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2060
rs -- NbTE: With proper validation this 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 Subdivision Improvement Permit — Class I I I DATE: 2/9/94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION '~ (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Equipment DESCRIPTION OF CONSTRUCTION 623 Scraper 151H, 11"10" W,120,000 lbs 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) Sketch (attach construction plans if appropriate) Haul Route: On Ave.48 West from Adams, South on Washington to Ave.500 East to City Limits Haul Date: 2/10/94 I ( In consideration of the granting of this permit, the applicant hereby agrees to: 1 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 775-8327 Name of Applicant (please print) Business Address Telephone No. Same As Above Name of Contractor and Job Foreman Business Address Telephone No. On Bile 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 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 2060 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by 10.00 $ 10.00 Date PERMIT NO PERMIT VALIDATION 2060 DATE APPROVED 2/9/94 EXPIRATION DATE 2/10/94 DATE IS LIED 2/9/A4 By ,� Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 I N '.x a � .. .,. •Lar t ;.f t t .,�:, � � ,. �/'I -,.. J C , "d ., '7�...If'^: ,.. i.•,l.`�:..<; 1a.,71C„L�.�S...,_.Z.•�'.i ff _ :r`'J 'r _ :. •- �t r �;a ;•off � „ SEP- 9-94 WED 1:38 AM NOTIL Wigs wov/r villidetion this form 40"Itlthites an envaschment aaffflet CITY OF LA QUINTA APPLICATION FOR PERMIT -PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) P. For 'the oonstrw:tion of puptio or Prrvato euros. driv"Oln, Pavementi, sldowalka, W kine lou. seveg". water hashes and other tike oublia war'ka irhOhrovenrenta in cOmOcuon with MINOR IMPROVEMENTS and APPROVtD SUBDIVIBIONS DATE: &ibdirllion Irehprowmont terrshit C4>ra ilt .�_ Mina Improrament hmit Clint IV LQCATION OF CONSTAUCTION is~ Nedra ar agompuon of l.aoewM PURPOSE OF CONSTRUCTION O �C�3l�Sf R DIMENSION OF INSTALLATION OR REMOVAL Sketch (ettadh aoruuuctlon plans if appropriate) �� y r -P." SIZE OF EXCAYAT)QN, 'IF NEEDE(� vi7 `/I^ ( 7 3 APPROXIM^TE TIME WHEN WORK WILL.OEG1N - - - ------------ >EtOXIMATE TIME OF COMPLETION 63r1 ^TEC CONSTRUCTION COST: (Ingudirq re nwval of all '6teMa.'tia+, materials, and debris, anbackflllirhe, Cpefh. Itmat d plat-in4 permanent reswf>rdnq Ar4lor replacing imototremants) mAllifffstioet of the Innting of Lhl$ permit, the spolinrit hertbv ism" to. lhow" fj, defend alta NY! the City, ru sulho"Ise bwmu, offteailt, mm"Istilum sm w4sove". henn►eas ham and 001m arw and ail Rennhw, liabilities w IOM mmitin! Imm aavre a umm action arab Kismq out of any sagm aht, lost o► on" to a MWA w Qraperw h e^'� w �++mM N a lrrtthllhrta mmn of Inv won umoimelA tehd•► ate es'r+tt+te lrlhted puew►ant to tits 000tNSsioo. N*9lfv the ACIMA prime Audomly et teas 1+4+nv-10wr 4241 how' in wv%M N the tuea When woflt INUI by SMeWL Comm wain oil f9womm Gtr Ortiuwraw. the tonft prn1 mm4itWft 1f the MnmA Ib pit VOIN,Me roue and r@WWt+ort/ of Oho City or Lw Guinte ww to pep for enr Wdkjwa mmacemom nn*uwv M the omit of the wam.,,, '01 41190 of Applicant (01e414 print) Yam# of Cvntr*C #n0 Jois Foreman :ontraewe's Lounge Ni. +pplic,snt's Imufat4s Company S;vwwe of Applicant Or Apit SuliJmu Awou .. �Z zs — Telephone No. ausimu Addrem Telephone No. City Oltiinau Lieonae No. Polley Nurntwr AtlioylnM *A111a11NtWPM rr ry ♦rr /N►tl� 'a NWrid3lil 6— coned Biwa IWO NOI.IvVIdx3 r1'9ArWddM 3140 'fro 11WV34 OIIMOIOilMA MI I'M d L 'Z 868d papu84x; A9 pea R3RQ �� 40AI` . •oN sd�z $ dulnbu Dog Atung•iitodt0 tpe At1w; 84411W1t : 980 U61136drt olrtp# pl DRy rU9 M -Al ID - ljwJ4d )u*wrAaCwj JOYIN CSSC3* Yollbn turn MVWlu! 