1713iiASH]INGTON b NORTHERN
DIMENSION OF`INSTALLATION OR REMOVAL CITY LnUTS.
F. DATE: 4/8/93
SIZE OF'.E•XCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION '
ESTIMATE D.CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, co•m
paction"and,�olacing` permanent resurfacing and/or replacing improvements)
inconsideration of••the granting of.this permit, the applicant hereby agrees to -
Indemnify, -defend
o: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, -'o. 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: l
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' nd to' pay for. any additional replacement necessary 'as the result of "this work.
Signature of Applicant or Agent
GRANITE CONST' PO Bas 9011 PaIn Desert. CA 92255 4 775-8302
Name of,'Applicant ('please print) Business Address ; �' Telephone No.
Name of,Contractor and Job Foreman Business Address ti� Telephone No.
ON • FILB ON FILE
t Contract'ors,, icehse No. City. Business License No.
Applicant's,lnsurance Company~
Z. •' i - - - . '.
FEES: -'Subdivision Improvement Permit = Class 111 s'
f,
"Public improvements: 3% of estimated construction costs
jr,
A • Private improvements: 3% of estimated construction costs
Minor Improvement.Permit — Class IV-- See attached schedule
8 ;Inspection:Fee $
�yPermit Fee . rr 10.00
t' Penalty -
Cash Deposit -Surety Bond
if required
�ti. • '` TOTAL: '+ $ 10.00,
Receipt No'. r:
Received•by` Date
Recorded'by'' `
a
.,Policy Number
•f' y:r
# ' 4, •.
PERMIT VALIDATION
PERMIT NO. 1713
DATE APPROVED 4.18193
EXPIRATION 6ATE4/9/93
DATE ISSUED ' 4/8/93
gy�:��.2A� '
Administrative Authority
TELEPHONE: (619) 564-2246
41
�;.
- - � • • .
With proper validation
.
,4
this-formconstitutes an
CITY OF 'LA- QUINTA_
encroachment permit
APPLICATION FOR PERMIT
'
PUBLIC
WORKS CONSTRUCTION, (ENCROACHMENT)
OF
i
4A'`For. the .construction of public or
private curbs, driveways, pavements,, sidewalks,, parking- lots, sewers, water mains.
and other like public work's improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS .
P
'
Subdivision Improvement Permit — Class 111
DATE: -'48/93
Minor Improvement Permit Class IV
LOCATION'OF CONSTRUCTION
N
(Street address or Description of Location)
PURPOSE,OF•CONSTRUCTION ,Move
iM_iO»nt Sketch (attach.construction plans if appropriate) "
DESCRIPTION OF CONSTRUCTION,
9b6 Cat Loader
15'Hi86 102W4de 86 OOOlbs Len�tth 1...1 110MP . TAMPICO/WASHINGTON TO
iiASH]INGTON b NORTHERN
DIMENSION OF`INSTALLATION OR REMOVAL CITY LnUTS.
F. DATE: 4/8/93
SIZE OF'.E•XCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION '
ESTIMATE D.CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, co•m
paction"and,�olacing` permanent resurfacing and/or replacing improvements)
inconsideration of••the granting of.this permit, the applicant hereby agrees to -
Indemnify, -defend
o: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, -'o. 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: l
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' nd to' pay for. any additional replacement necessary 'as the result of "this work.
Signature of Applicant or Agent
GRANITE CONST' PO Bas 9011 PaIn Desert. CA 92255 4 775-8302
Name of,'Applicant ('please print) Business Address ; �' Telephone No.
Name of,Contractor and Job Foreman Business Address ti� Telephone No.
ON • FILB ON FILE
t Contract'ors,, icehse No. City. Business License No.
