1430. r ,
r NOTE:
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 in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
" -^ , .. Subdivision Improvement Permit — Class III "
DATE: May 13, 1992 "'-�-
nr,.,.*., �- Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Obregon & Durango—
(Street address or Description of Location) ...
PURPOSE OF CONSTRUCTION Move equipment
DESCRIPTION OF CONSTRUCTION Mitsubishi 400ac oe
wide SI 10iongTALLATION OR REMOVAL
g , rr
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
ROUTE: South on Washington,to
Durango, west to Obregon.
APPROXIMATE TIME WHEN WORK WILL BEGIN 5.414.402 MOVE DATE: May 14, � 1992
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ a Plu'T G'`��4� ID
(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 the time when work will be started.
\
t
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.
ignature of Appli or Agent
Standon Co. Inc. P.O. Box 903 Colton, CA x ,,. 877-2126
Name of Applicant (please print). Business Address Y Telephone No.
Name of Contractor and Job Foreman { ^Business Address Telephone No. ,
Contractor's License No. City Busiriess'License No.
19hiddu Eagle Insurance Company TCR 14 87 75
Applicant's Insurance CompanyPolicy Number
FEES: Subdivision Improvement Permit — Class I I I
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 _
10.00
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
096" CASH814T�TA14-92 i0.Q0
430
PERMIT VALIDATION'
PERMIT NO. 1430
DATE APPROVED 5/14/92
EXPIRATION DATE 5/14/92
DATE ISSUED 5/14/9Z
By,
IA min' ative Authority
TELEPHONE: (619) 564-2246
9
c�
1
9
OCT 26 '92 22:36 CCCVC I C4 1z O' C%CGQtCHC P01
N®TE s
With protrar valldawin
this ferrrt constitutas an CITY OF �A �(JINT'A
encroachment permit
APPLICATION! FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the cOmStruction of public or private curbs. driveways, pavements, sidewalks, parking lots, sewars, wo"t "Ulm
and other like publia works improvements In connection with MINOR IMPROVEMENTS and APPROVED SUI><DIVISIOWS
Subdivision Improvement Permit —claw III
DATE: Minor Improvement Par"Ift Class IV ®�
LOCATION OF CONSTRUCTION J'`.,iJ E60 C DO,, AA/6'®, I—A 6,0jt } Ti�
Iltrwt adds® or Oas&Wtton of I..oesWn!
PURPOSE OF CONSTRUCTION Coo i PateAAL _ Sketch (attach canstruction plans if approp" ts)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WMEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of all obliftctlon, materials, and debris, backfilling, oam•
psetlen and placing permanent resurfacing and/or replacing Imptovements)
In consideration of the granting of this permit, the applicant hereby egreas to.
Indemntly, defend aNd save the City, its authorized agents, eftle", NO amf tatlyat and emptoveaa, hermlets from and against any MW all
ponottiot, tiabilitles or loss resulting from clalmt or court action and eriting out of any seerdent, lost or damage to canons of prtlparty
happansnq or tloWrfing ea a prp;llfNte result at any work undertakOn under the penmit granted purauent to thle applieauon,
Notify the Adminletrathm Authority 21 la■at twsntv-foyr 1741 hours in edverow of the tithe when wont w11, b0 irtaRed,
Comply :nth All 6e011Ca1314 CI1V Ordinshm, the tarme and eonditlone of the venmtt and all Wil"ble rules end moulationt of the City Of
i,a Quints and to pay for vitt► eddhtlonei re0140"I t neMMM ea the resole of this work.
Name of Codraetor and Job Foreman
- - , cluW11ene rmo.
SUSIMast Address
Telephone No,
COAtraCLQr'3 L,cense No, City Business Lie4nse No.
Aciplicant's 111suranpa Company Policy Number
FEES: Subdivision Improvemant Permit — Chis III
public improvements: 3% of eltitnoted Construction entfe