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2183N��E Vii. 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: 5-23-94 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Equipment DESCRIPTION OF CONSTRUCTION Paver DIMENSION OF INSTALLATION OR REMOVAL 11' 6" wide 849000 lbs. all else legal SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) 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: HAUL ROUTE: FROM MONTEZUMA NORTH ON EISENHOWER TO HWY. 111 HAUL DATE: 5-24-94 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 ON FILE Signature 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. on f ile Contractor's License No. on file City Business License No. on file onfile 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 dosts Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date 2188 PERMIT VALIDATION PERMIT NO. 2183 DATE APPROVED 5-23-94 EXPIRATION DATE 5-24-94 DATE ISSUED 5- —94 By 11 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 fa, i. �� �`.� .ir MAY -04-94 TUE 2:32 AM NOrI[: With wooff yelidatlofl L" form eohnitutaa an enooearuheryt narmn C114Y OF LA CUINTA APPLICATION FOR PERMIT -PUBt.IC WORKS CONSTRUCTION (ENCROACHMENT) P. 2 For %ha eonttruc6ca of pulls or prlvete sura. dtiv*weYs. pavorr+ertts, sidewalks, outing lou. I&VA", vrarar mains and other lake oublie wcfks irnprovgrmnu in cpnnemOh with MINOR IMPROVEMENTS Irnd APPROVED SUBDIVISIONS DATE; Subdivision improvofrnnt Permit -. C4G lit Minor Improvement Parmit CI&U IV LOCATION OF CONSTRUCTION It,traot awrnas or oe.anoaon Of Loonlml PUIVOSE OF CONSTRUCTION DESCRIPTION OP CONSTRUCTION CIMl Io OF �VSTAtLA aA�oR )IFAtaYAL • SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL blaw $ketch fatter)+ Gonatrvatlon plans if approprias.! f AP'PROXIMATS TIME OF COMPLETION ESTItiMATt:C CONSTRUCTION COST t (lfgludin, ren wal of all oWVvq.uon, ff+alterials, and Qebrit beatfltlrnq, COftt� aabCDvn artd plesrno permanent resurfillina and/or fa91aCin9 imprpvsmanu) lis tiOl +►d11rn1u! of the pntlnq of I,hia par it, the apolltAh, h/ruby /V$" to: ff14a1ftnrfr, dsla+nd &M trrw the Gley, its Melon:e0 peen, offkons, rlorftannuM arm &r4levan. palmi t from sA0 both" am er>d all PwAlltae, luellitias or Im tMI Urq lmrn slams w taint moon V4 ariaiq ort of an## sce"Rt. its or sw'b r to Pavans w fxovenv ftlowine N OalMMM M a orlswota raven of and nor; rrowwasn umw X10 ON7na ertnted orrwuans If O1ie bpCOMIAOrt. ldf%ft Uu AAlNiN+rrre%hv Atiaonrb at wro rMiMlty•fout 1$41 howl M e VIMS M oil tie wtlep WOOM wall be chute& Ca wv' som all �Po om$ Ga Orelruneas, u+r am4 e*'e ObrnUrtove of "sena and all 4*ikrae rules ww nrquta.wa of eta Gty of 6a Mine) am to w lar sm paidatlonel rbw&cwr m ner.omery as the resrts Of this sloth. 'tmo of Applicant Wean print) W�lm= r,rw W" 1 eieia"grm no. 44me of Contractor and.b Foreman businau Addreu Telephone No. =oreua+rLore trgnN !p 'le City 8utinasa LIanss No. ,pplicant'e Inawafl0a Camor,y �_- - Po11ry Number � t ' ''� `+�i �'' _ , } . Els= Suogiwsion improvement Permit - Claw III b. Pubrle Improvementbt 3% Of estimated construction cosu Prlwta act:n:eted Construction corn Minor Imorovemant Permit —C1ASA IVs Sae atUCNd lehedyls 1040ion fee $ vrR a+wr- irmi{ Fie •t1► OapoArt&rety Bond •equ(rs4 �Pt No. .ve4 by Date .Zed by - Extended Page 2.1 PERMIT NAI - IO PBAMIT NO, Zi 0, 3 CAPE APPRuVEO � 2 7 EXPIRATION OATS = S DATi ISSWSQ Sy�,,,..,�..�.... Adminittrauvs Authority It MAY-"9,-94.TUE 2:32 AM P. 1 GRAntYE EsmsrAu on pnnu TO: - -DATE.