. PH o". repro mmutrm and em love", hs;"**,rroni ane tsrpr &W (1 ' dwwnat. I06010et If saes.rew itins kvm dRaYm a town action IN lire" Dui of anv amidott, too or aenaaR 16 ttN90iw1 Or rr'�tneer .' ; '•... •t+' `'�.� `. r hat6p�nN7 V tpt9Cit"at a 9MMO Pte t+VAR of MY wvoots ttn,00vtatttn vtwmr the pertwrot"o-6 ounmm to tfitt mown .hah. rJ'.1'4i ' koll}r the Adm+i„ io w e Avwtowm at await tvm tw4w r tlel hourp A maww Oa Of the lona whom wtaxet wall M ot%rvd•' " '', y ;'`' ' sic r ,,.• . • rx , ,'.. Camav troth all eeo sbow 0tv Orurrwwww. eM famw'era'titl+ itlR t, of tfu Oa!ntt w?u eii'upoi i iRr11m 11nA'IRpUtlirprrt Di . Cjir�st+..>:ri :: nro� r.�,...a...sa.-,•w,u:..>. .... .,. Q-ino'Ino la' oil i'ertwv�Y'���rYio�w+.i!+i ef' wai;'r'• - r•� :....-� t: c , ,10 DRY/Y:H a an•, • a., •,•. ,.,3,•. t.ai'arc¢,.?7°•;��:=;n};..-`"°'`''"�" � • .:� "�.••�,;: zz�al• � .� .. $Igne ty of Apphtss r rtt .. �� .r,�;"',. . Name or Aopttant tp(eara sirs 1 - ButlMss Addreu ' - Taleplpq NO. ` ' ' ,'.•.; Nome or Contraetar an foo oraman Businea Address Tele j/q,' Can L,cansa11 9,7 City Business Liante No. rj \ : Aoot,anc s lnwrana Comotnsy POlicy Numoet AI FEES: Subdivision imorovernarii Pe"', ft — Clad In'- I i i-a Public 3%o1 Kc�neted can:tnaaton oom r " Private Improvat►ter ts, 3% of eax+mned Construmon Gose 1� 0 'Minor Irnorovcmtnt Ptmt+r —'Class IV: Sat at•toch.d scheduto e it) ceeuon Few..PERMIT VALIDATION +PwrmnFee �. —?, F "-RMiTNO. r.... inaltv 3 PC+sh btoosti SuratV Bond DATE APPROVED l If Mowed EXPIRATION DATE T t TOTAL; s a X l DATE 15ST1Ep • `. RtraNvd by Oat:.e..,,;ve,. r'• � Br •- . AtSmrn+a+avtrtra Aw�+omy _, ii + ,; ' • �' = fl°ca.000 W , , Y'EL.I:F4'IONI°• 48101 BQIi•3`?EA • • . f + . suss.. ... -.... -..- ._._ .. .. ... .._-_.__.. < START -TIME ,DURATION, #PAGES COMMENT 1 as ,6193427504 4-30-91 3:15PM 1'02" 1 1 ! h S � it • s ' I ! hat r�: ` NOTG. ' '' _ � - Y 4 i t`. • '( + With Prdpar v.Ildatlon -" - l,.t • this form oP nstlttrt.a CITY OF • LA T •Z QUINA . 4, i r~ r' • oncro.oPOrmlt•• hmen< . APPLICATION POR P@RMIT . « - ' PUBLIC WORKS CONSTRUCTION (ENCROACMMQNT) •• -' ., A,+ • . .. .�+. � .� : y. suss ' Tr 'Per the aoI%"ru C<lon-cf Pubtla or Private curbs•[rlrlve-evs. Pavements, eldawalke, parking lot.; .BWpry, water •main. + - f • _ �i' . and other like public works Improvements in ca neotlon with MINOR IMPROVEMENTS and APPROVGO BU BpIV IBIOND k4. • Butfdlvl.ldn Improvement Parrnit = Class 111 4,! A r !` •n•:- MATIZ;- 1MInPr Improvement Parmlt Class IV - �� .LOCATION OF CONSTRUCTION _ .' � , • la[rs•t sddr.0 or D.•erlD[lon of Lom fool to f, .. SPU . t RPOSH OF CONSTR UGTIONtI t' . ,Sketch (attach construction piano If app-prievel r • DESCRIPTION OR CONSTRUCTION -j�� 4a4 v tn•A.. 7tOYC,a - �- e�T-n6' i )�A Z TO ' ;L �.: .I - S2. W= WALEMLMIR@8OP O'C? ON CXWW. AffiTD y • 4 - . DIMENSION OP INSTALLATION OR REMOVAL •` - ' Y v .y < SIZE OF EXCAVATION. IF NHff OEO f•.sS • APPROXIMATO TIME WHEN WORK WILL BEGIN "� r • •:' 1 ( s , - I APPROXIMATO TIME OP'COMPLETION - •7 a _ •• f - _ • HBTIMAT8O VONOTRUCTION C08T41 1 -.