Applicant's,lnsurance Company~
Z. •' i - - - . '.
FEES: -'Subdivision Improvement Permit = Class 111 s'
f,
"Public improvements: 3% of estimated construction costs
jr,
A • Private improvements: 3% of estimated construction costs
Minor Improvement.Permit — Class IV-- See attached schedule
8 ;Inspection:Fee $
�yPermit Fee . rr 10.00
t' Penalty -
Cash Deposit -Surety Bond
if required
�ti. • '` TOTAL: '+ $ 10.00,
Receipt No'. r:
Received•by` Date
Recorded'by'' `
a
.,Policy Number
•f' y:r
# ' 4, •.
PERMIT VALIDATION
PERMIT NO. 1713
DATE APPROVED 4.18193
EXPIRATION 6ATE4/9/93
DATE ISSUED ' 4/8/93
gy�:��.2A� '
Administrative Authority
TELEPHONE: (619) 564-2246
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With proper validation
this form octnottrutoo an CITY OF L_^ QuIlIN17,06
encroachment- pier—it
APPLICATION FOR PERM11'r
PUBLIC WORKS CIONS-rRUIC-1111CION (ENCROACHMENT)
For the conetruotlan of public or privatecurbs, 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 — Cleo& I Ii I'
DA"lre 1 4150141.% Minor Improveri%ent Permit Class IV
LOCATION OF CONSTRUCTION'
(Strout address or oeacription cir L_oovvlan)
PuRpose OF cciNs-rRuc-riON 2"M -91131-1 Sketch (attech censtruartlon plans If appropr In -to)
DESCRIPTION OF CONSTRUC7ION
Is 06-0001b
-- ==1x A03LS B 1rAW3PXC0/WAJ3EM1%CW07WV
WASIMMMIGM43M & 21aWMIXEM
DIMENSION OF iNsr^i_L^,ri6N OR Remav^i-, I-XKXIZS.
11MAIM z 4/8/93
SIZE OF EXCAVATION, IF NEEDED
^PPRDXIMA'rE'rIM8 WHEN WORK WILL. B'GIGIN
APPROXIMATE -rIMIS OF COMPLETION
MS'rIMA760, CONSTRUCTION COSY S.
(including removal of all and .debt -le, backfilling, corn -
Faction and placing permanent resurfacing and/or replacing Improvements)
In consideration of the granting of this permit, the applicant hereby •agree. to:
Irtaernnify,.19.1ttrid It-* save the City. It. thorl.od aeonts. artls. reprosenta%lvau anti employees. hermleus from and .0 -MIL
penalties. Ii.Wiltio* er less raoul<Ing from .101-0 or -1. "It.. end -121.9 out of env -10-, $a.. .,*C1Oo- to Oul-Itt"t- -I Prop
h.pp.ning or --Ina .. . pre Niru ... .... 11 of env - wtWrls unae-aken under the Po—I, 9-161d Pursuant to this application.
N=111V the ^c1m1mi.4-vive Authority at least twe v -four Mot rt.u In sdvane. of the time wh..,w-1k -111 b. .*.,*ad.
Comely with all eppitoublo Cltv Croinon000, the %orma and ochaisl of the vutmlt and all sloplicuble ruts* and regulations of tho ClIv of
L_s Cluints end to ottv fpr any eactivional r.pincernant n*a**esry as the result =1 this -ark.
-T
Signature of Applicant or Agent
Asum OQLS- Mm3_= Sort_,_jQ, 92255 77S-81902
Name of Applicant (please print) Business Address, Telephone No.
Name of Contractor and Job Foramen Business Address -ralaphona No.
"VIN IWIrTAt
Contractor's t-lawriss, No. dE��* License, No...
Applicant's Insurance Company Policy Number
FEMSi Subdivision Improvement Permit Closa-Ill
public Improvements! 396 -of estimated construction costs
Private improvements; 396 of estimated construction costs
Minor Improvement Permit — Class IV. Sao attached schedule 1.71 3
Inspection Fee 19 L000 PaRmi-ir VALIDATION
Per—Ot Pa• .
. PURKAI'r NO. A 7 X
Penalty0^-rE APPROVED
Odsh Coocult-Surety Bond
TRANSMISSION'REPORT
THIS DOCUMENT .(REDUCED
'WAS -SENT
COUNT
#
Kc SEND
SAMPLE ABOVE)
No
REMOTE STATION I.P.
.-START TIME
DURATION
.#PAGES
COMMENT
7143427504
4- 8-93 11:08AM
1111',
1
TOTAL 0:01,11"
11
XEROX TELECOPIER 7020