12454»
NOPE
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: Q? 10/8/91
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV
(Street address or Description of Location) '
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 950 E Loader. 9' wide. Haul'+Route:•• Durango and Bermudas to
alL else legal .t 52 to Wahingron and out of City Limits
DIMENSION OF INSTALLATION OR REMOVAL - Haul Date: A0/9/91
SIZE OF EXCAVATION, IF NEEDED '7
APPROXIMATE TIME WHEN WORK WILL BEGIN jr
APPROXIMATE TIME OF COMPLETION '
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, co,m,
paction and placing permanent resurfacing and/or replacing improvements.)
In consideration of the granting of this permit, the applieant;.he'rebyi'agrees to:
'Indemnify, defend and save the City, its authorized agents, officers,; epresentatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action andkarising 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 Tina,Qthcey
a ,
Tarmac California P.O. Box 14050 Palm Desert, CA 92260 ;s"7.75-8267
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 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 Date
Recorded by ,
F,•
1 245
PERMIT VALIDATION
PERMIT NO. 1245
DATE APPROVED 10/8/91
EXPIRATION DATE 10/9/•91
DATE ISSUED 10/8/91
By
Administrative Auihority
TELEPHONE: (619) 564-2246
Ala+rno3nr 1�n.af,r.u,pV AO o.owaod
_iota ,q Orw�b
G31 l 31Y0 'ON ldImell
' � 31V0 MC1llYl�id� ��Vt01
' o3nGaddv 3140PannOy 11
DUOS AJfjnS•ltrloOiQ 41
0!;1lF1lioc AJI1u14
NO1I,YOJ�VA 1►b1,a3d I ++i liyij+d
S +ad u0ma01ut
®x •InP+ a+ awtall NS :Al Ix _—V"4 luawfAo,ol lowyy
a� Jsuq u0133lumuao oft+waa 60 %r :au. „oJaw fJeaud
4'`.rl,::1., ,:S,i: `!�• •.i .,r; �,., ,.r'.i.l';.,;".S.wiC, -a.': ;���•
G'
d W •YOIIt t �,!'.",
K
.t ti::r':'� 'fl%it;i.
<.rew.w�ayw•r..n-...: �:.t..4 . . ".':T.�� .1 . � p n'
a. t
A
tsu:ro
ttou
fine
7 U t
14trJt ' _
,.t_ ?„ .y:' «,",-.%�"i ,y a6�; s-s'rt'�_::•;,3'n^'' .,,j"'r. !'�,• r ;�`i.i
N .'!�n•alfng AJ+O .:: _ :.f.'if. j.1* -. � : t... .. fel' tb.. 't." - '"I' - J'• • :
'' 'oN Nusr'1 f joul.luo0
suaKwa
fs�tpAV nfvl{rt8 unuup q o
u1 io>ar,luo9 10 1woN
,.
fs1jPP fflutsn� .���
;.' +r 6 �• � (Ju110 as 11011ual"10'r bwoly
Zve
Jo u :S
N Ala JO IMI .w to AM"04V urw+rorw.� _
kr... . ti.''r •,, irs,af OuR aglu sp�bm, I0 Au1 MYI+W t1µ1 ;q szkol+out* AI• p+uH ' swory
fl/J t d0 97 alafaaw I{ vlw sMUI
r1
ow IYOa www tta,u�i BVI Js '.0"o w Yt`OV bi) JMhAwmq LOq 1f MwowV Fit
.tea ■� ai www ad.W 1wr.r fw +.► uosa.toaRI fta Ao+w
�•M+i wa.entl " a1ru,•o Ab g"'UWM920• AIInto_ Au1 1N p11%+oN �+iN�W X11
tluwsw,� • p iw,n„Y N peM 4
:•'
01 N Aa• us.M w• tmy so y fY't+►•A01•fy Cu•�Jsswlseraa� 1 t»,1 uau• Woo " tylr•p ++ A W401t +I 'rwltha�p
au 's."940 "WNW 0*"%On0 a 'AAt, +'N sas a" 9"09 'ArIV.WUj
.; • :, :W "&A# AQZJ14 11412Uddl >� 'Uuusd m4O )0 bYtlusA ocJ1 10 Uallalfptfum ul
lr (sulsuuojdw! 6ua11dsi Jo/pug 6va18a►raJ 34oualwsd Guo 4 Put uad9a4
4 -woo "Au'mwas 'tuQ•P Pug 'flfufJlly '6t
: oaanjago !11 ►O luowrr eulpnpull
s 1SO3 NOLL fIVISN00 a3.L WI lg3
�� NOlL31dYt0a dD 3W113J vWtXOklddV
-74
N1938 TMA )j1lQMl N3i4AM1 3WIl 3.4YIg1Xgad
dV
r 03033N dl N031VAV3X3 d0 UIS
IVAOMV b0 NOLL i"1VLSN, do ISN31410
NOLa?IW,uavo0 d0 N t IW . 0
�•�+41�fea1 Iti
N a0 YOIJ7flgtFyl>p 40cul) 4311,'
NOLLo =NO3 40 3sodliild
i :• f+,oa"o} w.oma.,d e• "'+mos ,,,N51
NO 1'gI
III ��" JJ+a+�++a�+ew) N00 ti Np!
d Ju1wl.ojeJw) valuklAt� J �3•kYG
�Y I� 03AOUddY Put SiN31tl OWIN1 WONlK 421m uc=ouueo w auruaa+ewo 1
It"m 'dol dvl�l+ld agta"wlP4 lwawsmrd 'fAaA.•AuP 'fgjt* tJ•ujd m r9nd14jp �yr1? 441, aocRo our
njssuoo 141 jed
tAN�wl rt�s�ayy�1 N0I13nWISN03 S)480M mend
ilMd WOJ NOUV01'lddd
VINInD V1 J0 A1.13 Jjuula suw:wf6gw
UP mwQQmdn? UI Ola
Z@ d s anJL i 6-8 ..._—JL00
-I of - , v — -1
y NOTE:
With proper validation
this form constitutes an CITY. OF LA QUINTA U
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
C�oFTl�9ws�
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 I I I
DATE: 10/8/91 Mirior 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 950 E Loader. 9' wide. Haul Route: Durango and Bermudas to
all else legal 52 to Washington and out of City Limits
DIMENSION OF INSTALLATION OR REMOVAL Haul Date: 10/9/91
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 Tina Gracey
Tarmac California P.O. Box 14050 Palm Desert, CA 92260 775-8267
Name of Applicant (please print)
Name of Contractor and Job Foreman
On File
Business Address
Business Address
On File
Telephone No.
Telephone No.
Contractor's License No. City Business License No.
On File On File
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
10.00
$ 10.00
Date
PERMIT VALIDATION
PERMIT NO. 1245
DATE APPROVED 10/8/91
EXPIRATION DATE 10/9/91
DATE ISSUED 10/8/91
By
Administrative Authority
TELEPHONE: (619) 564.2246
4 • , At. 11