1288'NOTE:
_With proper validation 2
O
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
j 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 111
DATE: November 18. 1991 Minor Improvement Permit Class IV
,LOCATION OF CONSTRUCTION
,y •
(Street address or Description of Location) ' L
PURPOSE OF CONSTRUCTION Move Bquipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 233 Excavator
1116" Wide. 150.000 lbs. laaal heiaht & Lenath
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Haul Route: Sonora & Vallejo to
Bermudas to 52 to Wasttin�gton to
La Fonda and Rondo
Haul Date: 11/90/91
APPROXIMATE TIME OF COMPLETION----
ESTIMATED
OMPLETION ESTIMATED CONSTRUCTION COST $ '
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In 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. V '
Signature of Applicant r Agent Ti" .Gracey
Tarmac California P.O. Box 14050. Palma Deserts CA. 92255 775-8267 '
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No. }
On File Oa File
Contractor's License No. S City Business License No.
0n File On File,
Applicant's Insurance Company Policy Number '
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated jr construction costs
�G
j. 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:
Receipt No
$ . 10.00
Received by Date
PERMIT VALIDATION
PERMIT NO. 1288
DATE APPROVED 11/18%91
EXPIRATION DATE 11/0/91
DATE ISSUED 11/18/91
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OF fHb9�s
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: November 18, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach constructiontans if appropriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION 235 Excavator
11'6" Wide. 150,000 lbs, legal height & Length Haul Route: Sonora &Vallejo to
Bermudas to 52 to Washington to
DIMENSION OF INSTALLATION OR REMOVAL La Fonda and Rondo
Haul Date: 1"- i �
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 Quinta and to pay for any additional replacement necessary as the result of this work.
`T-1 l � � C � (� C!,
Signature of Applican r Agent Tina Gracey
Tarmac California P.O. Box 14050 Palm Desert, CA 92255 775-8267
Name of Applicant (please print) Business Address Telephone No.
OKX BXXM
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 Foe
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
10.00
$ 10.00
Date
12ba
PERMIT VALIDATION
PERMIT NO. 1288
DATE APPROVED 11/18/91 q
EXPIRATION DATE 1.Li287gI .11 ( 1 t
DATE ISSUED 11/18/91
By.
Administrative Authority
TELEPHONE: (619) 564.2246
1-11
NOW -17"3-91 MON 11 :Ss MAS P. 0
NOTE:
the Donn mmwolmm rr
CITY OF LA QUINTA
tnt�oad+ntwnt oam,rt
APPLICATION FOR PERMIT
PUSUC WORKS CONMUCTION IENCROACHMENTI
' For the mnnwnxtort of putMK or ormew cu mt, dmewov{, parramw+rt"• erdemika. t►ert ing JOU, tom,
Ona other like oumc *aria rmpruftTrwrm in Oonnr�on with MINOR IMPROVEMENTS and APPROVED �� n*
• SUBOIV�IOH3
DATE I / Subdivisiah Irripmvemartt Permit —Qm III
LOCATION;) COUMUMON —...
I,ivwa wao+tio v Own+oae« a 4ewro�n►
PURPOSE OF CONYMUCTION
/ERIpf� N OF�COt�e RUCTI N
DIMENSION OF INSTALLATION OR �1rMOVAL
512E OF EXCAVATION. IF NEEDED
APPROXIMATE TIME 1M1dEN WORK %ILL BEGIN
Sketch dttCm plans if sftroP rti)
49-
h/1
APPROXIMATE TIME OF COMPL.MON
ESTIMATED CONSTRUCnON COST f
(Indudrng ryrt rel of allJ p a q
obrtnxnon, mrvrrel{, AntldAont, bAdcfilling, mrt}
W on and oucinq panhanent' fafwfaeset� tnolor replacing intorovtlown, I
In mn{rdersuan of the VvIt'no of the permit, Me applicant htrwtry agate to:
0�'tiow we
'�� &V " me QTv. e0 w milomsea ozena. off -am. rranr.r•nfsew o awe arrViavaw, nonnrm {,�,+, a�
ftwconoq at Oco" a p � ! mum of w *goitre eef,an ,no err,rM e,+f N "Off
Min air alA a aa t
A� rurM N^e�ewln YMwr ew prrrrrt t"enfw wrNruwf 1t Inw aopwrom
NOt,ty ata AW014 Tv" Aud o,*v M+ %&n I~ v-40ur t741 nwn m aowro to dtr tmr town raft " be aarop•
Cuanww orul ell C; er�rt"ra
N orOrr�, VW tam" tot ROnart`C,na fat tf+" MA aIr ePP+rpwN1 rViAl erre at of Gtv N ,
tY,rna aha b My fp ant' Oc+w►re,.d rba.lre.xv�
em nv ar n," r.rvn of � �. =
ApOrrtant Ipiram ci7111
Nam" OT un-14aor AMC JODI gore n
%pnlrrt'tar { L•Canea N ,,
of Aw;wiunt or
Baum{{ Addr"st
001114u Addro{I
VIV Buants{ I,rmrnw NO.
^00" snT{ In,urenmr Co,Y+orany _,.
Policy Nuntmrr
FEES; SJDoiYilran Imorvram"nt P" ,� Ctaa Ili
Pvbhc �fnororrmefrn: �% of a+�meted Conatfucti0n QOfti
PrivAt" Moro.wfpna: 3% of astffV%N mnrtruetton Com
Mrnpr rhrorpYtmrnt Prvrnrt —NT0.
C4a IV! � ereetr,.a em+twdvle •
etlot
rmll Fer S PERMIT VALIDATION
O�rm,t Fat �
P"nalty
Cash Oraoert•Suroty eana
It ft!mulrwp
TOTAL:
Rliftlot No.
Rwprryea Cv Dam
RAMC by
°SAMIT NO.
DATE APPROVEq
EARATION DATE
DATIE ISSt11ED
ev
Admi,muapw 'Www"
T'ELEPHONIL (018) 5644246