1998..1
NOTE: 1
OUjth5proper validation
thi's form constitutes an
encroachment permit
CITY OF LA QUINTA
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: 12/1/93
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPHENT
DESCRIPTION OF CONSTRUCTION 623 SCRAPES
151H, 11'6"W. 120,000 LBS
DIMENSION OF INSTALLATION OR REMOVAL
I
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:
HA�JL ROUTE: AVENUE 58 AT R)BLLEB
PTT ROAD, EAST ON AVENUE 58, NORTH
ON HORROR, WEST ON AVENUE 52,
NORTH ON WASHINGTON STREET TO
HIGHf1AAY 111
HAUL DATE: 12/2/93
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.
Signature of Applicant or Agent
GRANITE CONSTRUCTION 38-155 MONROE ST., INDIO, CA. 775-8327
Name of Applicant (please print) Business Address Telephone No. j
SAME
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 YM
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
Recorded by
$ 10.00
Date
a9�
PERMIT VALIDATION
PERMIT NO. 1998
DATE APPROVED 12/1/93
EXPIRATION DATE 12/2/93
DATE IS 1 /1/93
By ONS''' `*
Administrative Authority
TELEPHONE: (619) 564-2246
F
GRANITE CONSTR. CO. 6199220159 P.02
�h
'1
NOTE:
With prOP11' Validation
this loan 00WItu164 an
Introachment cormit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the aonittuction of Iau011c or gruyere curth, drlVt*1Yt, pavarrtenti. sldewalks. WkInq lots, iawd", wunr mains
and other like public works improverranu In conn*Cuon with MINOR IMPROVEMENTS and APPnOVED SUQDIVISION5
DATE:
F 3 Subdivision Improvement Perrnrt — Class III
Minor Improvement Pamirt Class IV
LOCATION OF CONSTRUCTION
tsu.a .ocrr.. or D..cr,ati9n a t ocseVon!
PURPOSE OF CONSTRUCTION —
OES�CR,P�tON QF�01Vj-TRI,�CTiON
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
10
S atch )roach C.onstrvCtion plats If ipprWy &tai
Goi ave.
Finan � e. �
`71d4i? rl,�
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of all obatruution, matefials, and debris, backflilinq, port). l///
Wton and placing permanent resurfacing end/pr rlplaunq imptAytltYlfMt>Ij �� �r
In �nsll�efltion of the Vinting of this permit, the applicant hirlby egroel to;
Indraet►n'tV, dot" ono ttve tete City$ +t' "'Or sod e4anu, ofi{prt, Mr»ontatrm ono WtOl
Penalties, 4bilities or Ica *rfujtlr4 Irwn uairm w court attron oVMt. harmlaq from end fa0iir+tt orry ar+d all
n�iho or oaaurri ►^d a�IriM out of onV "Cuiont, lots or carr�a90 to cot%*" at pr�rty
rt9 rl a OtOatmrt4 rtwtt of amrr wore uno rwuoa ur4w the Wrenn erantao pursuant to oil aoolknuom.
Nptlfy the Aamrnatretr.• Autt►of�ty at beat tv.onrV•foWt (2e1 how rr iQvanu of the V" vvftrn ►'•Or1t mil ba stane.
c
Cemav NnCt All wWfo►ou Gey Ond{nsneso, trte tarftsa angl eanoitkxx of the
W Ctrinp and to PeY for eery e4dltbft+t faarmn Ino all 60alkabie rulm arxs rvyu►atwrto of aro City of
+�W+csfrtent nipstgry u the ?"wit 01 ttirs worst_ _ -
Name of Applicant (plaasa print)
Name of Contractor
::ontracwe% Lium No.
APPGCAnt's Insurance omwny
Businasa Address
CitY SUlinazi Licanu Nn.
Polley Number
ratify Nurnbet Extended Page 2.1
'.r
:EESI iUDOWSIOn Improvement Permit — Cl3u III
04
Publlo Improvemenw 3% Of ettimetod conatruction ooiu
Prlwts improvemonus 3% of entmj%d cQnttruct,cn Cori,
Mlnor im0rovement Permit — CIA&' IV: Sae ettitched tCfiedUle
nswctton F24 $
ermil Fes /fj PERMIT VALIDATION
enrlty PUFIMIY N0.
Ash 04Rottt•Surety Bona QATB MPRWVEU'
r�qultoQ
TOTA6-, 5..,,r„��..�,..�.�.....w......�..�_ EXPIRATION DATE !2 'Z — r 3
/Z
te*ipt Na. DATE ISS1dfiGi .—.o-....................,��. .�,..
1CON44 by Dots EY
,w014 by AcimiNtct>►ctv11 A%i%h*Flty
TF) GDu^mv.
GRANITE CONSTR. CO. 6199220159 P.01
GRRnuE
LUIIIPAnJ
TO: ` -DATE:
CO_IFANY NAME: �,.��� � FAX NO: ,7, ;__7
FROM: _ / Y �tl �7 / FAXED BY:
PAGE 1 OF
IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 342-7504, PLEASE
CONTACT SENDER AT (619) 775-8302.
0
Palm Springs Branch
P.O. Box 9011
Palm Desert, U 95455-9011
Phone 619/360.4500
FAX 619/3604570