2000NOTE:
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: 12/2/93
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT
DESCRIPTION OF CONSTRUCTION ROAD WIDE
101W, 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)
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
In consideration of the granting of this permit, the applicant hereby agrees to:
HAUL ROUTE: FROM INTERSECTION OF
EISENHOWER, AND AVENUE 50, EAST ON
AVENUE 50 TO WASHINGTON. NORTH
ON WASHINGTON TO NORTH CITY LIMITS.
HAUL DATE: 12/2/93 or 12/3/93
(ONE DAY ONLY)
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 STEM, INDIO, CA 775-8327
Name of Applicant (please print) Business Address Telephone No.
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 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 schbddle
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$
10.00
$ 10.00
Date
2000
PERMIT VALIDATION
PERMIT NO. 2000
DATE APPROVED 1212/93
EXPIRATION DATE 12/3/93
DATES TISSUES) n12/2/93
Bye
Administrative Authority
Recorded by 11
TELEPHONE: (619) 564-2246
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GRANITE CONSTR. CO. 6199220159
NOTE:
With p?ropsr validation
this form contt►tuta an
encroachment oarmn CITY OF LA QUINTA
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
P.02
For the construction of put)llc or private CurtK, drivrw&Yt. pavomenit; /ldewalkt, parking lot&, I#,*". Vratarr n%alnt
and other Ilk* otrblic works improvem*nts In conn*cuon with MINOR IMPROVEMENTS and APPROVED SUaDIVISIONS
y
DATE: Subdlvition Improvement Parmtt -. Claa III.,
Minor Improvement Pamlit CiaU IV
LOCATION OF CONSTRUCTION
(suan adanu of Deacnpti0n Ct Lpattloh) -�
PURPOSE OF CONSTRUCTION
SkQtch tattadt conttrumlon plans it i
D'protyt if<LO l
DESCRIPTION OF CONS U lON
DIMENSION OF INSTALLATION OR REMOVAL,
SIZE OF EXCAVATION, IF NEEDED AM—-
APPROXIMATE TIME WHEN WORK WILL BEGIN � p-yJ �� dt2�iC�'1't^� '
APPROXIMATE TIME OF COMPLETION.
ESTIMATED CONSTRUCTION COSH' S
IincJuding tamoval of all obstruction, matfrialt, and debrls, backfilling,
Pk"art and placing permanent rcturfadng and/or fepiacing imprgvtm
In Coh6101r0on of th1 intin of thI�
� ri pamlt, th1 ipplir,ant hirel7y to:
IndeennIN, Ott" arp tiro the City, Kt ryu onle0 bw"U, affk*rt, rWrseentatnn IAO ert�010yhts, ttarrnl*R (tom and 60'MD+ftialtlM, lu►taiiitias W dOq rtsarltleM frort► Claims of c&Jrt Rayon " arltirN out of any
accuiant, Loa or Oamaq* to p*raont of prnd all
haoWIn@ or owurring M a proltinuIe rmn of arty won ur�rtakarf uraw tfla p*rmm grC41d4 Pursuant to atu •ppllatlpw,
NC%I?V the Aaminottratwa Aud wity At Ism tw*ntv•rout 1241 hours in &*van&& of dye ttrrtt when wpm t t ha :tartPo.
LsC`aQVI Mtn all spay la* City 0ItkH One, the 4M" ane toddy' ne at tht Partntt tnd all "111"bi* rUley arxr rViN4 1"d of dta Chir at
t.a Oulnne and to Pay for ewty eddJtbnal raQc►grT+e,tt n�,q,y u the roust at trim tavM _
Name of Contractor And Jo
Contractor's 41unm No,
Applicant's Insurance Company
Butinata Addr*tt
City Sutinolu Llc*nsi No,
PGIICy Number
Extended Page 2.1
vyT 1\ W UUCr
FEES: SuDOivision Improvement Permit — Clau III
1 Public improvomenut 3% of estlmat@d construction esu
Ptivl,tl improvemerltst 3% Of UtimUt6d Wnstruct,on oo,q
Minor Improvement Permit — Gess IV; Sea ettl,ctled 1ChadtJlf
1
nfNawn fam S `
PERMIT VALIDATION
'i(m1l Fit
'enmity P�AMIi Np,
414 Depoeit•Surmty Aond BATE APPROVE[)
raqulrtd
EXPIRATION DATE
TOTAL;
acs'Pt No.
�~ a' DATE IS9tJ>aD
lcaiv$4 by �.., .....� DanBy
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-------------- Aclmintsu�suvo Aulrinclt�
Icorved by
_. TELEPNnNF! iR101 CAA.7')An
GRANITE CONSTR. CO. 6199229159 P.01
GRAnTE
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TO: 77 -DATE: Q�
COMPANY NAME: FAX NO: �je;;7
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FROM ^�' '' Z`' FAXED BY:
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PAGE 1 OF
IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 342-7504, PLEASE
CONTACT SENDER AT (619) 775-8302.
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Palm Springs Branch
P.O. Box 9011
Palm Desert, CA 9MS-9011
Pnone 619/360`4500
FAX 619/3604570