1951NOTE:
'tith proper validation
his 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
Subdivision Improvement Permit — Class I II
DATE: 11/2/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 48TH AAD ADAMS
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION IIB EQ Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
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:
HAUL ROUTE: WASHING?ON AND 111
SOUTH TO 48TH RAST TO ADAMS
HAUL DATE: 11/2/93 '
t
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
4
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,
-T�-, A� .3,QL
Signature of Appli ntor gent
JOIIMSON TRUCII M P.O. BOIL 1618, FALLBROOH, CA 9202 (619) 723-8257
Name of Applicant (please print) Business Address Telephone No.
NMO BNGIABElLIAG, INC* 79-811 COUNM CLUB D8., BBRMA DMM, CA (619) 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
ON FM
ON FILE
Contractor's License No. City Business License No.
ON FiLB
ON VII.B
Applicant's Insurance Company Policy Number r
'U
NO� 1993
i
1951 By
PERMIT VALIDATION
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.
10.00
$ 1A000 .,
Received by Date
T
PERMIT NO. 1951
DATE APPROVED 11/2/93
j EXPIRATION DATE 11/2/93
DATE IS UED 1/2/93
-11
ey Zet�t4, ��
f Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
-r
r�
�13
^ti
NOV— 2-93 TUE 9:54 N U E V O ENGINEERING
NOTE:
With Rroper validation
thls.form constitutes an
a'nt:roAdtment permit
CITY OF LA QUINTA
APPLICATION FOR . PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
P . 0 2
For the Construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sowers, water mains
and other like. Public works Improvements in connection with MINOR IMPROVEMENTS and AI P1jOVED SUBDIVISIONS
11 —2-93 rove
293 Subdivision Improvement Permit — Class ill
DATE; .�' r� or+r- S
Minor Improvement Permit Class iV
LOCATION OF CONSTRUCTION
(Street address Or Description of Loestlon)
PURPOSE OF CONSTRUCTION Move Equipment
oESC10 f ON PDr1AT�UC�I¢NC D- Dozer
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
HAUL ROUTE:iasri-;-moi ----
W�r8-i11 t•i�Yl ,
�.ss ssf i .vim 'L^Jrr
HAUL DATE: 11-2-93
SIZE OF EXCAVATION, IF NEEDED ,. ..�
APPROXiMATE TIME WREN WORK WILL BEGIN
APPROXIMATE TIME: OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(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 aro save the City, its authorized agents, officers, representatives end employees, harmien from and against any end all
penalties, liabilities or Ion resulting front claims or court action and arising out of any Accident, loss or damage to parsons or property
happening or occurring as a proximate result of any work undartaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty lout 1241 hour In advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and cohditions of the permit and all applicable rules and regulations or the City of
LA Quints and to pav for any additional replecernent necessary Of the result of this work,
Signature of Applicant or Agent
Job.nson Trucking P.O. Box 1618 Fallbrook, CA 92028 (619) 7238257
Name of Applicant (please printl� �^
v Business Address Telephone No,
NueV!Q Eng{ i -
Name of Contractor and Job Foreman Business Address Te(eohone Ne_
On Fill?
):Contractor's License No,
On it
City Business License No.
Applicant's insurance Company
Policy Number
SEES: Subdivision Improvement Permit — Class Ill }
Public improvements: 3% of estimated construction costs
- �•......,U W, Oiwnllnlou construction costs
f. Private Improvements: 3% of estimated construction costs
Minor Improvement Pgrmit — Class IV: See attached schedule
ty
nspectj'n Fee $_ �—
'ermit Fee'
'enaity —
.,ash Deposit -Surety Bond
`required
TOTAL: $
ieceipt No.
leceived by Date
tecorded by
Extended Page 2.1
�0
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TFLEPHONS:16191664.2346