1093-.`'ro. - • ..
NOTE:
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
Subdivision Improvement Permit'— Class ill'
DATE: MAY 1`10-11991 Minor Improvement Permit Class'IV
LOCATION OF CONSTRUCTION
(Street address or Description off Location)
' P.URPOSE'OF CONSTRUCTION' RFMAr. r:RTNT)F"R Sketch (attach construction plans`if appropriate)
`
NOV WTT)T?• r:RF.F.N WF"Tr wT - AT.T. F.T.SR T.Fr.AT. tc'`
DESCRIPTION OF CONSTRUCTION HAUL •ROUTE: ALVARADO 1' MONTEREY TO,
" BERMUDAS - TO 52 TO •WASHINGTON. TO
` HWY 111;.
DIMENSION OF INSTALLATION OR REMOVAL
t SIZE OF EXCAVATION, IF NEEDED
+ i } - DATE 5--2=91
APPROXIMATE TIME WHEN WORK WILL BEGIN
r j' APPROXIMATE TIME OF COMPLETION
ESTIMATED'CONSTRUCTION COST -$' �'' .� �' �•'�''z� =tt F �, +
�(lncluding removal:of`all obstruction, materials,.and debris, backfilling;;com_
paction.and,placing permanent resurfacingand%or replacing improvemen'ts►-p
Ilk
In c'on'sideration `of the granting ofithisttpermit;;thefapplicantyhereby' agrees to:
Indemnify defend and save the"•CItits,authorized agents; officers representati4es•and and harmless.fmrm and against any and all
penalties; "liabilities or loss, resulting from ;claims,or court action 'andrarising;out.of any accident, -loss or;
damage to persons or property
happening or .occurring as a•prozimate result of any work undertaken^under'the permit, granted pursuant to this application.
Notify the Administrative Authority at least twenty-four, (241 hours in advance ofithe time when 'work will-be'started.,
I. '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 tc pay for any'additional replacement necessary as the? it "of, this work`+� tiµ r 3y r
aT i, Signature of 'Applicantor Agent
TARMAC/MASSE)[-. P.O. BMN 14050 PALM -ilimi T I' '�• "' ' a `
Name of Applicant:( please print). Business Address `•` """. Telephone No.
ON FILE 0
Name.of Contractor and Job Foreman Business Address Telephone No.
ON FILE ON YFLE
Contractor's License No. City Business License No.,
Applicant's Insurance., Company Policy Number. i.
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: •3%.of estimated construction costs n
Private improvements: 3% of estimated construction costs 7
Minor Improvement Permit — Class'IV: See attached"schedule
10.00.
Inspection Fee $ PERMIT VALIDATION
r �t. Permit Fee
PERMIT NO.
Penalty
Cash Deposit Surety Bond. DATE APPROVED 5-1-91
if required : . 5=2-91
EXPIRAT ON DATE
,,TOTAL: $'. T 0 �� S-1-91
�DA� 6U
ReceiptNo.
;• B
Received by Date' t Administrative Authority
Recorded by TE'L`EPHONE: (619) 564-2246:
�_--------. -___- -- - -- - --- - ------ - --- -- - - -- _--__-_
". .. ,•�r'`4...'1J�..ta"�l;i .�h+�:.........;'aw.?h ''i 4.a•rr .-t..� +,.-•`•.^w _.� ;�..��w;gl,o,ia�r .�Kc�.•�i n -eV�..� "tt !: ' ti � �;. ..
j
NOTE:
With proper 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
DATE: MAY 1, 11991
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Cass Ill
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION AEMAG GRTNTIER Sketch (attach construction plans if appropriate)
RO' WTDE GREEN WEIGHT ALT, ET -SE T-EGAT.
DESCRIPTION OF CONSTRUCTION HAUL ROUTS: ALDABADO 11 MONTEREY -TO
BE WAS TO 52 TO WASHINGMN TO
,,:,►: HWY 111
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED Y 1
DATE 5-2-91 ;
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 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/MASSEY P.O. BU 14050 PALM DESERT
Name of Applicant (please print) Business Address Telephone No.
ON FILE 0
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE ON ME
Contractor's License No. City Business License No.
r'
Applica'nt's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I.
