2166NOTE:
With prover validation
tAis 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
5-9-94
LOCATION OF CONSTRUCTION Moving equipment
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 235 Backhoe Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
HAUL ROUTE: AVE 58 to JEFFERSON ST.
DIMENSION OF INSTALLATION OR REMOVAL 141H 12 W TO HWY.111
89'L
SIZE OF EXCAVATION, IF NEEDED
HAUL DATE: 5-10-94
APPROXIMATE TIME WHEN WORK WILL BEGIN
�'
APPROXIMATE TIME OF COMPLETION - / j
ESTIMATED CONSTRUCTION COST $ Dr �f
(Including removal of all obstruction, materials, and debris, backfilling, com- �%A
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:�Qy y
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and gainst an -and,
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or prope
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
Jones Bro. Construction 85-989 Ave. 52 347-2291
Name of Applicant (please print) Business Address Telephone No.
Mike Jones
Name of Contractor and Job Foreman Business Address Telephone No.
406921 153
Contractor's License No. City Business License No.
Sfingi & Hannon 86 FJ 954610
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
PERMIT NO.
2166
PERMIT VALIDATION
2166
DATE APPROVED 5-9-94
EXPIRATION DATE 5-10-94
DATE ISS ED 5-9-94
By O
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
MAY 09 '94 14:36 6193982012 JONES BROS. P.1i2
JUNES BROS. CONSTRUCTION CO.
GRADING, PAVING, UNDERGROUND AND EQUIPMENT RENTALS
65-989 AVENUE 52 a- F;O. BOX 905 COACHELLA, CALIFORNIA 92236
TELEPHONE (619) 347.2281. FAX (619) 398.2012
LIC, NO, 172092
FAX TRANSMITTAL
DATE.: �t ��i� TIME: NO. OF PAGES:
COMPANY: FAX #:
ATTENTION:
SENT BY:
IF YOU DO NOT RECEIVE THE TOTAL NUMBER OF PAGES LISTED ABOVE,
PLEASE CALL IMMEDIATELY. OUR PHONE NUMBER IS (619) 347 - 2291.
OUR;: FAX NUMBER IS (619) 399 - 2012
"h1AY O9 '94 14:36 6193'382012 JONES BROS.
J..
; .
NOTE:.LL_ _
With prgper.,validation
this 1 (fo constitutes -an 'CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
P40..LIG WORKS CONSTRUCTION (ENCROACHMENT)
P.
Foi flit, construction of public or private curbs, driveways, pavements, sidewalks, parking tots, sewers, water , mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit - Class Hi
PATE; Minor Improvement Permit Class IV
LOCATIQN.OF CONSTRUCTION Moving _ Equ-ipement
- - — - --
i
(Suess address or Ooscription•of Location)
PURPOSE OF CONSTRUCTION. 235 Backhoe Sketch (attach construction plans If appropriate)
DESCRIPTION.OF CONSTRUCTION Haul, Route: Ave 5:8 to
Jefferson St to Hwy 111
SOIMF.N$ION OF INSTALLATION OR REMOVAL M � �a `a
Haul Date: 5-10-94
SIZE.OF,EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including r4moval of all obstruction, materials, and debris, backfidling,.com•
paction and placing permanent resurfacing and/or replacing improvements) !
In consideration of the granting of this .parmit, the applicant hereby agrees to:
4ndimnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and tpinst any and all
penalties, liabilities or loge resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as•a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify, the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started,
comply with, all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
Le tauinta and -to pay for any ariditiorial replacement necessary as the result of this work. I
Name of 'Appliconi (please' print)
Name of Conua.ctor and Job Foreman
406921
Contractor's License• No.
Sfinai ..& Bannon
Applicant's In$urance Company
FEE$: Subdivision Improvement Permit - Class III
Signature of Applicant or Agent
85-989 Ave 52 3'47-2291
Business Address
Business Address
Tetep#ione No.
Telephone No.
City Business License No,
86 FJ 95461.0
Policy Number
9
• .aAVer'Nste� .
mow.+. VM•/V��.�VI� �.I�/V.V.IV.� 1 41.111► - %.6000 111
Public improvements: 3% of estimated construction costs
~' Private improvements: Wof estimated construction costs
Minor ,Improvement Permit — Class IV: See attached schedule
Inspection Fee 10.00
Permit Fat
Penaity :
Cash• DepositSuraty Bond
if. required
Receipt No.
Received byDate
Recorded. by
Extended Page. 2.1
PERMIT VALIDATION
PERMIT NO. ,2 tce (o
DATE APPROVED 9
EXPIRATION DATE v,9/
DATE ISSUED S �9 ^ 2 Y,
By
TELEPHONE: 16191 664-2246
f UMM15Trallve