1807NOTE:
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: 7/22/93
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move 9019 ent
DESCP,IPTION OF CONSTRUCTION Paver
11 6" Ride, 84,000 lbs. All else legal.
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans'if appropriate)
ROM: JACKSON FM AIRNRT TO
52 and 52 i1= TO WASHINGTON
and 50= TO TAWICO.
DATE: 7/23/93
a
APPROXIMATE TIME OF COMPLETION . JUL 2 2 1993
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris backfilling, com-�
paction and placing permanent resurfacing and/or replacing improvements) ' r®
In consideration of the granting of this permit, the applicant hereby agrees to: j
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 acciden�t,tloss 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
G RA LE `J
Signature of Applicant or Agent
GRMM CONST. P.O. Bax 9011 Pala Desert 775-8302
Name of Applicant (please print) Business Address - Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
On Bile On File
Contractor's License No. City Business License No.
On Fi.ae On File
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 1 807
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
200.00 (Check # 753329)
$ 200.00
Received by Date
PERMIT VALIDATION
PERMIT NO
DATE APPROVED
1807
7/22/93
EXPIRATION DATE 7/23/93
DATE ISSS�U, ED 7/22/93
ABy m r�.I.LQ,.Q.
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
.n r r
Wltn pro Por Yailda<Ign `
thin Perm ee nsrltu scs wn CITY OF- LA QUINTA
aoh mmn< permit
-- APPLICATION POR PERMIT
PUBLIC WORKS CONSTRUCTION. (SNCROACNMSNT) 4�
For theeen wtlon of public rpri uebs, DMY.wwyu, P ---S, e16-1ka. parking Iota, acW mra, water •Ina
end othorlike public worke :mpno Yamane- In --ail— with MINOR IMPROVEMENTS and APPROVED HUBOI'v Ig10N6
DATE:'J'/2s/9q
&ubdlYinlart Impleyement Permit — Cieva I11
Minor Imprn—Mont permit Clean iV
LOCATION OF CONSTRICTION _
DURATION
rB,re.t vodrest er Oeea: Iptten o1 Loavrlmn)
COMMENT
PURPOSE OF CONDTRUCTgqIOCCN MMQM—ailoZL
9kmtoh (vttweh ee,— r tion plana if app—prlete)
OEaz Ei6l eP,T ltJ Of
m%,VgTT
1 ' 02"
OUILION
�e 7
9,Yt
7 — ffiODA-ga S.52
..'CS.
SZ naiad 99: w mo wT EWO
0
TO iiA98>ZpOTt7tDr
DIMENSION OF IfJ9TA ELATION OR RPSMC VAL
wo T
- a.ad >eoaxa TO 2e29iIC0.
--
- ZPATSa 7/29/93 '
8122 OF EXCAVATION. IF NEEOF_D
'
APPROXIMATE TIIYIY( WHEN WORK WILL BEGIN
--
r�
APPROXIMATE TIM® OF COMPLETION
_ D.
u`ONBTRIJCTION COl3T6 �D. �)
D
'Z.MATEO
(Ineruding rampY al a/ ell obecru vtl0 n, ma:mriule, ahtl
debrla, bPcirThllnp, as T- _
pocclon and plwoing --n— n[ r urla oln0 and/or rapleolnp Inn'---
nn' a amcIn
InednatDermtlon of <ha granting of thla perrnit, tna
epPllvant horeby ngreea to: ei
Intlemin 11y 11 me1antl an. rhe C.". its a
emlllr:wa or from
sew ate, offlaorv, r raven +elven antl a eev mlwa !ram antl coal '
eo.laln0 xeu<
atultlne v o
+PPvn np a mine'+ erProhlmare ro u o way
rt end nY aeaitlane.Imsi or dema6e t
worts u o n under <ha p mle'erantwd PYraaan1 r ..1.-ppllPa tion, or Pre PireV
x l9y <ha Adminla[rerlVe A eeltY a awa< tww
J f94)ohoureer • o/ • w e pre w111 D x r
Com nlY wrrri eri •►Pliaable OitfY Ordlnanaoa. r antl a v r
v and al• aPPI owbla rine- and raeulnt)orta o the 01w o1
Le CVln.e end [o Pay for anV additional raPla n<
nvouvarY as the ranula Pf rn ry work.