Public improvements: 3% of estimated construction costs -1093 3
Private improvements: 3% of estimated construction costs
Minor.lmprovement Permit — Class IV: See attached schedule
10.00
Inspection Fee $ I PERMIT VALIDATION
Permit Fee \ 1093
Penalty
Cash Deposit -Surety Bond
if;required
TOTAL: $ 10.00
Receipt No.. a
Received by Date
Recorded by l
PERMIT NO.
i DATE APPROVED
5-1-91
5-2-91
DATE
rEXPIRATION
5-1-91
r':otk.D/ TT SUE),
f
By
Administrative Authority
TELEPHONE: (619) 564-2246
I. _ ;'p(.�r ..�w.i # �t� r ��.fx�fti"!'/_'i"1 b a.^l'�1!�;`'•:� .. .... -4W
4 rj
'`�. ♦ I WI<h ProP.r v.Udatlon - _ . +�. '+
• 1ltt le form pon.tltute. en • ,,• `
•" 1 noro.ahmant Permit 1 `. CITYOF -LA •QUINTA
e - -
A�k4 I • r y f• r, APPLICATION'- FOR PERMIT!"
PUBLIC,WORKH CONSTRUCTION .(BNOROACHM@NT) .t
4 -♦ r ,y ,Q�1 1 .Forthm co—t-1. of PUDIIa or Privet. ourb., drlvaw.V.. p.Vem.nu; ` ldawalk., perk lnp lots, .owmra; wap. main.
' r
and other Ills. Publio'WPrlt.' Improvement. In oonn 1.7 with MI NOR. IMPROVOMENT6 end APPROVED SUEDIVISIONS
'r 7 { �! • , .- . A •OUDdlvl.lpn Impe mein Patmlt — Cly.. 111 *•
1 tl.• .i •� tr OAT®: NAY 1 rovMinor Imprevemant Permit Cla.., IV
Looacri0N OP CONE -;-RUCTION _
. 1 lar•rt .ddroa. ur pow rip---
�, tiy, '< j • • PURP06e OP CONSTR IJOTION Sltatah (atteoh con.truotlon Pian. 14L opp—prE...) -,
f 1 _
- . OfiBCRIPTION OF,OONOT RUC TION' HSIIL 7WOiYTR■ AI.VA�LO.d 1eQAT6Y8= O
SSATINDAE TO 32 TO TO
UMr!r 12L
>•, { OIMENSION OF INSTALLATION OR REMOVAL • '
' 9126 OP EXCAVATION, IF NEEOEO DAIM 3-2-91"
APPROXIMATE TIMG WHEN WORK WILL BEOIN. r
' APPROXIMATE TIME OF COMPLETIO
E
ETIMATEO CONOTR UCTION COST 6' r
+ - (I ncluding removal of all ob.truptlpn. moterl.le. and debri., bookfllling, com- _
' .} !paati— and Placing PPrmmnent ra.urfaaing and/or replacing Improvomanb)
In mn.ld.r.tlon of t)1a granting of thli'parmit, the applicant herobY .gram. tel
' ' „ Ine.mnllV'•d.f nd ab ta. a O{tV. Iti nuNPrl..d . m. otflvor.. q ru.�lt.tivs. a mP10V.v., h.rmlw f.- .b —1—. and *11 '
nal<1... I.bll lel.. Or IDK gwltln0 < I.11n. w Ourt ..t1Pn a .rl.lnd OY .mld.ne, leu er demepe m Par.om Or PI.P.rry
• . I i h.pPenlnc a eaaurrina H a Proel•n.t cult o nV'werk untl— .. und.r th. parch agmW Pur. an t0 1h1. .PPll..tbn.
—,n, 1h. Ad•n{nl.rgtiva A .lay .t I.Yt a,r.nW-1 (Zai hour. -In edv.nm [M MO .Im. —hon ark -will b. R rstl.
• Opm p1Y —Iln . ePP11mb1. 011V Oidlnenee..-1n. 1.r1r1 -and aentll<Ivn. o n. .•Iola and .I .pplle.bl. w. rb repW.11en. of M. .1wet
'.la Oulnm end lL P.V Ipr any .dtlhlen.l gpl.o.m.nt nAWry m ahs gwla pt MI. —111 • ,
. r ' t ., . t ' • ' . l,: Signature of APpllcent or Agent - .. • t -
�
ti Nemo of Appllwn< (pi.... print)- - 0u.lnem Addrom I Talophone No.
SNam. of Cem:roetor end Job Foremen - ft—In.- Attdre.. Telephone No.
r +It -I 1 ON 8IL8 _ .
Contractor. Lleanm No. - _ CItV 6u.lnam Llean.e No. -
• - . d ' APpll..nt•. In.uranpa Comp..v A' PolloV Number
• - ' •f iEE61 Sulidlvl.lon Irrf0ro rnent Permit — Cla.. All
a' _ 1 ` r. • Pub.l. Impro —.— '9% of-o.tlmaetl—.aruotlon mo.o A' S • 1 0-93
..
'Prlyev Improvemental 396 of .almatad oon.truc.lon ao.L 1 .
