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1224
• NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION, (ENCROACHMENT) r 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: September 19, 9991 Minor Improvement Permit Class IV _ • LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate), .'DESCRIPTION OF CONSTRUCTION __966 Loader 101 side 151 high, Green Weight haul Route Bermudas and Durango io 52 to Washington to Fred Waring. 'DIMENSION OF INSTALLATION OR REMOVAL Haul Date: 9/19 or 9/20 ' One Day Only ' SIZE OF EXCAVATION, 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- , i 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 Cit + �{ y, its authorized agents, officers, representatives and employees, harmless from and against any and all penaltiesF, 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 ;Ad�inist ati.ve Authority at least twenty-four (24) hours in advance of the time when work. will be started. t~ ,st,-) r Comply with all applicabl'e,Cfity Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and•to.pay jor any additional replacement necessary as,the result of this work. } Signature of Applicant or Agent TARMAC CALIFORNIA P.O. Box 14050, Palm Desert, -CA 922551. (619) 347-5414 Name of Applicant (please.print) Business Address Telephone No.- ~~ Name of Contractor and Job Foreman Business Address Telephone No. On File Ori File Contractor's License No. City Business License No. On File On File Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I 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 Fee 10.00 $ 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: ' 'Receipt No. Received by Date Recorded by PERMIT NO PERMIT VALIDATION 1224 DATE APPROVED 9/19/91 EXPIRATION DATE 9/20/91 DATE ISSUED 9/19/91 By Administrative Authority TELEPHONE: (619) 564-2246 l .x ,� SEA -1 9-9 1 THU 1 1 :S!5 MAS P . 02 NOTE. ._ wnh proom, teifft rom this form canaotuefa entvoev�nwrR o•nnfe CITY OF LA 4UINTA APPLICATION FOR PERMIT PUBLJC WORKS COk5Ti UcT'ION 4ENCROACHMENT) For end 1 .9 eo piha►n=JmOn of Ouitw;e oprvturtis. drwvmy, p•venrt,Ilke spublicwarts In cann0=0111 wfih MINOR IMPROVEMENTS ad A RO V4E D �% SUEOIVISI&O DATE: ! / Subdivit;On Ilnaroeern.►K Parra LOCATION QF CO �Mbtor intprowe "m P.rtnft CUM IV UCiTON LTalp ly lsetwt •tru.te a Gso,pyo., � t.AatoMf PURPOSE OF CONMUCTION S�• ch latpl '• ' atonm if 4fA -�i9N F�0�5TRUC?f0� DIMENSION Of PNSTALLATION OR REMOVAL ::p SIZE OF EXCAVATION, IF NEEDED ""' ,t / ©�ot � APPROXIMATE TIME "N WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIM/� c> UCnCOSTS #VmMI ofIUbwDVmod,pacton Ana p4onO n.an 1 , and deb.., w*fillinq, oryPerrrant ryf/ / J�•�� // ; t vwft-4 tlndJor tvp4dnp improvmt WMI ` •' ' In CpntfdrreGfln 01 dlt prmtlrtp of Ilia ?•' ponnit, the •pplfant hereby etlrm to.. Ivye�r.yrov. Def•m No 1M this iJty, rb ouRnentw ' .. �ilfftt, INf/lf lSreO M lfba Celia, cuom G tiDMor�RlrYa• Orq) MrOfOyM•, nartrltf�•:RlM anfl �• ` powov+a•�trnO bafn GI•v4t Or 4faun aru0n aw0 awe y but N f1+t1r 4 , 1••tl M'p�+•M M yi�•a � wtr am ISOM N•t�N ew Ao" s e germ a< t� et am wvtf Y *te■ okeh engtar Vw 011 Iola vv"m purut•nt tb t• it e•of or ply h.tr•bla Aw ta+a.ty-tmr 1.241 equre in arJr„wa t Cooly vnnl all •faata t" Cih Ord aN N• tr+te M•n ttravt WWI be tab ad. .r U Clutha am to ftvt4r �'w1g1• Ir• lart+n anq flonaltvOm N th• Mrwre frtff Of •'� ��+a.r wOr•ovtrht mmr y I• M• rnvlt pr�rt MW<t. rbtat «'tl �� of a t Ciro of '•� " r fr "W J1b 01 4sbm•teO COnrtrvcrion 1 11 Miner Imprpyt(tunt prfM,t —CUTS IV. Sea atoMgd tt:h•oVIII 1� C • lntb•ctlbn fte S ptnnfl Fee PERMIT VALIDATION Panafty °E AA41T ';0. Ca• Aevoerl•SuretV Bond It reOvfreO DATE APPROVED, TOTAL, EXPIRATION DATE Rao•101 No, DATE ISMJED pepryso by By Claris •_,_,--�� q'o+O.O by Admrnrt> "" Avowrtty . TELLPHO F 108) babe turf Of AMicent or Ap m K Narrk Or Aooueant Weate orrnt) 011114+3 Addrauoil Y�•,�'; IV•rna or Cont,eCtpr , •, • Jobr': WefMan 8u11nom Addrttt 4:ontr eCtpr t L'cen•r p, , , .i.' �.: �'',: �':�v •. x', ;.�.. ✓.� '.; ,:, 1.;, -:r' ,.�.I. •,:4.��.. ..A:.; .:l ;: Cit, .OY•frk++t.fgneeN ^s flli ...,_..,.� .., .•.,. a•:;•,.,. -•.;:-c.r.' :.r., . CY N4mflirr • 1^:; .. 4.' I •Sub IV111 Y AQW.4fl►• � 'A'1a v.f '• :W �'•aY• eft' �4:4fii `r .�• ' '�I' Publicfmordw �It►rteIN cofutru Tfon cont Private fmprp. "W J1b 01 4sbm•teO COnrtrvcrion 1 11 Miner Imprpyt(tunt prfM,t —CUTS IV. Sea atoMgd tt:h•oVIII 1� C • lntb•ctlbn fte S ptnnfl Fee PERMIT VALIDATION Panafty °E AA41T ';0. Ca• Aevoerl•SuretV Bond It reOvfreO DATE APPROVED, TOTAL, EXPIRATION DATE Rao•101 No, DATE ISMJED pepryso by By Claris •_,_,--�� q'o+O.O by Admrnrt> "" Avowrtty . TELLPHO F 108) babe NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit S APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OF 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: September 19, 1991 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) - PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 966 Loader 10' wide 15' high, CrPPt, Weigh Haul Route: Bermudas and Durango to 52 to Washington to Fred Waring. ` DIMENSION OF INSTALLATION OR REMOVAL Haul Date: 9/19 or 9/20 One Day Only SIZE OF EXCAVATION, 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- 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 Quints and to pay for any additional replacement necessary as the result of -this work. Signature of Applicant or Agent TARMAC CALIFORNIA P.O. Box 14050, Palm Desert, CA 92255 (619) 347-5414 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. On File On File Contractor's License No. City Business License No. On File On File Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class I I I Public improvements: 3% of estimated construction costs �) r Private improvements: 3% of estimated construction costs 1 C Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by 10.00 $ 10.00 Date PERMIT VALIDATION PERMIT NO. 1224 DATE APPROVED 9/19/91 EXPIRATION DATE - 9/20/91 DATEISSUED g/19/91 By. Administrative Authority Recorded by 11 TELEPHONE:: (619) 564.2246