1760i`
NOTE:
With proper 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: 6/10/93
LOCATION OF CONSTRUCTION Move Equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Asphalt Paver
12 Wide
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class III
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:
ROUTE: Tampico & Washington
North to City Limits
DATE: 6/11/93
PILOT CAR REQUIRED
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 vyork.
Signature of Applicant or Agent
Granite Const PO Box 9011 Palm DEsert (619) 775-8300
Name of Applicant (please print) Business Address Telephone No.
SAME
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE
Contractor's License 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
10.00
$ 10.00
Date
PERMIT VALIDATION
PERMIT NO. 1760
DATE APPROVED 6/10/93
EXPIRATION DATE 6/11/93
DATE ISSUE.DD,,� 6/10/93
By t I.fGd�'✓�G_
Administrative Authority
TELEPHONE: (619) 564-2246
A, 1 1-6�
is�
rb'f Q•pg� . �; ilb ' 3 af0+1.�1 tl
�►�+rw.pr ��, M w0,.�teea
q
'a w �..a.�
C lttu! !Ll ry Q
-N W ool@
z.lv4 NCtlytlrr� �et01
03n0Yr.�r �1rO I o•r,�agfH
�•�0 v•,rE A'aa10 ,�
0": 111'Ib ie V�rv1�
MOA/A1Q11�A l�Wtl3r/ I ••� t.w.•�
• ,! ernOayp9 D.tupglp
GAOSve�uNA+vao0,010--p/0 o++•u�•+O,OW1Iflu.�
t]A QO Vo!U,41n.W 641 fu"V,p 10
mMeri.¢gWl ]r:Qf�d
d u.qW! vo ur aprg E3d�
1►4WIfV A]„a+
►:Oou-9] 10 1+^fVl t tVr]rq�
qN wv►o�l "MW'1w$ W!7
' oy ItvA 7 1 ,Ot,ApiAVo�
•• •eN waallp�
:e' . � no,opm n+ur{n� vpwe,ff� Car euo ,eue,ly •
� +t N1frf�
•�~• •�� 'oN IVOtdllpi
t't1i[AOty t1•VrtMQ
"SQL, .� ►� �:'d�Cmct 1� � tRv�4aee,�lr+.m,Qe10 AAlt
.�I A4.Orr �01V LO fyNB•
lt.I,,,� {_t -"roj
11 \
-r N V� M fe �►•.�f► aup .uy e�4.y1 ,ra
WA
. M 1..a1 � " % "N
ON"y •� iM Mw W4y Paco 8a OAn;yp M t.,Ne� hili 4IMgr�� -ftY 4 3 �amg „• .Bw ►�y��
�.+tA.�O y 1�,�q q e ♦ � 'Wft�a4 +a►►.0 Ms .�� ,.�ap„e .,.� ►.q a�wu w �ww�r l,.e.�na,u•..,y�y 1� ti MM
P/ -4 AW r+4 A,1 1 wwr xM Mrp ie W IA.swp Oup N 60 i- �•ft0 1 .1 N-9 v
•Y r•�ffu� 0 . m► ►e►i.e o. Mw i•rhr.yl.r 4 ' �,�
•rD ••+a aae c,,a,, h�7
e NQ1va� lvn•�aaA Iyd 'vuµ.a evA l0 gv�t.R.i o�p, io vofap..a'fLam yf
�•_ "�. a�awn Ouareu jai 3�ae
IYO.R�y�•{: 0
vrCP]'OY,Jill s•-nV t�.3epSVp'ho, av,� out Vo4a OO
«nary 'u lip !0 r6'd441 111"O" yul,
1 LS03 vOcanauNCf9'lylr►�rls3
G�'U 1 � -Zp ls� �a-�/1 ru0tJ.311drv0� a0 7wrl li�rvr XOHded
pM parr4 uenr]
ftillfl�'eq t«A gip) V�6•'�
Al y
�,.�'"� 11! � `�1 ai+mu.o.,a,°Q`"'p X11►N
Nl03g 71LAA bbMAII MIJW In,, 3iVnrxOY4
id
C103300IV dOILTrA�nx3 IC) 3ZI=
1WAOIg{11 y0 >tenRllr'rV'15N1 40 NOIS,43MIQ
a
M S
�7 w N0114N1t
ma
< NO tR1SN0� 30 35Q4Nf d
MO NQS !0 NOIl3'?04
SMIS
• 1�CaN MQAA O14,,, , N3N3AOtNlM1 ylONl ! W,a voaa«lvoo 44 t3ufrw.akfoue f
gyp,! Q+aw•�� Nf•+w,�p
.,cum* rtiw.A ►el s�q� p pe+t'IVAo a4p
� %.V
Itf4�WFr?�rOb�Ni) 1VaraunetiSNo� SXUOPA anomd
1tNd3d d�9-►;q�lnllaae► .. ...
"Olft"LA11164.m.'a film
111Al1a7pl er-1
ze - d -:> T IS S: t nH-L 2:C —0 t —Nnr