1536eJ '
NOTE: , .
With proper validation
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
/PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE THIP 0=11312i LOAD PUNIT
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 II I
DATE: September 9, 1992 Minor Improvement Permit Class IV
�• LOCATION OF CONSTRUCTION
(Street address or Description of Location)
h
PURPOSE OF CONSTRUCTION MAVA Sketch (attach construction plans if appropriate) -
DESCRIPTION OF CONSTRUCTION Cat 633 Tractor &scraper 10rom 21vorsido, County line -
south ,ch Was4u$to;n. east - on
Mlllea ;-,; south on Dune Palms to
DIMENSION OF INSTALLATION OR REMOVALLoaded on 9 9%lee,. WeStwar$,10o, and faturn un]•$den.
13-9 wide,. 14-9 high, 99-10 ovet'all. 218,581.pxroala rpt.
SIZE OF EXCAVATION, IF NEEDED FIAT C
APPROXIMATE TIME WHEN WORK WILL BEGIN 9/10/92
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST$
(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: - x.
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 o4 ent
E.L. Yeager Const. Co. Inc. P.O. Bou 87,4iV*T8id4, CA C$00)222*3360-.
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address - Telephone No.
Contractor's License No. City Business License No.' -
W. American InternationlCo. BE77021L2
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II I w
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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
' 0 TR197�0-9z x0.0010
PERMIT' VALIDATION
PERMIT NO. 1536
DATE APPROVED 9/9/92
EXPIRATION DATE 9/10/92
DATE ISSU D 9 9/92
By
v Administrative Authority
TELEPHONE: (619) 564-2246
N
SEP -09-192 WED 12:38 ID:E.L. YEAGER TRANSP. TEL NO:800-284-3101 5173 P01
NOTA: '
Wtth Pieper valldNtlen
thlsform constitu as an CITY OF .A OUINTA
anoreachmefit 01"it
APPLICATION FOR 'PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
egAle -*. P eWC4S1LC 7 0
-
Por the omnstrwa4ron of pUbllc pr private 0lurba, drivilwayi, pavemanta, eidewelke, parking Iota, "were. water Maine
and other like public works Impravamants in Connection with MINOR IMPROVEMENTIiand APPROV90 SUBDIVISIONS
DATE.——.O q 10 9 Lq-z 244hdiviaion Improyanwnt Permit — Clan III
Minor Improvement Permit Close IV
LOCATION OF CONSTRUCTION
WPM addnet w gesvrtAtpn of t.coation)
PURP�$ OP OONETAIJCTION $ d�� Ui4K� Sketch (attach Oenitrucdon plans if appropriate)
DWRIPTIONOFCONSTRUCTION r WE �*tf Ips zirms{pit Ceumy j Lj9,rt�E
Sow?" olj ww-sUltauvef4 d Ensv
DIMEN ! N OF INSTAL TIRS VAL_7All"o 10113M ft C � w11 �.�, r. So�►'�l � � btu, �J�:
! % o
SIZI OF EXCAVATION, IF NEQDRO
. RIIETtifeGt•L VA1l.NbTce4
APPROXIMATE TiMl WM9N WORM WILL SHIN
APPROXIMATE TIME OF COMPLETION
EE'TiMATIO CONSTRUCTION COST III;
Ilneluding removal of ail obotro wgml, maariate, and dabris, baekfllllft$, eertt-
paatleh end plating oerl arwit relurfaatng and%or roplaaing Imorovamantd ,.
In consideration of the W"tlrtp of this 0I1rmlt, the appllearA hereby lgreel to:
Ir dsmnlfv,•dm and wave the Cry, In sufnamod agents, afftnrN reprseelltataves and amoioyees, nannies+ from and eaelnn any and fh
aenaltiee, liabilities or Ion mouhina from claims at court eelian and awlho out of any eaawant, leen or demga to araaw or orwortv
haaoaning or Dooarrine as a Waaimew result of any work undsraken under tna Permit greeted pursuant to toll appliatlon.
NetIN IM AdMInIItnUW Aatnaft at lease ttAlentyfour (241 teows In mamma of the time when work will be 4wrWl..
comply with oil piellaasbe City ordlnanaes, try tam" and aendltlent of the powlit Intl all 100116 ruin and roWinons at the City of
61 QUID and to Pay (w any additional wisea:nvnt nwewan of wi
the rat Qi mit Movie. ^ IT
41112FISIU a of Applicant Or"
,,7,'i
Noma of Apollght (ploba print) BYalness Address Talapfl Nae
'S 222 53(ro
Name of Contractor and Job Foreman Business Address Telephone No,
Contractor's Licence No. City Bwinrq License No.
,_'�n0 21 L -4
Applicant's Insurance Company Polley Number
r ac
PEBB: Ituladivielon Improymml Permit—Clan III
Public Improvements: 3% of estimated construction emu
Pflvata IMprovamenw 3% at aatlmated conatruatlOn cotta 1 4 IJ
Minor Improvafnant Permit — clan IV: See attached schedule
Inspection Pae a„-,ae, 1 'BRMIT VALIDATION
Permit Fee
Penalty
Cath DapOelt•Suraty Bond
If repulsed
TOTAL:
6— )&. . ao
Receipt No.
Aaaaivod by Data ,b
Reaerded by
PERMIT N0. ,
DATE APPROVED
6XPIRATION DATE
OAT$ ISSUED
By
Adminletrativa Authotlty
TBLHPHONE: (019) 664.2246