2174NOTE .a
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: "D 5-17-94
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION aver
DIMENSION OF INSTALLATION OR REMOVAL wide
84,0001.bs all else legal
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Haul Route:
From City limits on 50 west to
Eisenhower south to Montezuma
Haul Date: 5-18-94
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'le sat 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.
gnature of Applicant or Agent
Granite Construction 38-155 Monroe St. Indio, CA 92201 775-8327
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
r,
Contractor's License No. '� City Business License No.
on file �,� on file
Applicant's Insurance Company �^ Policy Number
r�
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction cost,
Minor Improvement Permit — Class IV: See attached schedule'/
Inspection Fee $
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
$ 10
Received by Date
Recorded by
PERMIT NO.
2174
PERMIT VALIDATION
2174
DATE APPROVED 5-17-94
EXPIRATION DATE 5-18-94
DAT I SU D 5-17-94
By ANAA114�
Administrative Authority
TELEPHONE: (619) 564-2246
[u
f'• 7
MAY -17-94 TUE 9:38 PM
NMI;
With POW Vslidauon
this forftt wndttatw an
encroaehtrnftt oarrnR CIIN OF LA QUINTA
APPLICATION FOR PEAMiT
-PUBLIC WORKS CONFTRUC'rION (ENCROACHMI:NT)
P. 2
For the o7nnroetlon of public or prtyata oung, drivs,*s s. A&vSMertn, tidawalks. Ditking IOU. sevwera, watw mains
and other like Dublin works lmpmwernents in cOmOct,On wiz#► MINOR IMPROVEMENTS " APPROVEO SUBDIVISIONS
OATM / %� / ! Srlbdtyltion irnwavement Perfntt — Clan Ill
--a Minor Impronetnont Pitrmtt Chea W .,.,..�^
LOCATION OF CONSTRUCTION
tti~ or Osscnvtlon of L40FUMI
PURPOSE OF CONSTRUCTION
Sk�ch lattech Qnazructlon j:lant If appropriatpl
OpSORI TION OR CGNStAU N
L/,, �� s
DIMENSION OF INSTALLATION OR REMOVAL
SIZE Of EXCAVATION, IF NEEDED
APPROXIMATE TIME WMEN WORK WILD 490114
APPROXIMATE TIM! OF COMPLETION
ESTIMATED CONSTRUCTION COST f
(including rsfrloret of oti oatirv1611on, Motif jail, and debPli, be4*fitlirtp, Co
Au:gorl WW placing parmsnent resurfocifte and/or replacing imprprorneflul
In gms'"Il ton of th' 9ranttrtg of this perttut. 01 110licant horobV spu B8;
Imbinrtrty, 441t" aro No the C.Ih, rq awlhORsM aganq, ortloers, "em)lrn%um ere arrOICY00a. 114IM1441, (role &W Oga,r+n tft srwt oil
Mrlaltleil. IvAli1tles er IOM "AllurM Ino gaunt M newt saw? ano arlurq owl of atft pa"Unt, toss or oarnaoe to owsorlt ar woor nv
� •�
of t7MMN a/ a SM""Ota. MUM Of amr MR YrOwgaarl UFA=t till OarMR arlhtwe Arrft&nr to M11 10011stlott.
NOUN The AOrrun.ftrativm A1r0orlty es lerat twntr•falrr 4241 hottn y, aQvarM M till ttma omen wroth will be 1%hevH .
CanrokY WON alt aaprMM&O Can CrdL-mess, th• 14rfrw ono CONdltleM of ffte 04fMM ar+0 cit apptiaWt rV1as arra r>1y1,14tiorll of tfla CIN of
Le OWete " to my for any a Wh*w nproc PA*nmry sa Ino moult of 814 trats.,�
Ystue of Applicant (pleats print)
01114 of C4sntractor and Job Forman
'ontromes L,camse No.
•00liCant'a Insursnae Colflpony
at
8 Wlrlea.
TalapshorN No.
businut Address Tolophone No.
City 8utinen Liconsd No.
