1834NOTE:
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: 8/13/98
LOCATION OF CONSTRUCTION Move Equipment
(Street address or Description of Location)
PURPOSE OF CON§TRUCTION Cat D8 w/Blade & Ripper
14 Wide, 15'4" High, 130,000-140,000lbs.
DESCRIPTION OF CONSTRUCTION
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)
ROUTE: Monroe from Airport
North out of City Limits.
DATE: 8/13/93
PILOT CAR REQUIRED
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.
Signature of Applicant or Agent
Granite Construction POB 9011 Palm Desert 775-8302
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
On File
Contractor's License No.
On File
City Business License No.
On File On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
Received by
$ 10.00
Date
834
PERMIT VALIDATION
PERMIT NO. 1834
DATE APPROVED
8/13/93
EXPIRATION DATE 8/13/93
DATE ISSUED 8/13/93
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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GARn-
coiimu mon
compam
TO: ..DATE:
w
COMPANY NAME;. � , FAX NO:
FROM: � / , e FAXED BY:
PAGE 1 OF d
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IF )�013 EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE ' (619) 342-7504 e. PLEASE
CONTACT SENDER AT (619) 7756302.
Palm Springs Branch
P.O. Box 4011
Patin Desert CA 04455.4011
Phone 619/36x4500
FAX 619/360-4S70
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--------------------------------------------------------------------
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT Fg
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
^ i aOP'li$9
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 II I
DATE: 8/13/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Move .an yment
e
I (Street address or Description of Location)
PURPOSE OF CONSTRUCTION Cat D8 w/Blade & Ripper Sketch (attach construction plans if appropriate)
14 Wide, 15'4" High, 130,000-140 OOOlbs.
DESCRIPTION OF CONSTRUCTION ROUTE: Monroe from Airport
North out of City Limits.
DIMENSION OF INSTALLATION OR REMOVAL DATE: 8/13/93
I
PILOT CAR REQUIRED
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
1
APPROXIMATE TIME OF COMPLETION
TED CONSTRUCTION COST $
g 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.
I fs tiA GRAcc-
Signature of Applicant or Agent
Granite Construction POB 9011 Palm Desert 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 1834
Inspection Fee $
Permit Fee _
Penalty _
Cash Deposit -Surety Bond
if required _
10.00
TOTAL: $ 10.00
Receipt No. _
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO
DATE APPROVED 8/13/93
EXPIRATION DATE 8/13/93
DATE I D 8/13/93
By— Ftbm
Administrative Authority
TELEPHONE: (619) 564.2246
p)CIIiE2
\M9th DroW; V•Ilda[1on '
ua� toren oonatleu[aa an C)'TM OF L,A QU)NTA /
. _i moot p _It '
APPL.ICAT)ON POR PIEPIMIT
PU®L.)C WORKS CONSTp U07'ION (QIVCRO.AOHMHNT)
! par th• epn•truoetpn O1 eubtlo or prlvtlu —b•• drlwway.. Povnman<•, •ttltswalk•, pa rkln0 $a—. •oaaror• w r m4in•
and oiM1•r Ilk• eublio —ko Imp--' In wnn•atlon with MINOR IMPROVOM mN TC: end APPwpv@p tU 0O1V'IBIONQ
QATEs Qubd W1•iPn Improwm•n[ Parmlt — Clau 111
Mln6f ImproWmant P. mit Olsasm IV
LOCA.T(ON
OF CON6TRUCTION - e *+Q.•t
IOYaoa otltlloY or Oa•alt P<Wn o1 Le•Y11on1
PURPOSE OF COF%q� V 0 F t D6 w/Hi•IdP 6 Amen 61coT6A (otvah mn•truptlon loo• If •p
IL V3 _. 1S SII R_ iv>,_ Til' .000•�1� (SppYp P Proprlatp)
OBBCRIPTION OF CONSTRUCTION St pTTtEI MepTe4 t=om Airyost
2PorG� euC e! CSG7• Limlto.
OIMEN®ION OF PNOTAL'LA,ION OR RBMOVAL DATEt 0/29,!63
' OI26 OP @XOAVATION. IP N60OBo 2=OT CAR lXZQWX3UM
APPROX IMATP: TOMB WWON WORK WILL meafN ._
APPROXIMATI TIMY OP OOMPLCTION
TYD CONOT R UOTION COST O
y r val 09 •11 Obltruotlen. nto[orlol•, •nd dobrb, I2ookfl111n0, eDm-
ol.Pdon ondo pltleln0 permtlrlYm ro•urfaalne —d/.rHOlssein0 Improvmont•/
In eun•Ieogt2en tat th• 0--tn0 et —1a parmlt. tha al+Wlaan< M1ogby oprss• to:
ivmnitV'•Nlentl •M • e1N. K• w .ns- •MI••tt, n MI P;evlr•a, N ou rqm Ynd •p•In•a ��
Ino rq m ovn •Qon •nd •. inn w. •n' .,. mmO I r ors,
^•Pp•wtna w •erina'.• • gwam•w work uM•rYk•n v nod u TNI• opplluflon. o
oalM t eabfr.alvo A r C 1••.as t.••n ry.revr f2•) N • 1w •Jti • �Mlflmo Oat} n Iwork w
• Cewtply w• 1•ppllbobl• Dlt^.o Ordin•nmr, aM • loll a noislo•u a It •ntl aN IfpP 1••bl• rule •ntl rNul•f lan• of aN• Clty al
' u Oul nt•1•ntl to o•y ta. v addlalun•s r•Pl•arm.nt IfaMINrV •a two r••.Ia er to la .ro.
Tr nsA C�zs>,r„ �-Y
. Blyraaturw of APPlifgna Or AD•rta
CGpnGm Con GA G10 YOH en]1 p 1 L _ _ 77
NlPrta of AOpllo•nt (Ploom PrImJ Outi vslo AddrasR - - T•Imphono Na.
N— of C.---d Job POfaman Duo Y• Add,. Tolophen• No.
Ota 1711a a•'
Cwrernarter•• Lltsanta No. C1ey OV !twat L10•nM No.
T,ix4 Cts PS[A
Appllu•nt•• In•uranoe Company ►ellpy Numbor
PESOS Aubdlvl•lon mpreymont Pormle — Clua• I I{ W
Pabllo I—Dro onY: 6% of aatim•srd rp uotlon nett•
' Pr{vaso Imw ve am•2{of oatlm•tled m R rsfeabn oe•4
..—r Intprovomon[ 1=1.'! C1at• IVs Bae v chod•oh•al.lo 1834
InspotlOn Poo i PItRMtT VA LIOITION
P•rmla PYa x0..00
i PCRMIT NO. t pqn
r •rrlty
CIS O•pe•I[-Burbly Bond OAT@ APPROV@p
IfQXPIRATION OAT! A/tS/o
' TOTALa 6 tO-00 DATA 1f1G1�`�� ��p
i Rae1Pt NO.
R—Iad Ify Data Qy Admin lotr•tiva Au[hOrlcV
Rlfoefeaw nv TYLQPMOIVIi. (0101 604.2240
TRANSMISSION REPORT
THIS DOCUMENT
WAS SENT
** COUNT
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(REDUCED SAMPLE ABOVE)
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7143427504
8-13-93 2:19PM
1'03"
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TOTAL 0:01'03" 1
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