` • Minor ImPre<.men<Permle .� Olam IV1'See attacMd.chadule ', - :+ , • <
on.co.tlon Foo . g 10.00 'PERMIT VALIDATION ,
! y L • Parmle P.w. .. PORINIT NO. 1099
♦ P.nelty
1! I
Ce.h ,DATE APPROV ED — —01
t, OePo.l t�HurktY Eond, - - -
r If .aqui, ad •� 4•' EXPIR O TB
' Reuelved by .Dote Adminl.tr.tive Authorl•
•� - nV TELEPHONE: (010)'604'..940R.—d.. `41.
rfi TH I S DOCUMENT 'l (�REDUCtED'•'SAMPL•E, ABOVE) ,
WAS 'SENT -
%C 0 UNT7-
, • ., • .[, .• } �wy , 1 �li^ . •-�' r •• , r 1 , era .. •t , , •'• , , , '
:1 ♦ a•'
SEND*
>
•
1
rfi TH I S DOCUMENT 'l (�REDUCtED'•'SAMPL•E, ABOVE) ,
WAS 'SENT -
%C 0 UNT7-
, • ., • .[, .• } �wy , 1 �li^ . •-�' r •• , r 1 , era .. •t , , •'• , , , '
:1 ♦ a•'
SEND*
• i. - TOTAL 0: 01 01 •
1 r'
i
NO REMOTE STATION,rI.,yO.•', START TIME -DURATION iiPAGES '1, COMMENT .,
61 93427504 ' y 5;-' 1,-91 1.1 :.1 3AM V
i
01
• i. - TOTAL 0: 01 01 •
1 r'
i
NO REMOTE STATION,rI.,yO.•', START TIME -DURATION iiPAGES '1, COMMENT .,
61 93427504 ' y 5;-' 1,-91 1.1 :.1 3AM V
i
c
Aid
NOTE: ti ' i
With proper validation ,'
} this.form constitutes an { 1 r��
encroachment permit LM
LA'QUINTA x �''; a.
APPLICATION FOR PERMIT" ,
r PUBLIC, WORKS. CONSTRUCTION . (ENCROACH M6 •-� iq, a�
"MOF T��O
r. 3•ry
For the construction of* •
public or private curbs, driveways; pavements, sidewalks,, parking lots, sewers, water mains
r and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS .
`,t w r . •x r' Subdivision -Improvement Permit - Class II I
DATE: MAY l,'.1991. i ', ' Minor Improvement PermitClass IV
- '
= LOCATION OF CONSTRUCTION 'r t
, F
j
(Street address or Description of Location)
i• PURPOSE OF CONSTRUCTION T{FMAr r.RTNnRR Sketch (attach construction plans if appropriate)
;� +'• - 10 t WTnF.. rRFF.N TdF.TANT AT.T. F.T.SF. T.FrAT.' r • - - .. -
_
R L
'--,,DESCRIPTION
OF,CONSTRUCTION + HAUL ROUTE: ALVARADO &'MONTEREY TO .
_
BERMUDAS T0.52 TO WASHINGTON TO
HWY 111
i "'DIMENSION OF INSTALLATION OR REMOVAL •
•may
,. ., 5
, ♦ r t .� _' • ! + 4 • 'f 4 ~
t
SIZE OF,EXCAVATION, IF NEEDED r' « '
DATE 5-2-91.
1 '
j APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
r " r
t.
ESTIMATED CONSTRUCTION COST $ `-
•«
_
(Including removal of all obstruction, materials, and debris, backfilling, com• �� -, ° `.. r
,j `
paction-and placing permanent resurfacing'and/or replacing improvements) '
•
..
In. consideration of the granting of this permit, the applicant hereby agrees,to:
s,
Indemnify, the City, its harmless
-defend and save authorized agents, officers, representatives and employees, 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 roximate result of an work undertaken under the rmit. ranted
• 5 �+ 9 9 P Y Pe 9 Pursuant to this application. ,
'in.advance
°
Notify -the Administrative Authority atmleast-twenty-four (24) -hours
of the time when work will be started:-•ir+
• •- ~ • �"
,r Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and•regulations of the City of
La•-Quintpa and to pay for any additional replacement necessary as the result of this work. t -
• '~
,,t "",. ?. r -
°•
' . Signature of Applicant or Agent
7Y , '•
TARMAC/MASSEY P.O.- BOX 14050 PAT.M DF.SF.RT'
Name of Applicant (Please print) Business Address Telephone No.F
• ti.". �
ON FTT.F.
r -
Name of Contractor and Job Foreman Business Address ;, tl• Telephone No:,
`
r y ON t ON +FILE ...
4
•
FTi.E
Contractor's License No. - City Business License No.
