1534NOTET
With proper,valid4bon
this farm constitutes an CITY OF LA ,QUINTA
encroachment permit
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 t
DATE: September 3, 1992 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Grinder 101 wide
84,000 lbs. ROUTZ: Palomar to Tampico to
Washington to City lwte
DIMENSION OF INSTALLATION OR REMOVAL at Ave 52.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
I
APPROXIMATE TIME OF COMPLETION DAM 9/4/92
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: f
1
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 Applicant or Agent
r
Granite Const, Co. P.O. Bou 9011 Pala Desert, CA y7,j-8302
Name of Applicant (please print) Business Address 4 Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
On f ile
Contractor's License No.
City Business License No.
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
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
10.00
$ 10.00
Date
16,4
PERMIT VALIDATION
PERMIT NO. 1534
DATE APPROVED
9/3/92
EXPIRATION DATE 9/4/92
DATE IS X. I 9/3/92
By '9
Administrative Authority
TELEPHONE: (619) 564-2246