1383��••!s-NOTE• k�•- •-rt-*w r
With- proper validati0,
is: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.othei- like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
,`March 16, 1'992 Subdivision Improvement Permit — Class I II
DATE: Minor 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 Grinder 10' wide, 84,000
lbs. all -else -legal. ROUTE: 52 at east City limits to
Durango and Bermudas.
-,,DIMENSION OF INSTALLATION OR REMOVAL
DATE: 3/16/92
v ,SIZE'OF EXCAVATION; IF NEEDED !
APPROXIMATE TIME WHEN -WORK WILL BEGIN
;, APPROXIMATE'TIME OF COMPLETION
•' ESTI MATED' CONSTRUCTION COST $
is c,,1• •(Including,removal'of all obstruction, materials, and debris, backfilling, com-
"paction arid. placing permanent resurfacing and/or replacing improvements)
In, consideration -of therantin "of this
g g permit; the applicant hereby agrees to:
`T
'1 * 5�,, • •IndemnifY,.defend and save the
City, its authorized agents, officers representatives and employees, harmless from and agamst'any and all �
I . • 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 wiih�all applicable City Ordinances, the terms and conditions of the'permit and all applicable rules and regulations of the City of.
IG rLa Quinta andlto•pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
'•`y. ` TArmacCaliforniaf 74-8267
n ..s Name of Applicant (please print),. ; Business Address Telephone No.
#P.O I Box' 14050= Palm Desert, CA 92255
' Name of Contractor and Job Foreman, Business Address Telephone No.
,,on .file -
"r .. Contractor's License No. City Business License No'
.Applicant's Insurance Company Policy'Number
1.
FEES:` Subdivision Improvement Permit —Class Ill
i., Public'improvements:•36io of estimated construction costs '
Private improvements: 3% of estimated construction costs 1.383
f. ti Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee'
Penalty
Cash Deposit -Surety Bond
if required
`TOTAL:
Receipt No.
Received by
Recorded by
10.00
$ 10.00
' I
Date
PERMIT NO. 1383
DATE'APPROVED 3/16/92
EXPIRATION DATE 2/16/92
DATE ISSUED 3/IF
16/92
ay 4ye4=1 , I r —.
Administrative Authority
TELEPHONE: (619) 564-2246
v
2"
.�
..
,
.1
��`+b1i imtt3l �7►+AI.111L1111
-�� 4
Af3 a
clr=1 31Y0 ON lo•aoea
11v4 N011vdfdX3 TVIIOA
a3noaddr 3�da da,111 r>Le� A111/ r� lt3oa1QA1
On
'0': 11N11s ie ' A31niad
NOILVGII"A 1704 I ++d 31w.4d
f al ua117aptu►
Q1\} ainoaV�� i?I�ogtl M�i •A1 ae� li.iwd sem+•+�p.aw1 •ov MY
j� aiOCi 40117 Adlfvai Oa1nyRA ip 7� :GuwyaaQrOWI 011AIld
iCieO uDi3a+W1ve0 i7+tlweL� 1p � :�M
o+aw1 n110nd
111 nry,] – uuaa.►d yw;..,,v.bu/l vo�uAo r
114W"1V A.1iied
D�.o/r1u1 $.Su1711dpi
�``� j ' oN nuAo11 n,ullne k11
�/ ► � �i'�`�.-.-,-"-"�—,.�,��„� pN slua7.1 ►,ouQUUti�
I ...........
a RloWyr�
1dLoPr niul<n® ufWl,o
77 aer ue,pur,lue0,0eWeM
' 'pM Iuolw�alrj ,?'J
111,pPr lou11
t3u14Itaalal 01100 1p IN
1+labr,01"01iady/ 10 L1 "I
.., �• t0 Alto 44& 16 •/a11� 1a► o� appEw4m 1 Owo yyu...Y +W �I A�Ic»Y wa.�..o+.ea. mumr oot A64 .41 40 al oru tiv
r v,•.• 'i>•,b v+l M da•WII +�i•04OI D4V MUML h,t aap�,.yy P+Q A3:� �� III 611,11A A�IyF,
M +nw n,oM W all 1/w4 f1t:l +^►Ia+wt u,1� y
1r+11Iarr1ad11 0 p 3wirnMM+� Peva• ulnlae MA /auu►1 N"r°�pAV M41AIliy,y� 1Y1 N,�N
� 01 W14y'M ,WR7Ci Aye N W iWw/I PSA uW��'7�� �/nq0 .M ait MOM a�Ma� I ►1 11—I AN lln tiyyp�Y
M M* AY» ra1I aur yoN �NIYlY'1MAOIaY+ P�1r 1Yws►wru du 1+• eu.M Pal u0%a "q �vrnwe �► w wul ow► W,.a�.ae
C'11w4M
;01 LUA# Mil.iiy 3l:inir0ae Kq 'SruuAd P14 jp 6VIlut3� 1114 10 uo4u,p tupo v)
jr�a+++MusAaugyl 6ue>nau �o�oue bua4�w luwau.e lung* our uo=rd
II l 1R "a4+R our'tirua.,, 4oTIV%am d UI to luawv bu pnpul)
= iS07 Not.Lo"U SNOZ (3 1b
N0113,040, 10 3W11 31bm)(0lfur
N1039 TINA )lUc V M3tw 3?411 31V1Nt%0NddV
lt'NQtAdrllfU3 40 U14
U 'irl10FV3M i!0 bO---- ---- 40 NQt5N3W10
/-V Cw r
� LLOf1i1LSN dON Ldi 0
(fir N arrM Yolianawao wa7r1 3P I>�
NOL --41=%40* d0 350dtlfld
lay *1 N �aK+a'.o.a4 w wow ~$I
NOE10ndl-SN00 d0 N01,L
' At u"1�,u„Aa,ewl Iw
Lwuttd'UP" AoAWI uatrAlp'q"S
IMMIAlaarq 03AOtld4v IM S1N3MAOW4i41 WONIW tp1AA uooc�auuao w 4u&"&wwwt #4,04
i"W '"t"Aa'nw lutltnq 'rstlrhllpH 'r74awaalq '1A4L, .an? rllw,a to arigndo 7.04r�11 +13no our
l+trsluep r41 tei
1j-"V4kW0M3) Notmnumoo SklioM onend
lJWV3d a01 N0fJLV3IlddV
wiNtno " d0 A.LI* tyYA+a w►.. waoow
uo earanw av w 1 aj a V1
��►IM �d VLA
0 -d
Sti W 0S : 0 T NOW Z6-9 T —eltl W