1697WEM
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
4 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: 3/18/93
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Cat 633 Tractor/ Scraper
DIMENSION OF INSTALLATION OR REMOVALI•oaded on 9 ax1AR
13-9 wide 14-9 high 95 overal 236,345 lbd
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN /18/93
APPROXIMATE TIME OF COMPLETION 3/24/93
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 & Dune Palms
North onDune Palms - West on
Miles - North on Washington to
Riverside County Line & retturn
unladen
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 424) 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.
nature of Applicant or Agent
E.Z. YA Wk V8b80X 87 riverside, ca 800-222-5360
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
AMERICAN INTERNATIONAL CO
Business Address Telephone No.
City Business License No.
BE7702163
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111 00502 0 5BER 03-18--93 to
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
$ 1V
Date
A T IV.00
169-T
PERMIT VALIDATION
PERMIT NO._%� 7
DATE APPROVED 3 1 u_ 9�5
EXPIRATION DATE �S! Q� L13
DATE ISSUED A"—/>— q�
E
By AL40,q��
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
'. MAR -17—'93 WED 14:06 ID:E.L. YEAGER TRANSP. TEL NO:800-264-3101 #673 P01
It it h. h 1w.,
N�TQi 1
With WopN validation
this form mititut" an
ensm"Imment permit CiTY OF LA CUINTA
APPLICATION FOR PSRMIT
PUBLIC WORKS CONGTRUCTiON (ENCROACHMENT)
awlp— "rtwp Nrmsize 18P.U. ftv.?A%T- @0
Por the conatructlon of pubtlg or privets cures, driyeN+ey1, pmvemena, sidewalks, parking Ion, "wen, water main:
and other Rice public works Imprevoments In connection with MINOR (MPROVEMIENTS and APPROVED SUBDIVISIONS
DATE:
subdivision Improvement Plimll - CtaM III
Minor Improvement Pefmlt Clea IV
LOCATION OF CONSTRUCTION
i0trmaslow of 011011001111" of Laaatloel
PURPOSEOFCONBTAUCTION -MV't kQUi PKK- %r
DESCRIPTION OF CONfrRwCT10N
o NS10A9FI A TONI it RA 0
V
Blt! OF EXCAVATION, iP NEEDED
AMIIOXIMATB TIMI VM94WORX WILL BIOIN
APPROmMATQ TIM:OP OCI MPLETION
QBTIMATBD CONWrRUCTION COST S
(lnatuelne nmovel of mil obstruction, matarlala, and debris, bemdtf fllnp, corn•
PGWOII And placing pornhtrune roturfaelM and%r rfp)aoln Im I
Sk_#19h (Attach construction plant If eoo►opriatm)
reo� WEs'rwlhr � WAS pains
tiety' % ew bulax fm -Ks • Wlms' -
6" m1% -Es - +Abizv 1 Ola WApiltl.-mw
T TZIVEit-s1Dw GOVN" LIP-Alz
R&T'UtN v&IL01,111N.
0 preWhten►y
In oonaidermtlbri a the 9"Ing of this permit, tho oPPlloant hereby more" to:
inds+nnrty,•wr na aM hrYa the city. Its oudhe sod sa ran, ,,frig..~ rlpralentativy and a+g:oywl, narmiaa tram and mpinet any ane #11panattiq, ikbptua M 18n raerklnp fronh ellq,q or txurt "lien vw :romp cut of any INkant. Ion or damem to panam at orgmm
halswW4 at o"unit e ■ o washrme mull of env rAft unduitimm undo the permit refftd swrwaht to th% "Issue".
Nmsifv the Adminlitmha Auttwryty at mm tewatyfwr 1961 boon in odvenes of tM tlno MMM Ora►k well be amd..
Gmmhy with ali 1WINMI Cliv OR"""". Ow tarns and eondmom of tito pannh end go too ruin amt
V Oulnmm slid to bey for any eddlti mel F04"mneat Roam am a the ripest of rlQutetbht Of tits city of
signature of Apptiaant or Apent `
lieu, gr
Nannie of Applicant (RINw brine -7 eorl
Business Address Taappone No,
Name of Contrgntor and Job Foramen8 ep z.Z%S4 b�
Buain"I Address Telephone No.
Contreaor•I Lmoante No. City Budinas Lich" No.
Apolioent's Iflwrenee Compgny Pou�y Nunteer
own; Subdiviaton lnmproyeRleflt Pmrmlt � Clul III �
Public ImprmRwm: ,% of ommated mmnstruetlon costs
►Nva.Imarovetmhonn, 3% of eetlmated aonstruaWn coots
Itttner Intprewment Parrett — CII 11V!V! Sea attached schedule
Inspection Pee B' J PtRMIT VALIDATION
Permit F.e fib. d n
PERMIT NO.
MAlIty
mit
cash Dopollt•9urety fond DATI! APPROVED
If NRYired
TOTAL:
EXPIRATION DATE
rjd.�
Receipt No. DATE ISSUED
Received byIt By
Oates„ -- Administrative Authority
Recorded icy TELEPMONB: (8t B) 564•4248
IS