(including removal of ailfl - obotruotlon:-materials, end debris, Dooklllnp, com- •t, _ {'. - , paatlon and ptacing' permanant res-febinp end/or rapla Jng Improv.—rats) - lr consideration, of the -granting Of this permit, the aPpjI-nt hereby agree. to:' • _ ' r - �`Indsrnnlsv..tlnena ..wf . -eh. CI[r. Iv s .need .sent•, anra.r.. .. r••.n .nae Ib suss n..:nl.:. tram and .a•uut e r ... elelm[ �minp eu<aur _ { '• �,.i , Penad.o. n.bftluw or leu cenvulna tram ar cowl •etton end --oald.-. I— or —go m yr.en• o. P=J _ - (•>�' ' 1 : . .k , , h.p9<nln0 Or boaurina .• • Pre.1— -mv., Of env hark .Mess•.. ^under the p—d. pr.n— Pursuant to this applie tlen. .I hlVdfy the Adrrtlnl•erativr .AYthO rltY st least tvOmr-rour (sal n •d—.. of the tlnte when hark will as —sc. • • • . ` • ODm DIV w a .abllanbl. ...v Onx.nane.•,th•,[orT pf the Pe -1. • a1....'as.r.-.aPllbl. ruand rva.lotlen. e1 <ne Olry�, landl r • •-91 11 Ia D«,Inte N .r'br a tl1[bnal r•alapm.nt n s.ary a• [n• I[ Dr NI. wrsrk.- [` ' ' t I • •"t„ y f DtPna<uro•of AD".041- er Atyan. ' ,r s' �, - 11fAR(iRT`9 _D_ 8� IAOSO '9't 1fRRIIHTl• A q ?Rp �!•- r ti Nems Pf APPilaant(plash Printl t` -.0—L. Addra.. t s TOIOPhene No. •� t OIC L. J;1& - f _ • T Nem. of Oontraator and Job Por - Businams Ad,tro•e No. „•Telaphons ', ,• _ , f OonVaotor'. License No. - -* r - - {, •. Clty business 6.losnas Ne. rAppllaenH. ' t `'� Inauranw•OompynV - - - - -Pd11.v Numb- ' 1. • PBEDt 8undlvlolon lmPrev. m.nt Permit-Cla.a'lll - • -j • t < Publla Im Provem.nts: 746 .1 estimated a truatlen ee•t. •.( . { 4 - •• 1, a .• Private, IrnProv.rrtant.: 216 Of .•timetud m.'.<.,,at,an asst. , , 1 O 9.2 - _ • r'}r..t.a •✓f Minor ImprwrOmant Parmlt - Oleos IV, Bpm mtLOhad sOnadule t"' "''• }� +� Inspoatlon'Pee' S - -• • - ' PSRMIT VAL)O^YlON • - .•� `�Y • Parmlt Pee r t r t PERMIT NO. 1092-•• ' - , Penalty "' rr - I ( J . e Cash DaPoele•Bur.ty Band DATE APPROVHO s.-eP._Pt i - r ' 11 ro4ulrad t� ., HXTH P1A •Y .6__ • - r:'a• TOTAL: .®' •{76.AB - 1. 'Re OA 6 -'JI 1 s • y -lot No. y ' ••R.wivad bV pats By minletr.tly. Authority H: r u Reaerddd by • ` THL6P►sON Ba 90101 p64-2248 , y ... t' .. � suss • `' t _-; 1 t. • ,. .� .�� A 1. .-`f •A i_.1 y.: , 'r • it ;,.T-HI51l DOCUMENT .-.(REDUCED :SAMP.LE ABOVE) ''WAS SENT LL t 3, a l a ;; N .. ** COUNT SEND , i .. NO 'REMOTE STATION I.D. < START -TIME ,DURATION, #PAGES COMMENT 1 as ,6193427504 4-30-91 3:15PM 1'02" 1 ) TOTAL 0: 01;,02: , l 1 z [ _ ' XEROX TELECOPIER 7020 . to 7f, • •/ '� r' -�,^ - .. .r ~• • !•• •, h r• - `' ter r t s. �? � . - ` ? ,,; -, } - r alae•• `t ... ^•� - ,1 L • ± - * ' S` ''jam .� l t.,.;r A+ri. .. f• --- ---------'---;'------- _.—— -- i 1. �--- .