1626, 111GTE: w
i.kith proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
e
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
DATE
12-9-92
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION Cat 65Water tanker
1 1-9' hO13q9j'w ;5�1AZ308,3O45wtMovAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 12-10-92-
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
k
Sketch (attach construction plans if appropriate)
From Westward Ho and Dune Palms
north on Dune Palms west on Miles
north on Washington to Riverside
county line and return unladen
Pilot Car Required
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:
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.
gj�A4r
Signature of Applicant ortiAgent
L.L, Yeager Const. Co. Inc. P.O. Box 87 Riverside, CA 92502 (800) 222-5360
Name of Applicant (please print)
Business Address
Telephone No.
Name of Contractor and Job Foreman , Business Address Telephone No.
Contractor's License No.
on file
City Business' License No.
on file
Applicant's Insurance Company Policy Number
l
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costsjj(sigry 6 T J
"10-9: n• n
V 4.Q ri . r 1 I d .0.
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule 1626
n
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
10
$ 10
Date
PERMIT VALIDATION
PERMIT NO. 1626
DATE APPROVED 12-9-92
EXPIRATION DATE 12-10-92
DATE ISSUED 12-10-92
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
DEC -09-192 WED 15:30 I D : E. L. YEAGER . TRANSP. TEL N0: 900-284-3101
:y
NOTgi
With proper validation
this form Corl&titutes an
enaroeelrmeM Osrmlt CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORK® CONSTRUCTION (ENCROACHMENT)
#433 P01
For the aonaauRlon of public or Prlveta Curb&, driveways, Pavomants, sidewalks, perking late, eswoft, water mains
end other like public works Ithpravafnsa,ts In connection with MINOR IMPROVEMQNTS and APPROVED SUBDIVISIONS
DATs:`• 1-L I a C1 C!'4
Subdleldon Improvement Parmlt - Cla&& III ...ice
Minor Improvement PIPM11 Clem IV
LOCATION OF CONSTRUclTION
(Street aaarem or oaaer:ptlan of 60 Ions
PURPOSE OF CONBTRUCTION OV '7- Qkv1 P Sketch iatt/alh oonttwcslon pilins If approprlatej
DESCRIPTION OF CONSTRUCTION yuft icovN. %4vs-r%,lAta.p
0 , V4@w..r4 ►� P�
DI fi 10 1 L T! N R R8M
e `W��ST tel Kt<�E�a—�. r �IjV® ILTI►� 0'►�
S ZI i OF EXCAVATION, IF N@EOgD W��S» 111 letf1i�i 10 16 �V E� fi A!C
APPROXIMATE TIME WHEN WORX WILL BEGIN V 1`1 �.11-LE- i iv
APPROXIMATE TIME OF COMPLETION 1" A
ESTIMATED CONSTRUCTION COST $
(Inaludinj to of ell obstnaetlon, materiel&, and debrhl, backfilling, earn.
Pwtlon end placing parrmitent rasurlealns *Wor rapleOlnO Improvement I
9
In consideration of the 111farltln9 Of Oil permit, the aPPllo&nt hereby agrees to:
Irrdemnlfy,,defane pro save me any, Its mulhor"id IaMts, afnura, PION UIIM/ end "OlgrNa, narmlan teem arrd shines any ou�
ts•Mltkts, 14bi1ftia of lam rotultim from aleU" or spurt salon Ind srUine out of any ooelaent, Isar or dente pN err ato aere+no"PA
holess"InG Or oaeurrina ere • prpoinyq result of any Will undertaken under the parmlt a►ennd Punwnt to this apolartlan.
Nml#v uut Agminl&Irt Irl Aulhwlty at lean ttrwntyteur 1241 haven in advance of " tlnw whee work will be started.•
Comely whh all affilaaa city ardlnsnoss, the tam" and sondlNon of the peenh and 111 eteHOabb rules ons regulation at the City at
V Gulata and to pay for any amditional frplapanwnl nanrary of the fault of the work,
c� ���. 5roneturs of Applicant or Aptit
ltD �.. o . So it 2a %pp- e4. R15oz
Nems of Applicant (please print) Business Atidrau Tal ens No,�
�b'3b d
Nemo of Cenersotor ane Job Foreman Business 0o Z2 Address Telephone No.
Contractor's I-loenso No. City Eusinu& Lloenee No.
Q�rte�e.f.v • +��Js�ti-toNa,e„ Co, SP. 110%tl.7.
Applieenirs Insuranes Company Popsy Number
Fogs: Subdivision I m rovement Permit - Clep III
Public improvantorm: 3% of aseirtteted construction own
Prlvato ImprOvemente: 3% of s"tlmetod construotlon costs
Minor Improvement Permit — Class,y: Sot attached tehoduie
Inawatlon Pee S PERMIT VALIDATION
Permit Fee to r o o. t Lia
� PERMIT NO. «.,��,•,•,
Penalty
Cash Otpoait-surety Bond DATE APPROVED a�9 �a Z
11 Mouln
TOTAL: I EXPIRATION DATE. �� '"•� � -q ? ,�
Ts � • d
Race* No. DATB IMuHC -') p -q 7 i
Received by Data'I Sy
Adminlsttative Authority
Recorded by TQLEPMONB: (919)864.2249
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
DATE: 12-9-92
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION Cat 651 Water tanker
Dlfy f€N I N ,ql` PS AIrLA238N OR5w�MOVAL
1 It
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 12-10-92
Subdivision Improvement Permit - Class I II
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
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:
From Westward Ho and Dune Palms
north on Dune Palms west on Miles
north on Washington to Riverside
county line and return unladen
Pilot Car Required
Indemnify, -defend and save the City, its authorised 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 Quints and to pay for any additional replacement necessary as the resulj of this work.
r
Signature of Applicant or Agent
E.L. Yeager Const. Co. Inc. P.O. Box 87 Riverside, CA 92502 (800) 222-5360'
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
on file
Business Address
Telephone No.
City Business License No.
on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III 3 Ng q i
Public improvements: 3% of estimated construction costs ?8518CAIR OTA12 1.0-9` 10.00 i0
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10
Receipt No.
Received by
Date
1626
PERMIT VALIDATION
PERMIT NO. 1626
DATE APPROVED 12-9-92
EXPIRATION DATE 12-10-92
DATE ISSUED 12-10-92
By
Administrative Authority
Recorded by 11 r TELEPHONE: (619) 564.2246
NOTE:
i'
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
DATE: 12-9-92
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION Cat 651 Water tanker
Dlfy f€N I N ,ql` PS AIrLA238N OR5w�MOVAL
1 It
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 12-10-92
Subdivision Improvement Permit - Class I II
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
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:
From Westward Ho and Dune Palms
north on Dune Palms west on Miles
north on Washington to Riverside
county line and return unladen
Pilot Car Required
Indemnify, -defend and save the City, its authorised 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 Quints and to pay for any additional replacement necessary as the resulj of this work.
r
Signature of Applicant or Agent
E.L. Yeager Const. Co. Inc. P.O. Box 87 Riverside, CA 92502 (800) 222-5360'
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
on file
Business Address
Telephone No.
City Business License No.
on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III 3 Ng q i
Public improvements: 3% of estimated construction costs ?8518CAIR OTA12 1.0-9` 10.00 i0
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10
Receipt No.
Received by
Date
1626
PERMIT VALIDATION
PERMIT NO. 1626
DATE APPROVED 12-9-92
EXPIRATION DATE 12-10-92
DATE ISSUED 12-10-92
By
Administrative Authority
Recorded by 11 r TELEPHONE: (619) 564.2246