1251A.
�. NOT:
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
a
DATE: August 8th & 9th, 1991
LOCATION OF CONSTRUCTION Washington &
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV /
- Washington to 111 ( �A U L enuTC:7)
(Street address or Description of Location)
i
PURPOSE OF CONSTRUCTION
Oversize Load Sketch (attach construction plans if
. p appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE'TIME WHEN WORK WILL BEGIN
637 Cat Scraper
3 AX tractor, 2 AX Jeep, 2 AX Dolley
15' 3" H x 13'6"W x 85'1,
173,450 04 401 3804AL08- 08-910.00 i0
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST$ PILOT CAR ZEQU►REb
(Including removal of all obstruction, materials, and debris, backfilling, com- omE TRtp OOLY
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 prope, rty
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
Dalton Trucking 13560 Whittram Fontana, CA 92335 (71 4) 823-06631
Name of Applicant (please print) Business Address Telephone No.
Hank McKeag f
Name of Contractor and Job Foreman Business Address..,, a Telephone No.
On File
Contractor's License No. City Business License No.
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 ( 0 i O 6
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ l D C O
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
e^;r
PERMIT NO. Z S
DATE APPROVED
EXPIRATION DATE
DATE ISSU D
By � $$
I
a Administrative Authority
TELEPHONE: (619) 564-2246
-46
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:
�� 9 Subdivision Improvement Permit — Class III
/ Minor Improvement ermiIV —
t lass
LOCATION OF CONSTRUCTION
v a
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION — !'Ddo/ Sketch (attach —
n -
DESCRIPTION OF CONSTRUCTION
ctlon plans If appropriate)
637
DIMENSION OF INSTALLATION OR REMOVAL 3AY ;acldf' 2 Ofx. Jeer 214Y
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 73 ` 6_0
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, bar+tfilling, 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 Quince and to pay for any additional replacement necessary as the result of this work.
--� Signature of Applicant or Agent �z33
[!G
Name of Applicant (please print) ->X
j 23
Business Address Telephone No.
Name of Contractor and Job Foreman Business Address
Telephone No.
Contractor's License No. City Business License No.
/V h /`i Ile--
Applicant's Insurance Company
Policy Number
CIL
Policy Number
I'
f.
NITE:`
With proper validation
this form constitutes an
encroachment permit
'_ t
t
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC VORKS 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: October 11, 1991
LOCATION OF CONSTRUCTION 53-190 Avenida Carranza
(Street address:or,Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF.CONSTRUCTION Retro—fit Approach
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF. NEEDED
yfi
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/14/91
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Driveway approach shall be constructed
per Riverside County STD #207
APPROXIMATE TIME OF COMPLETION 10/28/91
ESTIMATED CONSTRUCTION COST $ 500100
(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 dr 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 workwillbe 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 Ag t
Michael L. Bangerter P.O. Box 59 La Quinta, CA 92253 564-1486
Name of Applicant (please print) Business Address Telephone No.
'General—Contract Management Same Same ;Same
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 hmprovement Permit —Class III Obi i0 4 ''rye 10—i1 -9i
Public improvements: 3% of estimated construction costs 1� ��SH i TOTAL i 30., 00
Private improvements: 3% of estimated construction costs 1251
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 20.00 PERMIT VALIDATION
Permit Fee 10.00 1251
PenaltyDATE APPROVED 0/11/91
Cash Deposit -Surety Bond
if required EXPIRATION DATE ''10/28/91 t... '
TOTAL: $ 30.0010/11/91
• DATE ISSUED '
ti Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
�.
c .
:Q
��
NOTE:
i
'~ With proper validation x,04
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 III
DATE: October. 11, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53-190 Avenida Carranza
(Street address or Description of Location) -
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION _Retro—fit Approach Driveway approach shall be constructed
per Riverside County STD #207
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/14/91
APPROXIMATE TIME OF COMPLETION 10/28/91.
ESTIMATED CONSTRUCTION COST $ 500:00 — ^
(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 t
Michael L. Bangerter P.O. Box 59 La Quinta, CA 92253 564-1486
Name of Applicant (please print) Business Address Telephone No.
General Contract Management Same Same Same
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 Imnrnvpmpnt Permit — ri—
Public improvements: 3%of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 20.00
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ in -nn
Receipt No.
Received by Date
Recorded by
�05i
1 CASH 0i 1134AL 01 i i-9130.00 10
1�J
.� I
PERMIT VALIDATION
PERMIT NO. 1251
DATE APPROVED 10/11/91
EXPIRATION DATE 10/28/91 ,
DATE ISSUED 10/11/91
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE::
With proper validation
this form constitutes an,
encroachment permit
�FMu^,�-'Ma�•��%" j.�.. y��..A�.'v ..-'�.M._vY�.+�. d+f� �.?�ei' ^w`!'R`t'n .ii'Ri . • .+`. Nn
—.�_Y
CITY OF LA QUINTA
APPLICATION' FOR PERMIT
PUBL.IC,.WORKS_'CONSTRUCTION. (ENCROACHMENT)
For the construction of • public or private curbs;. driveways;, pavements; sidewalks, parking: lots, sewers,_waterr mains.
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DgTE: �G" �� �� Subdivision Improvement Permit —Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION�� / �l 1 UTA 6 it sum A --
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION -
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN Luo.. /rt- i�e-01/
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)
Sketch (attach construction plans if appropriate)-
/rc�IV�rvAy /�p�R-O srGf� ��•.�-jqt� �j �
C, !2i V ke-S 1 D
7
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 ofAhe City of
La Quints and to pay -for any additional replacement necessary as the result of this work..
Signature T-Aroeaftfor Agent
ice, �.�-��� L , T3�.i ,�.�••>�•,� i��- .
Name of Applicant (please print) c Business Address Telephone No./
Name of Contractor and Job Foreman Business Address Telephone No.
zv- zS /ZL135'
Contractor's License No. City Business License No.
y�L�t/��,0 �L-,E:s�irz`,f-ot.cl• �rz�r��P` ��..TT,;�� k `'• '`-�LG�,�/c1 �0�1 ��-
Applicant's Insurance Company `'policy Number-
FEES:
umberFEES: Subdivision Improvement P —
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs .2 3 6
�;.44,
Minor lmprovement PermitClass IV: See attached schedule.
Inspection Fee $' 21J II PERMIT VALIDATION
Permit Fee • i 0
s
^
4!.xis`e �.�Yi}f
��K .S�Penalty
ta`..
• ., e
Cash -De osit-Sure Bond':e i• x
!
�3. '�;3►�"°'"
If required,
TOTAL.
= Receipt No...
Received by Date
Recorded by
k
x(=0ERMITaNOF
.. Ts �' -.r :., '+te'.'.,Jrf3'"� Y.r.'',n.•t "'!'-•r.:'.k T : 'ie l.t[ ai; .il:r si'
TDATE APPROV En.;
ufif, :EXPIRATION DATEr r
„DATE ISSUED o
'G a-`^! ti itjb r3v�r^ a t 70,
By SC
'i"��-AdmmistraUve Authority
;,i-�aTELEP,HONE (61.9)564-2246 "