1304All-
N9,,TE: `
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT _
r
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
l� 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
�r eC
Subdivision Improvement Permit — Class I II
DATE:_ 12/2/91 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION ;
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Grinder, 10' wide
RA P O0(1 1 hR . A11, else laaal
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
Haurwgbbtf Bermudas and Durango
to 52 to Mgh# gtoarand.North to
Fred Waring�•�'
Tia 1 �te: 12/3/91 _..;
M
APPROXIMATE TIME OF COMPLETION t
ESTIMATED CONSTRUCTION COST .$
(Including removal of all obstruction, materials, and debris, backfilling, comIN -
paction and placing permanent resurfacing and/or replacing improvements) .f t:1
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 1perns 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 anyr dditional replacement necessary as the result of this work.
Signature of Applicant gent
Tarmac California P.O. Box 14050 Palm Desert, 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 �, 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 111 `
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 1304.
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee r
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
i
TOTAL:
I
Receipt No.
Received by
Recorded by
f 11
$ 10.00
Date
PERMIT VALIDATION
PERMIT NO. 1304
DATE APPROVED 12/2/91
EXPIRATION DATE 12/3/91
DAT,EJ,SSUED 12/2/91
By
dministrative Authority
TELEPHONE: (619) 56442246
NOTE: f) L(
With proper validation.
this form constitutes an CITY OF LA QUINTA
encroachment permit v
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)oFTI>89�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
DATE: 12/2/91
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION _
DESCRIPTION OF CONSTRUCTION Grinder. 10' wide
84.000 1bc- All PIRe legal
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class I II
Mihor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Haul Route: Bermudas and Durango
to 52 to Washington and North to
Fred Waring
Haul Date: 12/3/91
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 Quince and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant"gent
�.
Tarmac California P.O. Box 14050 Palm Desert 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 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 v O
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10 - 00 1304
PERMIT NO.
Penalty 12/2/91
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE 12/3/91
TOTAL: $-- 10.00 12..2/91
• DA E ISSUED
Receipt No.
By
Received by Date dministrative Authority
Recorded by TELEPHONE: (619) 564 246
DEC—. :2-19 1 MON 1 6 :.1 S MAS _ P. 0
Y' NOTE:
W1t1+ Noor nt�� ,
the farm eanmtud„ on
enc emmo rc cwmm CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBU.0 WORKS CONSMUCTION (ENCROACHMENT)
ForI@
the c0nevu*4n p1 putts C Of prrv#t,# 111111. dr►wvnvH, psvenls M. eidwwoki, DTVI "i
ng otn#r Ilk# "it Wo ki I M in aonm�an WIo, MINOR IMPROVEMENTS Anti APPROVED SU �
Gn1vlslDws
DATE: Subditition lmprov#mnn P#rmis .� Ct#� !!1
Mbar Irmprpvsmt#rn p,� pyt ry
LOCATION F tONMU,'TION�
ar�n
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PURPOSE OF CONSTRUCnON
Istssch aonean+Ctton p4rd if'waprI a
DIMENSION OF INSTALaA NOR
SIZE OF EXCAVATION, IFNEEQEO
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSI t A
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Canar ora II H M tn•s taMnsn w -+t tirll be slrwd.
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146"At Acoyenn—� t tele ti
of AppU941 of Agsrt
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nem# of Gonlr#Ctgr #n b for#n►In � - - •.• r •
eullmeu Ad"m Telt
L,unu No, ..
No.
G;tV But+neu llan,e No. ,
A0011CAm'i Intur#na Como#ny
FoIICy Numotr
fEES; SJboimion Imtarprs.,,s.,t
Pvbl�t rmtxovrnr.vr�: 3%of "tnm1*d oor%mvcuon Coro
Drivel# Imprors"wr y: 3% of Mmrlea ponnmmon QDM
Miner +morovement Prnmlt — CLte (V: Se. #COCMc ech#dutd0
10110eCtlon Fed S
ofemll Per
PoMity
PERMIT VALIDATION
�SAMIT':0.
t4h aeoprlt Swoly Gena DATE APPROVED
If nouuw
TOTAL;_ EXPIRATION OAtF
Rt"191 No. DATE ISSUED
peaened av By
—
claw _
R#aorow by Adrumaysyv# A ntw M
Tt L EPHONE: 181 p1 664,=40