1604PT -
k _- 'With proper validation
this form constitutes an -
encroachment permit ,
t
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: November 17, 1992 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION L- �q4 + o (iC &jA— Sketch (attach construction plans if appropriate)
DESCRIPTION•OF CONSTRUCTION Paver 110610 wide Washington i'faoom Tampico to Fred Waring
84,000 wt.- 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 I
Date 11-18-9Z-_
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 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
Granite Construciton Co. 775-8300
Name of Applicant (please print) Business Address Telephone No.
1. 0, Box 9011 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.
Applicant's Insurance Company
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
TOTAL:,.
Receipt No.
Received by
Recorded by
10.00
$ 10.00
Date
tr..
Policy Number
1 $04 ;
PERMIT VALIDATION
PERMIT NO. 1604
DATE APPROVED
EXPIRATION DATE
11-17-92
11-18-92
DATE ISSUED 11--17-92
RV
Administrative Authority
TELEPHONE: (619) 564-2246
UPErVN 1:191 )hvKcn u
Alu" �aran,w
1 `)
03PL'S51 Uva
1LVO NOILVtlrdX7
d3A0bddy 31va
W. vvlb ie
k10I1V011'//1 Imu ld
o IN
---— W ° Id
Aro
^0 OAa�yy
aV to�rp,0y
?VIOL
00 A. no v H
A►o9 ura,^S
1,00000 q
VrN*d
Ast uw,A4
t
IrnWWI osraWt es5 RI 0D - 1r Fwd t.rw��o.awr o� lnl
4K0 u0ri7ti1.RUW "SF{Alyce to %c :U"^~i0uw1 �IR•rrd
CUM Uc1(Q.A,yayc* pal MAJ11 ,,
%C p+'�4-a oAW17r,Qnd
III b� � y"'"1♦ ��w
1 VoNr• oars
il4wnN Aj— MA'� iD A,n1u1 1 tun
'ON Alulprl RtawRn� ,4 j,'
'am am%4#104
r
00,0 IfAurins
IIt,Cpy tt
=bz 10luAyrr00v 10 &er11r4Drs
oY Afu>•! 1 I ,oUt,tuoy
uwurrod Cor Our ,mv,lu" IO "Of
(IWA pRR;dj (4q„oor
♦{•i�.”" 10 Nd F/ 10 A..ti0.4 nM 4R 0 WMA, IW r0 Y M+w..r$►.,�,
L64 Y
Y1;r v ... MMI talOr4'd[� IA 04B Yr +9 IW y11 n.rnl•aa� aLM y0 a " tlV'-O V1
__ tae � tri 1►r1 ,tvr+„� u>.qp as �„� dwae�,,,,,� A� V��p
ALW-4 +r a� °r q •fly N++wA1+N OaI.�,O lrlNArr " .4wrr1_
vl.dlsorll Mow Orr ie Y�� qw
rRr Asir fN! rAt�� Or.O —4 �Nti'W 4," Out~ WWAO R+.OR >+R+•.AVI 4aar � M►I"
^C GO'A,n W) Wil 11A RyyM •�, W-opul
In Itl,r)r �4+YAV fugr,00r ! 'IrYuep 04 to &0sxvCA Arp 10 Ygrllugp,eud Yd
�/ IR+�r+,up,tlwl BuO01tl11 lo/pyr %=d6.CnSQ 14NO&Auld OuohdWoWgd
wu�'bs,ll!'1'�10'+I.ap aur'gRwnsll •u Our
10 iwY.1u bu pnp�rl0
1'S()* NOLLOrIN,LSN07 O34vW►1.S3
NOLL310400 10 3AIL 3,Lrw►XOdddv
�v/y/4 Nih38 71t* )#"a'* kl)'N 3AIb 31yrI1x01ldd1/
�� 03g33N-41-N011VAVZXj !0 32ISi
1WA0w0Y 40 No ly-1 y,3N1 io NOISNIRIQ
n!! 0:1 i0 NOILd► CP
N tt0 YOfn/lgp,� 1p�rl rq Rs
NOUJn=NO310 33041nd
rA7 to +ewn d .NODI us�yl
"I'm 3j" fN0WnKuN0a 10 N011jVZOI
;,• 111 ,"rM'" LtWrd IUAwM0.4u1
----------------------------
1 vOrelnrp�s '
Uva
Q401=IAIOjng 03A011dar aur S1N3w3A04dWI d4Nlwe rare Yo�oYuas m awai,a.a��, A
���� "�"'� 'nq OYrtypO 'AkrN.,Aar/ 'tw.u,•�Id 'uaManr,p Raro .►w�a ,o rp^�P I�o�yv+o,,,,,�rt IrLia our
out I0s
�1Nawoa�Na► r;orcantusr,o� silaOrA mend
11YA134 woo .P"01IT31144V
�t
YIN1110 V1 d0 AL17 yJ4,0lrsw�I?d�♦ �- `
y �a,Aa�,ao w+q .rs may -
"111111111DrM QDgIIA �r1e
T O A o n w +� h S b = Z 4 a n -L Z G— L T ' A 0 N