1424AOT
i
1 h,'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, park.ing lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
` ....,t.n.s.d:.::::.}+K.ii...lr'v.:.\a�:isw.ei...;4nr.'M.nw,+ry'!y^1{atE...�^^.w:.:.i;kkl«++_+ei:Ga;Ysi.'1ffi'b12Ak1u4i+iSTu�by:2h'u'*iN.iii:vo4auF:h�tait'PSkMS.M��Vb:'ajs'�i+.jtcJt Ny,yW
Subdivision Improvement Permit — Class III
DATE: April 29, 1992 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Paver 1116" wide, 84,000
wt. all else legal.
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
ROUTE: Ave 52 to City Limits to
Durango and on to Eisenhower.
DATE: 4/30/92.
1
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: i
I ndemnify;. 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 Applicant or Agent
Tarmac California 75-8267
Name of Applicant (please print) Business Address Telephone No.
P.O. Box 14050 Palm Desert, CA 92255
Name of Contractor'and Job Foreman Business Address Telephone No.
On file On file
Contractor's License No. City Business License No.
On file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —'Class III '
Public improvements: 3% of estimated construction costs
Private improvements: 39/o 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
PERMIT VALIDATION
PERMIT NO. 1424
DATE APPROVED 4/29/$2
EXPIRATION DATE __ 4/30/92
4/29/92
DATEIgSU�
B,'
Administrative Authority
TELEPHONE: (619) 564-2246
-34L _ :rSZ:�
NOTE,
With Proper v.11datlon
title form eonael:uwe nn CITY OR LA QUINTA
o. bhm.nt palmi. APPL.ICA•TION FOR P6IRMIT
PUBLIC W014KS C43N6TitUCT10N (eNCPiOACFIMENT)
Por the aonet—mlon of public or Arlveu urb*, drlvaw.ya, pavement., ald.walka. perking lata, water melee
and other Ilke public work* Improvem.m. In c.nn.wtlon with MINOR IMPROVEMENTS end APPROVED SUSOM /SIONffi
. Subdivlelon Improvement Permit — Clew 111
DATE. ---- 24,. 1992 Minor Improvemeftt Permit Clew IV
LOCATION OP CONSTRUCTION
faareet edgreN or O*.arl¢elen of Lava[lonl
PURPOSE OP CONSTRUCTION Sketch (attach construction plane if bPPreprWtel
O EOCRIPTION OP CONST fi1JCTION
)•*Pisa Ave 52 cc 0:Lf:y Llmit'e to
�� - DurnaQo sad en to 8lo *niter*:
DIMENSION Op imwrALLATION OR REMOVAL $Asia
_ 1 BIiE OP SXV^AVATION, IF NEEDED
APPROXIMATE TIME WNEN WORK WILL BEDIN
4 APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
' (Including removal of oil eb.tru—icn, m.t.rini.. and debrla, beckfllling, com-
1 pectic. end piecing Perm.n.nt r urf.eln9 .h.1/or re Pl..ing ImProv.marltal
In ccn,Id.rs*Ion of the granting of that permit, the eppll Pent herubv agrees to:
Ind.mnlfV.•tlaf*ntl a wvo a OItV. lea .utherla.M *pane*, o111wr., rWrwntey mPley wa. h.rmlvu Irem end .gain.. a end tII
^enekle.. 14uillalw nnp IP... 1111n..tarof I.
e
f*b orM und.rt.Man u.tl.I the p*lanl: reef �[. rr r cMm*P�Pllaetib.. erVPbPerrV
r grunt
Np[Ify la �llnlatretly. AuIhorlw a . • w.nay�farr I.el h n .tivane. o wbr4 wll p ia1Ld.
La eu ntelN a 11 • P V ere Oity tltllele..00a•pleP.m. ten nd.Y ndl le he
e1 lha P.r 1. ew drM a .Wlcebl. rules reeul.tle.. end M lha OIIV of
.ee rV a.
Sl.n.ture of Applloent or Ag.nt
Taztnac OsiifPe prta, 77-8267
Nems of Applluent (cleeq print) Bu.lnea. Atldreta TONphona No.
7� 0 Bo 14050 Ps1m D CA 92253
Npm of Contrebtar end ,lob Poroma. Su.lnw. Addrew 'Telephone No.
Qa r _ 0a 911s
Contrec '. Llcen.e No. Clty Quill— Lice. No.
-
Appl:a.nY. In.uranoa Company Polloy Number
PBBSf Bubtllvl.fe. Improyamene Perm It — Clpw 111
Pubilo Imnrovamente: S'x or .alma<ed tlon*trubtlbn mete 1 4 2 4
Private Improvement.. 3% of eatlmetao bon.eruetlen coats
Minor improvement
Permit — 01.— IV: Be. ettacn.d ....dins
Insp. Ptlbn Pee t II PERMIT VALIDATION
Perm I. Pea 10.00 .
PERMIT NO. 1 424
P ... I.v DATE APPROVED 4/29/92
C..h O.Po.I<-0uroW Bond I
If _o.Ir.d 11 GXPIRATION OAT@ nlvf[/•i2
1 TOTA Lf 0
10-00
OAT U 9 'T21
R eo.lOt
No.
-waived by net. atr ` CTj�_ — Admin Vt Authority
Recorded by TELSPFIONl: 10101 004.2240
1
TRANSMISSION REPORT
THIS DOCUMENT (REDUCED SAMPLE ABOVE)
WAS SENT
*** SEND ***
COUNT
1
NO
REMOTE STATION I.D.
START TIME*
DURATION
#PAGES
COMMENT
1
6193427504
4-29-92 2:45PM
1'01"
1
TOTAL 0 01'01" 1
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