2012tNOTE:
With proper validation
+-this form constitutes an
f 'encroachment permit
ti
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
Subdivision Improvement Permit —Class I II
DATE: 12/6/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION RANCHO LA Quern
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MODE EQUIPMW Sketch (attach construction plans if appropriate)
4
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL BRIGHT: LEGAL,
VQW: 121, LENGTH: LEGAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
a
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:
Il
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 prope,rty
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. w
i
Signature of Applicant or Agent
RAY—TER, INC./BROOKS & ASSOCIATES 54-711 EISffi+IHOM DR., LA QUINTA, CA 564-3535
Name of Applicant (please print) Business Address Telephone No.
SAME
Name of Contractor and Job Foreman Business Address Telephone No.
674291
Contractor's License No.
654
City Business License No.
CIGNA PROPERTY & CASUALTY MFCD31683154
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 Y
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
10.00
$ 10.009
Date
2012
PERMIT VALIDATION
PERMIT NO. 2012
DATE APPROVED 12/6/93
EXPIRATION DATE 12/6/93
DATE I • SU D 12/15/93
By '—
Administrative Authority
TELEPHONE: (619) 564-2246
501 UY:xerOX IeIeCOPIV '/UiU ill•- ?"9'J ; 3:ilIF•r! IU Iy'I'r'1;1!1U1'+
p
NOTA:
Wth proper validation
this form Corutltw(4 m
enaoetftn+entOerTnle VIT'Y Or LA 0IJINTA
APPLICATION 1`011 POIN41'
,PUBLIC W011KR Gf?NSiI?llC ntfj (FNf7nQ1VJIMENT)
0 1 y "'04 'J4'LOiil I
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For the oenttn,ot!oh of ptollo or pov!ta tvlln, drlyt avf, p1; s !cn,t, I; Ira a !cs, r=rking taq, tAWart, vlotet (1telns
and other like public wor*s Improvemr•ntr In ronnt-ftion v,Idi Lilt?.!t 1 1►,1 R!?;r&",!yrtJ?9 tn.d APPROVED SUBDIVISIONS
�;�tldl'flelr, 11 ir,t (rr nyament Permit - CIBSI III ..........�...I
0011�D,�cemb��6M1993 bm r,!I,crlrnplo.em/rAPermit ClRssIV �..._....��''
LOCATION OF CONSTRUCTION RANCHO
Washington St., Ave 50, Ave 48 1
Ilam eeereu at otlarnnien of Ltoeuon) j
PURPOSE OF CONSTRUCTION ..._M„.. _ ..... „ ........ pleru If apoloprliu) '
DESCRIPTION OF CONST AUCTION
DIMENSION OF IN"ALLATION OR nD.JOVALy ,
.RL.EASF. SEE BE�W FOR DIMENSIONS as listed by Cal/Trans)
SIZE OF EXCAVATION, IP NFEDED ..,...,,.•- ��.-•- ___ 2 c ( Z
APPROXIMATE TIM! WHEN WORK WILL BEGIN
_ 2- — Le_ 31
APPROXIMATE TIME OF COMP1L1TION•._...._,__ __,..._.
ElITIMATED CONSTRUCTION COST S .. -
tlneludinp tt"vel of all obttrowlan, rnwr:el!, �t!d thr!►, boµ111!Ir.A, crtn
DRadah and pletln; ptimeMnt tetutfatitte Ant1/tr motoring Irnrroytrnvw!l •- ,,,.»..._ .•6 :r.1 '
In roneldetatlon of the grentlhA of thh permit. Vit atspl!eanT Inarehy egg sae for
Ir>datenity, Como 0rv3 Will the CIN. Its It-Imor Lal q, r:.t, ollitf-,t, retr-1l1'1t.7t1Vt4 r,. p •.p y;:r:. Ilaf:T%If s frarn sn0 ep :tPAII my ens eU '
"MItlNl Iiselll m at len rmldnO Vern e:sirtl or ,,^nr ! ,pWM; end erlerq q •: et vty tDr omt, Inv ar d nwv- to ovnm or p!to”
hspetnirq of ! Avillint tf 1 overtltrott mmot et ,,:y ••. rY r mtgt-etor, t'^ ` !I.t mwmf p::n•rt Pu•tatnt,to Mels teplhtlan,
NotIW N1 AgrnlnlmatNv AuPmrlry st Itfr r.-onty.b!rr !21, ",,rr !,I Ft ¢e -r sirs ynan %vw)t rode bel NAtnd,
Cory ,dth oil eagllst* City Olglrlr -1, 'r.t. !error One rar.:nH• tit er r!,, rawr1 0 :t YI Mn1kn1t:r� rJI4 end "Islul of lire dap al
La CwAts still to fay Im my addh!onN r6'.Is 1* iw tnMt,"Iry on tht rrtn!rt of th11 V•'O /
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31alutrlra 9senhower
Pplictnt or Apant
RAY—TER, INC/BROOKS & ASSOCIATES 54-711_ Dr. La Quinta CA:
Name of Applicant (pease! print) llutlnee! ^,ddrato Telephone No.
619-564-3535: 1
Name of Cormseter and Job Foramen Autinttt Addiem telephone No. !
x 674291 e_� 654
Contractor's License Ne. City Sueinetal Liconst No, I
�( CIGNA PROPERTY & CASUALTY _ _ �( MFCD31683154 j
App!iwnvil Insurance Company 61rij, Lj.A¢i l t„1`j•L( ralley Numbly
19" AND RESTRICTIONS WRITTEN WtOW AND THE ATTACHMENTS, PERMISSION IS
HEREBY GRANTED To,
NAME
SUNRI$CE
'
RAY -TER INC
.05/15j-0
PM
ADDRESS
AND SUNSET o5/15J.94
P O BOX 1 1 3 5
ds T. 11
CITY/STATE
MOVING AUTHORIZED
YES NO
.
LA QUINTA CA. 92253
SATURDAY ** ® ❑AZWED—STATE
PHONE
HCD.
SUNDAY_
619
No'N/A
SUNSET TO SUNRISE .
OR ENIATIVE
HAUL
LOAD OR EQUIPMENT AND MODEL NO.
TETECOPIED PERMITS NO; VAI WITHOUI SEAT.
An Extralegal load as defined
in Sec. 320.5 of
❑ w4
the California Vehicle Code.
N/A
Tow '
TYPE VEHICLE
3 -AXLE TRUCK TRACTOR, 2 --AXLE SEMI -TRAILER
KING PIN TO COMB. VEHICLE SENDING STATION RECEMNO STATION
LAST AXLE 40'0" Maximum LENGTH Legal Per Sec 35401 CVC N/A N/A
LOADED DIMENSIONS DIFFERENT THAN OR WEIGHTS EXCEEDING THOSE SHOWN BELOW ARE NOT AUTHORIZED
EIGHF MAX MA X MAX
T f tt OVERAI l� ENGl OVERHANG, a '
Legal 'D 12 0 - Legal Legl
AXLE NUMBER 1 t ] 1 S a T B e
NUMBER TRIES 2 4 4 8 8
AXLE SPACING 13 9 4' 0 * 5'9
AXLE WIDTH Le a 1 1 Le a/ 10 ' 0"Aga
WEIGHT
48,000 @ Legal -Width
'
20 000 40,000 _ ___ 52,000 @ 10'0" Width