PC414Y Number
.� � ,. 1' �
• fJ � I' yV ' �� . . y,
J rF
�. r � r � . 's_, r ..
,.
Elk
Extended Page , 2.1
Subdivision Improvtment Permit — Gate III
Public improvements: 3% of Ottimmsd construction colo
Privbtb improvermom., 3% of •stimeted Construction coin
Mines Improvement Pwmit —0611 IV' $ee •t CMO idledyle
1101MIGA F80 :
,rm:t FN
n�lw
'th 0epot11Surety Bond
-Squired
TOTAL.:
,pt No.
rre4 by Arte
Zed by
.::AMIT VALIDATIG
PIAMIT
OATEAPPRUVED
EXPIRATION DATE S - CT �r
DATE ISSWSP �5- --
By
Adminlelure AuthotrrY
-0— ,. _ .
NOTE:
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
DATE
'a 5-17-94
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION aver
DIMENSION OF INSTALLATION OR REMOVAL Wide
84,000lbs all else legal
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Haul Route:
From City limits on 50 west to
Eisenhower south to Montezuma
Haul Date: 5-18-94
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 result of this work.
t ID
Stgnature of Applicant or Agen
Granite Construction 38-155 Monroe St. Indio, CA 92201 775-8327
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
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
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
10
$ 10
Receipt No.
Received by Date
PERMIT NO.
2174
PERMIT VALIDATION
2174
DATE APPROVED 5-17-94
EXPIRATION DATE
5-18-94
DATVI SU D 5-17-94
AAr
By
Administrative. Authority
Recorded by 11 TELEPHONE: (619) 564-2246
"J
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t ' tt . x
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-
Note!
START TIME
With Proper r.Iidatlen
#PAGES
Nis form ap n.altuts•.n CITU OP LA QUINTA
1
each man mit APPLICATION FOR PERMIT '
5-17-94 1:43PM
PUBLIC WORKS CONSTRUCTION ( ENCIROACWMENT)
-
}o th0 apn.truoelen et public or P IV urb., drW.w.r., per•ment•, etd—.9k., p.rklnp Itrt., "alar main.
end oth.r Ilk. Du Dllo works Impror•m.nt. In enn•atien with MINOR IMPROVIiMGNTB and APPROVED BUBOIVIBIONO
Bubdl.blon Impror.m•nt P•rmlt It Cl.a.
IV
OATEI S�L7�94 Mt—Improvement P.rm It cl... IV
LOCATION OF CONmTRUCTICIN
leave•• .ae•.•. or o•«rbvan o[ Loo•venl
PURPOSE OF CONSTRUCTION Mwa BgvSpmpaaC 91—ch (.tveh o.n.truetlon .1.n. If .bp prI. )
C,
oQBcRIPT10N OP CONBrRUCTION Naa1 A..Co.
`
Prem CiCy 11m1e. 50
ea
32--Levo. .ouch Co 11fonCamaixlla
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p �,1fi�g�pw1 l�I T
BIO. OOO1b mOF 110T Seo Alefnl R RQMOVAL
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Haul Dae.t 5-18-94
8126 OF QXCAVATION. Ip NSsomm
1
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APPROXIMATY TIM@ WMCN WORK WILL SEDIN
A►►ROXIMATE TIM! OP GOM}LSTION
SSTIMATBD CONCTR UCTIOIV c0 O
11 netudinp rrwaer.l or ell ob•truetlon• met.rlel•, •ntl d•brla.. b•Pktillln0, aom-
�o
patlon •nd PI.OInp permOMM r••�•'ts Dlnp and/er r.Pl.ofn0 Improvm•nt.1
In oeneld.realon of th. pa antlnp or Ml. p.r—it. M• ei.p.a.— hereby .p,... to.
C/1
Ine•n•nlry• O•Ientl •ti r,,. M• GIaV. ha .ua tl N.^t.• nrtb•r•. r• •••n .tW •,npleV.e. .• rre•n .ntl .p• tl �II
"•
ion •nd ,Inp eu, e•.Itl.nt, r. aim • la. Ion• • o•oe r
..eo. .,.••n••tl a ,wi• . a
h Inn • •rv.•I,n.•. . rntl..•.w•n �tle. m.
