1688NOTE:
WA 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: 3/12/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION _Move Ea uipmen
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move indPr 10' wide
84.000 lbs
DESCRIPTION OF CONSTRUCTION
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, d debris, backfilli om-
paction and placing permanent resurfacing an or replacing i ovements)
In consideration of the granting of this per , the app • nt hereby a
Sketch (attach construction plans if appropriate)
Route: WASHINGTON FROM CITY
LIMITS TO TAMPICO
Date: 3/12/93
Indemnify, -defend and save the City, its a horized ents, officers, r ntatives and
penalties, liabilities or loss resulting from laims court action a rising out of any
happening or occurring as a proximate r It any work under en under the permit
Notify the Administrative Authority at a twenty-four (24) urs in advance of the t
Comply with all applicable City Ordinan es, the terms and c ditions of the permit and
La Quinta and to pay for any additional replacement neces ry as the result of this 4
Ie
yees, harmless from and against any and all
ent, loss or damage to persons or property
d pursuant to this application.
hen work will be started.
I applicable rules and regulations of the City of
Ti R A
ature of App • nt or Agent
GRANITE CONSTUCT N POB 9011 PALM DESERT 775— 2
Name of Applicant (please print Business ress Telephone No.
Name of Contractor an Job ForemaX k BusiOrAj Address Telephone No.
Contractor's License No. X X X % City Busines4ticense No.
Applicant's Insurance Company
FEES: Subdivision Improvement PerTX Class II
Public improvements: 3% of esti ted cons ction co
Private improvements: 3% of estimated constru ion cos
Minor Improvement Permit — Class IV: See attached schedule
1688
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ to
Receipt No.
Received by Date
PERMIT VALI . ON
PERMI N0. D
DATE PpV ED (a"
EXPIRATION DATE 3� L Ct3
DATE ISSUED -"'> 112
—1 G 3
By �Q'►nn' 5tt_ . t
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
t'
-
NOTE:
Witt pFoper`kalidation
this form 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
DATE: 3/12/93
LOCATION OF CONSTRUCTION - Move Equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Grinder 10' wider
84.000 lbs
DESCRIPTION OF CONSTRUCTION
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Route: WESHINGTON FROM CITY
LIMITS TO TAMPICO
DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93
r
r
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-
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.
+r,
GRANITE CONSTUCTION
Name of Applicant (please print) Business Address Telephone No.
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 Policy Number
FEES: Subdivision Improvement Permit = Class 1II-
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule 16,88
t-\ G R ACEY
Signature of Applicant or Agent
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
to
$ ID
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO
DATE APPROVED 3 1 - (� 3
EXPIRATION DATE
DATE ISSUED (� 2l 3
By Pa.VV, 5t,_.Ld
Administrative Authority
TELEPHONE: (619) 564-2246
f.. r
NOTE:
WifPoo.perlialidation
this form 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
DATE: 3/12/93
LOCATION OF CONSTRUCTION Move Equignent
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Grinder 109 wider
84.000 lbs
DESCRIPTION OF CONSTRUCTION
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Route: WESHINGTON FROM CITY
LIMITS TO TAMPICO
DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93
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-
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.
A
Signature of Applicant or Agent
GRANITE CONSTUCTION PO BOX 9011 PALM DESERT 775-8302
.Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
• ON FILE
Contractor's License No.
S
Business Address
Telephone No.
ON FILE
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
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
to
$ (o
Date
1688
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED Z
By j�ZWn
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
Wit ?ol3er°lralidation
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: 3/12/93
LOCATION OF CONSTRUCTION Move Fauiumetnt
(Street address or Description of Location)
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION Move Grinder 10' wide Sketch (attach construction plans if appropriate)
84.000 lbs
DESCRIPTION OF CONSTRUCTION. Route: WESHINGTON FROM CITY
LIMITS TO TAMPICO
DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WI LL BEGIN
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 app'icant 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 CONSTUCTION PO BOX 9011 PALM DESERT 775-8302
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
ON FILE
Contractor's License No.
Business Address Telephone No.
ON FILE
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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 to
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ In
Date
s>wtr
PERMIT VALIDATION
PERMIT NO. J ir' 2�'
DATE APPROVED
EXPIRATION DATE
DATE ISSUED G f l
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
NOTE:
Wifh irooer validation
this form 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
DATE: 3/12/93
LOCATION OF CONSTRUCTION Move Eguiyment
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Grinder 10' wide Sketch (attach construction plans if appropriate)
84.000 abs
DESCRIPTION OF CONSTRUCTION Route: WESHINGTON FROM CITY
LIMITS TO TAMPICO
DIMENSION OF INSTALLATION OR REMOVAL Date: 3/12/93
I
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-
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 Quint a and to pay for any additional replacement necessary as the result of this work.
1 t 1., `'- C H, !
► Signature of Applicant or Agent
GRANITE CONSTUCTION PO BOX 9011 PALM DESERT 775-8302
Name of Applicant (please print) Business Address Telephone No.
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 Policy Number
FEES: Subdivision Improvement Permit — Class II 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 Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
F.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
Y
Administrative Authority
TELEPHONE: (619) 564-2246