2140NOVP'E:
.t —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: $/15/94
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move equipment
DESCFIPTION OF CONSTRUCTION 623 Scrapper
15' High / 11' 10" Wide
DIMENSION OF INSTALLATION OR REMOVAL
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Haul Rout - Hwy. 111 and Washington St.
North on Washington to La Quinta
City limits.
SIZE -.OF EXCAVATION, IF NEEDED Haul Date: 4/18/94
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:
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 resZT2;
ork.
Signature of ApplKcant or Agent
Granite Construction Co. P.O. Box 9011, Palm Desert, CA 92255 775-8327
Name of Applicant (please print) Business Address Telephone No.
As Above
Name of Contractor and Job Foreman Business Address Telephone No.
As Above On File
Contractor's License No. City Business License No.
On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class Ill
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 0
Permit Fee 10.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 10.
Received by Date
2140
PERMIT VALIDATION
PERMIT NO. 2140
DATE APPROVED 4/15/94
EXPIRATION DATE 4/18/94 t
DAvUE 94
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
APER -16-94 SAT 1213 AM
r:.
NOTE:
With prottsr yalioation
th4 fetfn o hultul'4 an
•naftelmi ant aannR
017Y OF LA 4U1NTA
APPLICATION FOR PERMIT
.PUB APPLICATION
WORKS CCNSTRUCTIQN IENCRGACHMF
NTj
ht the aamvuotion of putalla or! ptn'te
and O D SZ Othir lilt# pupllo wOr*a I ��tlritr�MYt. Oir'manp, sldwiralks. P& -kine IOU
mprotrarttanu In tonnatycn with MINOR IMPROVEMENTS Ahd APPR ,Vr' �� n�alnt
�• BOIVIBIONS
P. 2
DATE; `4 I
LOCATION OF CONSTRUCTION
IStrsotn1Y
PURPOSE OF CONSTRUCTION
&1bAlYlsion In►ptoYaflf'nt Aafrrus — Class III
Minor 11"Worantoht Clens IV
DIA"NSIGN OF INSTALLATION OR REMOVAL � ►--
SIXt OF EXCAVATION, IF NEEDED
A"AOXIM,ATE TIME WH9N WORK WILL BEGIN
APPROXIMATE TIME OF CDIWPLrnON
ESTIMATED CaNsrouCtim
. `tallith "Muuction plan/ if �DPropfiaNl
LA
11"du4inq r:rtt"at of all ONtrt+auensTthataials,
0n aid aop►lt, b'ftfllli . oots�
and placing perft+ar+ant rrtirrtepnq sndtOr roptscihq irnproremenui 1
In tiansivirstion of the Brenting of LhIj 9" 110 th1 sppl,teht 1!1
1,1tOreineh, "arie 1'�Y egfiee t0.
RA am the ipq ttt aYo+OI{4M'q'nq, offrt�tv�, rorthtntatrvst u+o M�Or
1�M!'rtia#, {�►IiteY or too eat�ertify t►oeli ''rens or eao�ila ertbn a++a'rtu ovsm harmleft from and R�tpwin! oY 000trr" r a Oros M owl of snr ict+d'rtt. iew o• a0lanit ar+t ud all
> Y i+alyet of or+tr trout+ �„orros'n linoor ow p f In anntro 60*4 t to Donont or 0r00'ivv
1100tV the AGottM,ftMIm A�tMteh>y at 'SM 41) aoP�+rtwm to Me amimst"
�Mth-ewe {={I >+arr� M tQrsrrto tri' trety when *Vf�t will be TwU&
teary Men Wd Arowrtcas, in0 un++t Doff IV $no oil
Ino sonait►om of oil
V Oblay Ona is O" at► 1& to 'esn gd1t10nn r ftt "t'��r1r u Pit nnert,At th» tMafR. o" i"We ft"s Uzi row4tions of eia moo of
4 a)OW.,
of /Applicant (01#414 printl
AN
'&M@ of Contte=or ani Job Foramen
otttrBCtorr L 194AN
ppli4ac's Insw'np Company
9r4twe of Alf pn�ot���d
Buslr*a Address
r-�- b
Talephono No.
Bucinase A4dr1>rt _ Tolephone No.
City 8ueinau L16nw No.
Potlr-y Num9mr
Extended Page 2. 1
Ilk beelvision imorovlrnOnt Permit .. Clea I It
Public improvemenpi 3% of est1dl4t$d ccnitru4ion oasu
PflvAts improvemientit 3% of ostimttld WtjntVrt,OA Cosq -r
MinorImprovement Permit — Ctass IV; $ae eMt;hod ichepufe
peetton fee f
M11 Fn PpB,.IRMIT VALIOATiO
PIlAMIT NC, �- %!4
I), --
h Depetit•,Sursty Bono DATE ApPRuVED �1. /s�%�
rqurrb .
TOTAL; s ZO EXPIRATION OATb: /k 9
t,Pt No. DATI I&iVBD �7
Ll
'W44 by Dan By
o� �Y AdmiNstrativs Authority