1312S�X,NOTE
-
With proper validation
ii! =
this form constitutes an
encroachment permit
CITY OF LA QUINTA .y
I 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
SA
Subdivision Improvement Permit — Class III
DATE: 17116/Q1 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Paver, 11'611 wide,
green weight. All Elsa legal
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) _
Inconsideration of the granting of this permit; the applicant hereby agrees to:
Haul Router 50th across from school
to Washington, North to Pred Waring
and East to Adams
Haul Date: 12/16 or 12/17 1 day only
,x-
yf
y
00
r'
APPROXIMATE TIME OF COMPLETION
or
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.
0 a o_iq cc
Signature of Ap 'i nt or Agent
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
Contractor's License No.
On File
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
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
10.00
$ 10.00
Received by Date
Recorded by
1312
PERMIT VALIDATION
PERMIT NO. 1312
DATE APPROVED 12/16/91
EXPIRATION DATE 12/17/91
DA E SSUED (16/91
i
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE: 3 40D -S
r J, With proper validation
+ this form constitutes an CITY OF LA OUINTA
encroachment permit
APPLICATION FOR PERMIT Ig
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT).
OF I{189
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: 12/16/91 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION -Paver., 11'6" wide,
_green weight, All Else legal
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
Haul Route: 50th across from school
to Washington, North to Fred Waring
and East to Adams
Haul Date: 12/16 or 12/17 1 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 end 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 10 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
Le Quints and to pay for any additional replacement necessary as the result of this -work.
Signature of Ap'OfAnt or Agent
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
Contractor's License No.
On File
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 $ II
10.00
Permit Fee PERMIT NO.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
1312
PERMIT VALIDATION
1312
DATE APPROVED 12/16/91
EXPIRATION DATE 12/17/91
DAE SUED 16/91
gy
Administrative Authority
TELEPHONE: (619) 564-2246
�t
Wr-Q (Big) -3N0*413131
Au� wwpy A4 ooQAOU
–�-.e.. fe
A@ ^4 044W4441,
Q3PCS51 3AVO 'ON 10+ca.a
UVa N0llv4l4X3 '1vi01
a3A0WiQV 31Vq 11
. puog A1+•ms,{++o000 y,,
'0':11Wkeie Nreu4d
7011V(119VA 11WtI34 +'d 11wj+d
S +,! 140+tobtu+
0 �* MnOatpl WU7KL3�
1� � 111 afu' •� SiLLWd IuaWJnejpwl jeuiW
6rw y0tL7eu1>uW a+rl.u,rlq j0 %C :tWQU`jp1*w+ 414Aud
WOO ugr101Wiv� Oarlau�to Ip %C -* Ou*wr Oaq
^d
111 �►{Q » y"`"�d u:.+.+aowl uo+t+A+pgnS 59 j:
AtNUL'e3 !I flnryt 1.►unlicaw
1ua�go • t/ouOPd nou+ine
r� - 47•S'�%J�' d *r out 0p>lenu*O 10 4w.M
(turAo
tu48y 40 lyftiddr ;a eir a ,,
to 011* w N "V4 has carr to Ow u,,,,.e 1rr�w r W �� M��y 1uMu�ondY q.aupe4 A{» al AN C0 w+e Au+•
It" *#" W M " � !� ory►pr u al jt P4ta 0,A& fnit 'ems P,0 &n 410R1r.00N Jim 1Cw ACU ,
WqV UQ►'r'oiA►+�a++1 cavi n Ate+ " Wlou
+rwer 041 A1+wN
W4
SM11u0r+ 0114 q 1+M++rw o+�a� twww «D .Rwq + W441royn 11-106 AW V jimmW g
Iwrm,d @
� � � 4 tt� '1M/�sOp b1e t+ -j" M tMUWp;y
IN w My irk wo N ►M ewnul uprr90 unp0 Ira wMro crap tVq,p%A# to0 M 10011401 ►ru4w0
-, �1'r'ay •"'oAo� vw w+y,ecw«.�eu 't1*No 'n".14 wtwrulry q 'A,4 0% � a+o
aw.o l
U"m A44444 tue�n*go 441 'z+w,od a14 1* eurtu4A a
fL
/�" J �/ C� / • ...,:^^^•t�???�777�,�,�y In1+wwApuOw, buovidat �o rA to @ld out UOC6 u)
%r� d! •woo'ev, lout
/pv6 blapeyr►tU tu+ynwrS OuohO Our: cowed
II 1>� 'uj44p oue'112LJMLIW ,UCnMU3tgo lie 00 t1Apu14 bu,pnpul)
11503 NQLLXUISNoa a31VwI,1.S3
NOLL31dwoo 30 3W1181riW1 X01lddV
Nt93H 11tAA �INOM N3KM 3W1131VwiXOwd4v
76
Q3a3�IN �I 'Nnl�vA
b'JX3 jQ 3215
��'��'�� 11►AQMt311 li0 NOl1 NI J0 NOISN3YVIQ
NOL66ti oo:10 N I1dtaMo
1� p as o ►Pavel wine
N0=nw-ISNO3 d0 3SOd9tld
fvrigaepT N „oq,6�ra� .e ra.�w'"++S1
M "13 uuued 3uwrAo,+dwl ^IV# N0u1u4NOO Id N011Va01
11@ �? — t+w/o+ w«+,w►o+ewi ao!yA,p� � / 31910
MIIIIAIQ8R4 Q3A0Wd4V Put S -LU M3AMWI aONlyV WIA► uomeuuao ul nu&4 4•dm wi F*MA
�w+1-artwr 'ue,np 'qOt dvrxnrd 'ntlwwpn 'awwaAad 'u+&4%onup •t4+n* tnw/d JIMa!pna in
NA jowl* put
ao 4y1 jod
11JN3WWJVOy0N3) No=nuisNoa suoM Dnand ,
11W434 a0j 'NoIjv3IjddV
911NInD V1 do A -LID Luwo1u.w44�oaw
r+ q naswa* uu*t oW
LOMOPI0A At" WIY1
r31AN
9 d S l:J W�8 T: 0 T
n ,
NOW T 6— 9 T— 0 3 Q
t<