'• wn ane ODII�e,IN or Iw ••[II[lnp rr �vn r
I[h•
r. 1
eu.a,
Dalry Atlminl.•,.•Ir• AUMerlry w I"•< [w• r 17.1 weur• 1 .nee o• aMt, .av wh•n wa will b. •Ynetl.
1�
l— .1 th. ►•note w 4 .e Pll•. e, wl.t .no ..pu l.,len. or .we clay e.
oamDlr wltw ell .00lb•M• olrr o,dln.nw., i w. m•m
(1
noo..a�rndl
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L. CVInY .IM as P.V ter • an bnel a.P ew v u , sal, er Mi. wer
elpn.tu r. of Aop11pM Or Ap.n i
6ranie• C...eruoeion BB-15'.! Monro• Bc. inSio. CA 92201 775-8327
Name of ApDtfo.nt (plea" print) Ywln.0 Addr.e. Tel.Dwen. No.
Nam. of Centr.otor end Job Porem.n 0-1— Addr.0 Tal.phone No.
• •"'•�
Cenv.eter'. LI— No. City Suelne.. Llwne. No.
r filo n =11.
APplle.na'. In.ur.nm Company Pellay Number
PSB.I Oubdlrlalon Imprer.m.nt Permit — Cl.0 111
Publle Imprevem•nt.l 3% of .etl—t.d al—r-1—
F,' ll on 0
lu
Miner ImProvemant iLrmlt —OI V I .aceDhad .Oh•dul. 2174
lncpaatlon F.. 6 PERMIT VALIDATION
•
P.rmn F.. 10 PERMIT NO. 2174
►.ne1N 5-17-94
Cseh O.eacla-OuretV 0ontl OATfi "PROVED
' Ifr... 1r 4 fiXPI RATION OATE 5�18�94
TOTAL: O 10 OATJJJ
'
R.eatv.d bV O.t. Adminl.tr.tive Auxhorl<v
R.eord.d by TSLGPMONIII: (0101 504.9940
TRANSMISSION REPORT
THIS DOCUMENT (REDUCED SAMPLE ABOVE)
WAS SENT
*** SEND ***
COUNT
1
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
COMMENT
1
5-17-94 1:43PM
1'02"
1
TOTAL 0:01-'02" 1
Li
XEROX TELECOPIER 7020
MAY -17-94 TUE 9:38 PM
P, 1
GRRnrm
can uciton.
oompflnu
y
TO : --DATE-.
.COMPANY NAME : FAX NO;
FROM:�/'lC/�l � FAXED BY:
PAGE 1 OF
IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 3427504, PLEASE
CONTACT SENDER AT (619) 775-9M.
X327.
�x C2
Ilea 5 e
77-5---- 0��:y
Petm Springs Branch
V.O. foot 0011
him Desm CA 9M 9011
kart 619/3604500
fAX 619/9604S70
0
------------------------------------------------------------------------
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit v
APPLICATION FOR PERMIT fg
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)Fc�MoFo�s�
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 III
DATE: 5-17-94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION aver
DIMENSION OF INSTALLATION OR REMOVAL w3 e
84,000lbs all else legal
Sketch (attach construction plans if appropriate)
Haul Route:
From City limits on 50 west to
Eisenhower south to Montezuma
Haul Date: 5-18-94
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)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnity, 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.
L(an1-,M »ti! aflPLtcA�"io�1
Sidnature of Applicant or Agen
Granite Construction 38-155 Monroe St. Indio, CA 92201 775-8327
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
3- Contractor's License No.
on file
City Business License No.
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 schedule 2174
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10 2174
PERMIT NO.
Penalty 5-17-94
Cash Deposit -Surety Bond DATE APPROVED
if required I EXPIRATION DATE 5-18-94
TOTAL: $ 10 5-17-94
DAT I SU D
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246