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1422
'4OTE: 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'm ”connection. wi:th,MINO,RjMPRO#VEMEN#S and APPROVED SUBDIVISIONS DATE: April 24, 1992 LOCATION OF CONSTRUCTION, (Street address or Description of Location) Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Grinder, 10' Wide, 84,000 lbs, all else legal DIMENSION OF INSTALLATION OR REMOVAL 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: Haul. Route:' Washington from 52 to City Limits Haul Date: 4/25/92 - 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 Appulant or Agent TARMAC CALIFORNIA, INC. 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 III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs 1422 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee 10.00 PERMIT NO. 1422 Penalty DATE APPROVED 4/24/92 Cash Deposit -Surety, Bond , if required EXPIRATION DATE 4/25/92 TOTAL: $__ 10.00 DATE ISSUED 4/24/42 Receipt No. • BY Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 99CC'tD9 int®1 aNOFid1;L Ag to �o asa,wM Gjr=I LLYd s4 tO .wto 81YG N0ilYy1dX1 lylol Dlrrnp4 N G3AOyddr 31Y0 ot,og s 14t4000 `r'0 0•'. jlYlb +c Noyad HOtlt<G11bA slrit,3d f S A�! VQ11�IQ9V1 41"4k 71 WaMCUO MS ,AI n� . ir,....d tww�ea.awr .o. 14 l� ascm vO1w.AJL ,0* aatNur to XC ;�.�..++4�OWt /flnl,d CAM uart t%4AUcQ Datn+nfs (0 7� :�,w.,. n+Owr al;Cnd I11 nR, — uL,wd s,,w..ra,e„c,u! vorcr.nQ�S 'S33>< riOWr+�1 A]rlOd • A;,r��yJ �..e,ntul I tul7ri 'ON MUS311 Y a ee1�1�•� 1 ,OuPituaO .— ._ 1 - - - to two" . _ _ ,n .rte rwwp I{p is a�l•0Y tl0 .'><R Mu.Y Mp euta..wrGO yr' v19P.1n-0 lie dy AOwV'J ww+.w «a w W..o. L. a,�o,l lbie .norA►�1 L -q r AAW-hAAI*.�.t.,�„u,wy ua H,ssa Y8 et ur►^e+M oo+v44 w+usy 4,4 wrea,n rs�ts.s %AM Aus 0q UMW a®..,r" o a, a *AIR I�Mrnkrfs ,Mrar .r a os a4swotl ra a>y tre0raos AW N V4 ll. r j two 1rOrtss UMM re ,ouso vw�y Q/Rrn�M �1 M MYI OOo Lw" OeM4r III W Atrp ror/Ort ONO r0 huirly wO�LOrP� Ors graiM. ftl Nt1 'w a4f petti4La V 4r 'Mr* M d.µM N•M+Movl :ot esa:3o A iU4%1 tudrlaaa eta 'uru,r� atp +o 6ultua/ ILA to vor7111 rp,evR7 of ter weWawr tfu©elaa ie,rvue 6v404 4,4" tuwrn, O flvoe,4 out vowed auay'Nu':py►: 1®'waep ef a4i'/l +e'law'uaosw,W Ile to ISAau,u SW,o^P+ti 7- 1so� Not:�nals�o� c3LYWlls3 NOtL31dW0� �C 3WIL dLY'IVIilOadd'i '��xa r�aiet taut H1039 TVA )INN* PfaKm 7M111 31YAl xoIlddv 034313H 4i14011YAYaX3 dQ 3ZIS IVAC)W3d NO N04yrWISNI do HoiSN31410 M nulswo 10 40114 d>33o A10W)MUSN00 !0 350ddfld rusior,,sy w +s.+snorq ,e M.rm. 6"All Al u N()LLWL N0310N0f1=1 fff vel.. Lul,,ed l++alr�.awwl voruslpq„S � 31Va 131 w3f1S Q3AOd4dv ay* SiN3W3AO1fdWl IfQNIW tarot uo¢wuuaq up auauaaAoattul iW" Mand all, +stna Dug "'r"r9 'hot 6vltlnd '141ewp,s 'p1.sW.Ala 't�awAr,p earrq fMQ.l19 ,e mord bo Uo=nnrfvas eyl �a! fL43NWJV0W!DN3i Notlmna sNw smiam 2nsn4 LIWb3d 404 !10f1en11ddd VINInO V1 40 oLL10 LIQ 4 s,,, C1aaYa r —U&.,m U049¢11A.bord ta+M e- d srlw ss : s T Y ZIP zG – I - z –