� - - .. -
. Applicant's Insurance Company + ' Policy Number
`'••
FEES:. Subdivision Improvement Permit -Glass III `'•
Public improvements-' 3% of estimated construction costs
-10..9 3
4
r} Private' improvements: 3% of estimated construction costs
-
Minor ImprovementPermit - Class IV: See attached schedule
10.00;
Inspection'Fee $.' PERMIT VALIDATION a .
_
• �
'.. r'
Permit Fee- ry PERMIT N0. 1093 i
r
�
• .'„
t Penalty r• -;.
�`
r !.�` Y`.
' - DATE'APPROVED
Cash Deposit -Surety Bond' i r
♦ `
,
if required . i� 5-2-91 fir.
o � •. � •• EXPIRA N DATE
- , 5
_
�1g.^^
-TOTAL:.-' i $ .D 'U
a r
ReceiP t No. ,x r
~ BY,
ryReceived by Date J Administrative Authorit
'Recorded by ' TELEPHONE: (619) 564-2246'.'f y
' 1•
4�:t4•'4
�"rKl.f ♦iw ,� •• -4 , • '. - ,
.'t
•4•
, -. , ..
,L,ti
,
P. 0
MAY— 1-91 WED 1 18 MAS
NOTE.
Whit orotw►vaikknpn.
tflit form conssltt m an
tntroau+merht Dertmtt
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONVAUCTION JENCROAC4IMENT3
For the constn=on of piulc or private curbs, driveways, pavemames. sidamiks, pmkinq lou. smart, W.W Dadra..
and other like Public works irmprerrerr1ar11x In cannomon with MINOR' IMPROVEMENTS end APPROVED SUB$ryISIOW
Subdivision Improvemaht Pi mrt — Clata lit
DATE: / � Mirror Imarw "swat Pertnit Gaal IV ..�....,,�,� .
UJCkTION PF CCNSTRUL'i'iON
ISta++s aeWrta on 6"WO - 01 Lamm")
PURPOSE OF CONSTRUCTION Sketch construction pearq l( i771 I
DESCRIPTIO FCOIsbSTRUCTION aG�/ Ae-�aRl�
1h "
DIMENSION OF ASTALLATION OR REMOVAL / ' p fq
SIZE OP EXCAVATION. IF NEEDED
APPROXIMATE TIME YMEN WORk WILL BEGIN
APPROXIMATE TIME OF COMPLE`I'tON
ESTIMATED CONSTRUCTION COST S
(Induding ren[oval of all obnnxtion, inetertelt, and dttprre, baddil ing, csuwr
pacoon and placing parn+inrnt rwmaisoatp and/or replacing imv►ovonrnd)
in constdaraaon of the grantsng of this pemut, the eppt+ant henlby agrees to: ,
Nd—Aty- d•Mrd and 2" me City, ses aue+omed asst a. 4Nieare. nvnanatnrr and tkllptnYlaa, tum»ea from ane opum spy Late au
Ilr WM, IOWA;"ar 1da MWIfln♦ Aom claNMr Or CoVn action e04 arOW4 CPA Of amp at:eKt". 140 M tlamaM * pi - oretrowl,
Amoan,n/ or ow" of a pmxwow rewn of any work snot amass the pomn IN -too oummit to tho eo i team,
Nettfv Me Admrn4uvr w AV11Wny in %Wn twnnp+a+r t3ii. tie++" ,h aevanrt/ Of Wit WN whin wont will be rnrtret.
". Camp+v vrtn all
GtV oMwrow, hiss, tfin}t'. � .ini p!tt'w+m itnd all .tiara NMa p!'�
�;;,,; t ,iroiri ave 7a+ rtiry rOCntarvir rro!rewtint .iirJtile sf tbn'wwti,
i
A 7•
:r
'•, . r:. ,. 1 .,�1 Signs" of Applicant or Agent n / n /
Nama of Acotstant tplesu pr1p({ j Business Address Talepnona No.
E
Nama of Contractor innb F Tamen Bus+neas Address
yly
Contractor's L•cerue o, City Bus7nm License No.
Aoptrcant's Insurano Cornoany Polity NumDNr
FEES: Subdivision Imorowmw, Permit —•Goan NI ,
Public irnorovemmm: 3% of eebanatNd mnnrttetlon cam
Private imllrovementt: 3% of ttmnatoo conttructton com N4
Minor improvement Permit — Chap IV: Set bmchtrd schedulk Ij a
In3Gactton fee
oarmit Fee
5
Penalty -
Cisi, Oeootn•Surary Bond
If "qutrad
TOTAL:
Seaman No.
.Raawad by Datm
Aecbroaa by
PERMIT VALIDATION
yERMIT':O.
DATE APPROVED
EXPIRATION DATE r
DATEI=EO
Adounautrvve Auo)orrty
TELEMif NLI 1619; 664x148