-- Y. 1. NOTE:" f • �� ` With proper validationI ,a AN \ } this form constitutes an CITY OF LA QUINTA a " + R • , encroachment pdrmit - ti :4 *J. I APPLICATION . FOR PERMIT PUBLIC WORKS CONSTRUCTION(ENCROACHMENT') L s', • •� { For the construction of• public' or' private .curbs, driveways, pavements, sidewalks, parking, lots, sewersi water mains 3 . + { and other like'public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit— Class.11l - = " DATE: 4'3-91 Minor Improvement Permit Class IV. ' . LOCATION OF CONSTRUCTION • u `� (Street address or Description of Location) '-+-. , t - I - ' • • . i. PURPOSE OF CONSTRUCTION Sketch (attach co truction plans if appropriate) •� t ''k ,'. r DESCRIPTION OFCONSTRUCTION gG 265 PAVER ln'6" Route; NOGALES 'S'HEBBERA.TO • ; F BIDE GREEN WT ALL ELSE T.RGAT. " 52 TO WASHINGTON OUT OF • CITY . LIMITS • r ... DIMENSION OF INSTALLATION OR REMOVAL e.t - ,. DATE 5-1-91- i _ n, ' r SIZE OREXCAVATION, 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- :' R paction and'placing'permanent resurfacing and/or replacing improvements) In' consideration, of the granting of•this'permit;.the applicant hereby agrees to: L' +Indemnify, defend and save the City; its authorized agents, officers, representatives and employees; harmless from and against any and all « • - - .. 3'L.. penalties, liabilities or loss resulting from claims or court action and -arising out of any accident, loss or damage to persons or property 14 happening or_occurring as a proximate result of anyr work undertaken'"under the permit granted pursuant to this application. _ Notify the Administrative Authority at least twenty-four 124) hours in advance of the time when work will be started. ' .. - .. ;j _ Comply with all applicable City Ordinances, the, terms and conditions of the permit and all applicable rules and regulations of the City of • '. "' s "" - La Quinta and to pay for any additional replacement necessary as the result of this work: • 4 ' , I Signature of Applicant or Agent - I M f TARMAC MASSEY F.O. BOX 14050 PALM DESERT, CA 92255 ! t '' �• r I ..Name of Applicant (please print) ,- - Business Address Telephone No. - ON FM Name of Contractor and Job Foreman Business Address Telephone No. • :' . si ON .FILE ,r ON •FILE ~ t . Contractor's License No. Y , - " City Business License No.^ ' ' _ t Applicant's Insurance Company r Policy Number. FEES: Subdivision Improvement Permit —Class III ' Public improvements: 3% of estimated construction costs Private improvements:, 3% of estimated construction costs `•' ,- • 'x-., •10:9 2 a j. • y� Minor Improvement Permit — Class IV: See attached schedule y}}+? Inspection Fee.. $ r PERMIT VALIDATION Y4 • Permit Fee ,, tn_nn. _' -Vf 1092 PERMIT NO. + ^ i lDeposit-Surety Cash Bond i DATE APPROVED 4-79-91 if required EXP N TE 5-1-91 ` \` i; ;`{ TOTAL: $ to nn t DA 4-29-9l." .. y..•: r; Receipt No: r _. By Y Received by" Date" } dministratiye Authority ,e. tr Recorded by TELEPHONE: (619) 564.2246 , 4