10 %r tRIOM OAUJI titAild nr00 u0113nt SUDO PO Wll:t 10 %C :IMUMOACAUJI VllQnd 11WIRd lv;w*AO/DW 1 UCISIAIDg/tC 1133. R,EB- 9-94 WED 1 : 37 AM P. 1 GRRn�TE cons uc an compRnulp TO:&Z --DATE: • .,Z - COMPANY NAME: �� FAX N0: FROM: 4Z 4�' FAXED BYs PAGE 1 GF IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 342-7504, PLEASE CONTACT SENDER AT (619) 775-9M. x 7l0 �G/9� 7 7- e d him SWWIV Branch P.O. sm 9011 Oalm Pert CN g4Q5,'+-9011 Phom 619/9604500 FAX 619/3604570 .� . • `r�M,n� . v.� •+.� � .., .. Z ,,,r zY J. Poet -It- brand fax' transmittal memo 7871 a er o. >� 4>10:v 4 ap ane ' 6 '� /O 4 QUINTA FOR PERMIT :TION (ENCROACHMENT) For the construction of pubtic or prlvate curb*, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works Improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS OATS: 2/9/9�Subdivlalon Improvement Permit — Clean III . Minor Improvement Permit Close IV LOCATION OF CONSTRUCTION (8traa< adtlrau or 0—ription of L —len) PURPOSE OF CONSTRUCTION Movo Eouinm®fit Sketch (attach construction plena If appropriate) OESCRi -1710 OFr CONSTRUCTION 623 SCV-117— Haul Rotstat Oa Avo.48 Woat from Adema. 15 •H. 11 10rW_120 _OOQ 1b sa"=It Ort .Waattits)Z-aM to A, -Q.30. East to City Limita DIMENSION OF INSTALLATION OR REMOVAL Hnu1 Datas: 2/10/94 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL SEQIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST S (I neiuding removal of all obstruction, materials, and debrle,.beekfllling, com- paction and placing permanent rasurfacing and/or replacing improvements) In consideret(on of the granting of this permit, the applicant hereby agrees to: Indsmnitv,.dafand and save the City, its authorized agent•, oHlcers, raprasantetives 0r employees, harmless from end agalnst any and ali panaltlss, liabilities or lots resulting from alelmn or court aLtlon and arising out of any ecoldent, lees or eamega to Persons or property happening or occurring as a pro Imste result of any work undertaken under the permit grantwo pursuant to this application. Notify the Adminlstrotlya Authority at Ieast twenty-four (24) hours 1—a—. of the time when —ori. will be Rented. Comply with ail ,apo l lceble City Ordinances, the terms and condition• of the permit and all applicable rules and regulations of the City of .V Quints and to pay for any additional replacement neceeaery es the result of this work. Signature of Applimnt or Agent GRAN2TE CONSTRUCTION 38-135 Motarom St:,, Triflic 775-8327 Name of ApPllcent (pleose print) Business Address Telaphone No. Same. Am Ab ovo ' Name of Contractor and Job Foreman Business Address Telephone No. Oa Hilo Ort Sime Contractor's License No. City Business License No. Oa Fima Ort Sime Appllcant's Insurance Company Policy Number PEES= Subdlvlston Improvement Permit — Class 111 Public Improvements: 3% of estimated construction costs Private Improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: Sae attached schedule G a� O6© Inspactlon Fee Permit Pae Penalty S 30.00 PERMIT VALIDATION PERMIT NO. --2060. TRANSMISSION REPORT THIS DOCUMENT (REDUCED SAMPLE ABOVE) WAS SENT ** COUNT ** *** SEND *** NO . REMOTE STATION I.D. START TIME DURATION #PAGES COMMENT 1 2- 9-94 2:27PM 1'10" 1 TOTAL. 0 01'10". 1 XEROX TELECOPIER 7020