—7744 ,
Slgneture of Appllasm or Agent
t3BAM'ZTS BZ's B.O: leas 901A 'Sct7i
aa10�TL 77.5 --W202
Name of AppllOe nt (p lava• print)
Bvalnmaa Atld ro a Talaphons No. ,
Nam- of Contraeter and Job Poronlan
6uv1noea Addraae Telophane Ne.
Cen�roctor'a LlBanao No,
_ bq Y11�
City D, I.... Llam nae No. --
ou Bal,]I,w
ApDtiop n['a inau ran o Company
Po hey Numbor
PmE6: Su bdlYla l___n Improvement Pmrml—_— t:tPPo 111
.
P.ubllc Im prove men U: 3% of oa!Imawd nonstructien
eo
Private impro Yomanta:.396 of antlmated construct c
Mlnrar 1 -1 Ycmant Parmit — Glaaa I— Sea ottaOhmel
^
sotiotlula I s `j 7
I napo of ton Pae !)! �_._
'� PERMIT VALIDATION
Parmit Pae
Panel—
PB RMIT NO. 1H0]
C—h Dopoalt-3uratV 9end
GATE APPROVBO 7/28/97
If rmqulrad -- _—.
0XPIR4TI40IV OATS
TO7ALr f) yAA-A— -
II OATC IB UBO �/?8/
RecviVatl by
By s`-!!� Admfn{acrm[IYm AuthorliV
Recorded by �_
I TBLSPHONE: (619) 8649740
TRANSMISSION REPORT
THIS DOCUMENT (REDUCED SAMPLE ABOVE)
WAS SENT
*** SEND ***
COUNT•
1
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
COMMENT
1
71434217504
7-22-93 3: 02PM
1 ' 02"
1
TOTAL 0:01'02"
XEROX TELECOPIER 7020
k N
S NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit - S
APPLICATION FOR PERMIT $
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
C� OF If�9�S
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 I I I
DATE: 7/79/9 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Paver
11'6" Wide, 84,000 lbs. All else lethal ROUTE: JACKSON FROM AIRPORT TO
52 and 52 WEST TO WASHINGTON
DIMENSION OF INSTALLATION OR REMOVAL and NORTH TO TAMPICO.
DATE: 7/23/93
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
!r
APPROXIMATE TIME OF COMPLETION D D
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com- ji il., .N 1993
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to: By.
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.
)1&/A GkAC_E \/
Signature of Applicant or Agent
GRANITE CONST. P.O. Bog 9011 Palm Desert t 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.
On File On File
Applicant's Insurance Company Policy Number
FEES: Subdivisinn Imnrnup—t pow...;* — ri.,.., ni
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
. TOTAL:
Receipt No.
Received by
Recorded by
200.00 (Check # 753329)
$ 200.00
Date
iaol
PERMIT VALIDATION
PERMIT NO. 1807
DATE APPROVED 7/22/93
EXPIRATION DATE 7/23/93
DATE I=.,,,,,.,7/22/93
�-. ^7,/22/93
By d+� t tC lC,
Administrative Authority
TELEPHONE: (619) 564-2246
-6TUL--22-'J3 -rHU 1 3 _ -4•9 t air rncx
n
consmu non
compRnu
TO: G.-'� TE: rJ'
ANY NAMEt e��;Id, 'l " i' FAX NO..' ./ Llo�
FROM: r�' a FAXED BY: �•' .
PAGE 1 OF
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41
IF YOU EXPERIENCE ANY V'IF`F'ICULTIES FROM. F"ACS1,11LE (.619) 342-7504,, PLEASE
CONTACT SENDER AT (619) 775-$3020
Palm Springs Branch
P.O. box 9011
Palm Omrt, CA 92455.9011
Phone 619/36D-4500
FAX 619/3604570
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