18174&E�
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: 7/26/93
LOCATION OF CONSTRUCTION Move Equipment
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Paver 1116" wide,
84,000 lbs. all else legal
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, 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 to
52 & East to City Limits
Date: 7/26/93
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.
-T-INA GRACE"I
Signature of Applicant or Agent
Granite Const Co P.O. Box 9011 Palm Desert (619) 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: Subdivision Improvement Permit —Class III
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. 1817
DATE APPROVED 7/26/93
EXPIRATION DATE 7/27/93
DATE ISSUED 7/26/93
By L^
Administrative Authority
TELEPHONE: (619) 564-2246
g
NOTA
l aormpsen kld.tion
e Itutoa wn CITY OF LA QUINTA
e.K-- Dwrml[
APPLICATION FOR PL'RMIT
PUDLIC WORKS CONSTRUCTION (12NCPIOACHMENTI
f�ft
For <h. mne ru Ptlon at oublio or private urbt, driyowwye, pwyon•enr1. .itlew.lk.. pe rklnp lot., ew.ysre, wwtwr melne
end other Ilketpubl is works Improvements In pOnnec[1—with MINOR IMPROVEMENTS and APPROVED SU19DIVIBIONI11i
Su bdiv talon Irn way.mant Pormis — Cl. es 111
DATE: 7/76/ov � IVllnor Imarnv.ment Permft Clw.e IV
LOOATION OF CONSTRUCTION
tor...• .tle.eu or o..erlP.len a Daws n
PURPOSE OF CONSTRUCTION PN—A ASIA -12-0— S`scTetoh (.tieph cpn.trueelpn plane If appr.p,I.1&)
DESCRIPTION OFF 4CONSTR%CTION _ _6,
SA73TE: Tampioc S Sia ohiag eon Co
57 6 Yaat c City Limito
01MENSLON OF INBTALLATION OR REMOVAL _
Dass: 7/26/93
S1219 OF EXCAVATION. IF NEEOBO
APPROXIMATE TIM$ WHHN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION.
QSTIMATaO CON19TRUCTION CO— s —
(Inolutling r ya1 01 .11 ob.erupt!on, m Iola, wnd dobrl., bwoltfillinp, e
W otion e d PI.OInO Pwrm. rant r uYf.OlnOrwnd.'Or rwpi.oln0 imprayo man n/
In c neldare tion o} the Orantln0 of t7:le Perm lt, She wpPli— hereby .gr...
e el[Y. Irn .utherlawd n and a Nermleu P and a
nei•t..,y ll.bllhles we rd IeM r V tram n Otlon . Inpto of enV e.vlld.nt, los. P spa to ponbna ar P. aP.rty
.........p BnB e r ata r u• a en r o r rrrllt pren<ad par n eh le ePPflvetlon.
NotIN the Aeminbtrative A•t herl Y .t len � [ - ur /p41en n edyenen of tke •Ime wh.n work wl:l ba K
COTPIY with ell a ceblw C(ty fire inwnnee, a endlrlens b •M P nit end ell .PPlleable ru la. entl r.pirlmbne of the Clay of
V C.— end ee bey rot anV etltl�rlOn.t Nplwa•mwmene.a.ury et the raou• •hle w ru,
Tt "A C�F2s+iC�.y
Sipn.ture oT APPIfO.rtt er Ap.nt
P_O_ A— 0611 I J,I a_
Name of AppliO.ne lPlw.ew print) E[ua4neae Addrose T.loph onw No.
Nnmo of Conar.Otor and Job Forwmwr. 13-1 1, Ada'... Telephone No.
OS[ Rila
Contr.e2nr'. LlOw nwe No. CItY 19uelnwe Lluwnee No.
On 811e oy. 919 [
Appll—V. Ineurenm Company Polloy Numb.r
pass: P.—It — CI... III
P4bllb Imprp ywmwnt•^ �9i of v tetl c Orlon C •
• Prlywt. imm•PvemenYe: �'Jb OP aet'rrrr<ad OO YIe[rUC[len Onte .t
O .!
Mlnpr' ImprOyw M.nt POrmii — Cleee )•/: gee assn Ohed .OhedulP 1 CS 1 1
Ins pee2lpn Pes 9 PaRMIT %1AL)OATION
Parmlt Fea —iii -n PERMIT NO. 1&17
Panel
cn.n owpoelt-aur.<y Bond OATH APPROVED 7/2i3/93
If r.aulred aXPIRATION DAT@ 7/2Zi91
TOTAL: 51 - OAT'S leste!, ^,z
R ... Im N.. (,L,ii,/t hL
Hy
R—S—d by
N Adm4n l.[rntly. Au2nerity
R.00rded by TSLePHONE: (1919) 1904-2740
TRANSMISSION REPORT
THIS DOCUMENT (REDUCED SAMPLE ABOVE)
WAS SENT
** COUNT
*** SEND ***
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
COMMENT
1
7143427504
7-26-93 2*53PMT-1-
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TOTAL 0:01'07" 1
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COMPANY
DATE:COMPANY NAME: P//-?rAX N0:
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FROM
PAGE 1 OF
FAXED BY:
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IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 342-7504, PLEASE
CONTACT SENDER AT (619) 775-6302.
Palm Sprlrss Branch
P.O. BOX 9011
Palm bewrt U 94855.9011
Phone 619 / 360.4500
FAX 619/300-4570
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With proper validation
this form constitutes an CITY OF LA QUINTA
U
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
Subdivision Improvement Permit - Class I I I
DATE: 7/26/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Move Equipment
fStreet address or 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 legal ROUTE: Tampico 6 Washington to
52 6 East to City Limits
DIMENSION OF INSTALLATION OR REMOVAL
Date: 7/26/93
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.
7 NA GRA( -PN,
Signature of Applicant or Agent
Granite Const Co P.O. Box 9011 Palm Desert (619) 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: Subdivision Improvement Permit - Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule 1 8 1 I
Inspection Fee $ 11 PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by _
Recorded by
$ In -nn
Date
PERMIT NO.
1817
DATE APPROVED
7/26/93
EXPIRATION DATE
7/27/93
DATE ISSIjf'l�
PA-.
4/26/93
'K
By.
Administrative Authority
TELEPHONE: (619) 564.2246