- COMPANY DATE: COMPANY NA1 E FROM: NAGE 1 OF FAX N0: hf �/7 /f FAXED EY`� : `.. .,r.� IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 3427504, PLEASE CONTACT SENDER AT (619) 775 -SM. 837. Asim Uwi s> Branch A.O. BOX 9011 Palm Omn. CA 9MS-9011 "*M 619/9ao-" FAX 619/3604570 ` ,:: ti � �, �.� ^ , 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: 5-23-94 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach constructionlans if appropriate) ppropriate) DESCRIPTION OF CONSTRUCTION Paver DIMENSION OF INSTALLATION OR REMOVAL 11' 6" wide 84,000 lbs. all else legal SIZE OF EXCAVATION, IF NEEDED HAUL ROUTE: FROM MONTEZUMA NORTH ON EISENHOWER TO HWY. 111 APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL DATE: 5-24-94 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. SIGNATURE ON FILE Signature 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 on f ile Contractor's License No. on file Business Address Telephone No. on file City Business License No. onf ile Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I1 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 10. Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10. Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 2183 DATE APPROVED EXPIRATION DATE 5-23-94 5-24-94 DATE ISS ED 5— —94 By Administrative Authority TELEPHONE: (619) 564-2246 ��- t ') -, NOTBI With PrOp.r v.11d.ilOn _ i. form mn.titute. a CITY Op L.A QUINTA Per�/' OroochmOnt mit n APPLICA'1'fON FOR PERMPE PUBLIC WORKS CONSTRUCTION (CNCROACHMENT) Por the O[Ion of publle o.lv.[• Ovrp., drfyaw.ye, p.vam Onel. .}d•welk., p•rklnp lo[., ...nr main. end other lik Ot publle ion with MINOR IMPROVf:MENTO . nd APPROVED BU OOIV IS10N6 DATE: 5-23-94 Subdivblon Improvemoni P.rmlt- CI.N 111 _- Minor lmproy.m•nt P.rmk Cl..e IV LOCATION OF CONSTRUCTION tOtr•.t • r•.. or ..crlPuon sr Leat and PURPOSB OF CONSTRUCTION 1 Mev 8aulpt..A. gk•teh fetiaoh eon.eruetlOn plan• If .oProprl enol DEBCRIPT'ION OF CONSTRUCTION BA77L AOVTEr SROM IWNTEEUXA NORTH ON EiOENHOWER TO BVY. 111 Dt 0 BION OP INBTALtATION OR REMOVAL _@ .000 lbeo. All R1aa le.tnl 0120 OF EXCAVATION, tP Nr EDED APPROXIMATE TIME WHH'N WORK WILL BBOIN GAUL DATE[ 3-24-94 APPROXIMATE TIME OF COMPLBTPON HOT(MATEO CONSTRUCTION COST S (InClutlln9 r meal et DII ob.tru Otlon. m.terl Ot., and d.brf., bOOktllling, some POetlOn end p1.O1nD D.rmern nt r .ur(•Olnp Dnd/Or r .ping Impreuam•nt•1 In oon•Id.r.tlon of the prentln0 of ehl. pormlt. ih. .pplle.ni hor.by .pra•• te: 1nO.mnlly; e.fentl • • Cny, I I•.d .pvmt, dfl�a•r.. ,� .•n Pv«r m dad • I bllaal talo a It'T: .dr. pnD to al ..n PSI o• r P as ry ... r r t. «u t . . u em, n d r mho •Pa •len. titer a . M1wlty . l ur I(1.IdM1 • r -111 b u.n.d.n Oomp1V w r Olty ONlnenu•f t end o nehivn, no mil .ndlal•.apllvvaP• rale• and r•Dol•tlon• 01 tM1e Olty a1 ti.v Gulnt•lend tv p•y W env eedlilonel roolw.m•nr n«••eery .. [ • r.wlt oe rt M1i. wer4. __ BZ RNATA}71;E_ ON BILE Sipnatur of Applimnt or Ap.nt GYanit. ConPCiuesion 30-LSS N-_ Be.. 2nQio. CA 92201 77S-0327 N.m• of App.. nt (Please -Intl Pou.lrn.. Atldre.. T.I.phon• No. of Ca ntr.etor.nd Job Foromon Buotnv.• Add r•.. T.I.phpne No. n 'File n 111 Contr•etpr . Lle•n•• ryD. CI[y Ou.irwu Llconse Nb. n lila -' ottl ll� 4PPIIv.no In.ura ncm Comp.nV PpI:eV NumWr FEES: Subd(yi elon Irr.Prw•m•m Perm It - CI... til Public IImPl nfenL' Zlk Of •.tlim-1 o uottlo o P•Iy.to Im-dwmDni.: 9t6 of •.tlmot.d mrotruation O Minor Improar.men[ Lrmit - Clma IV: +leo •Iq.eMd :oh D6ttiio' 2183 In.q Rion Fee O PERMIT VALIDATION Permit Fe. 10. WBRMIT NO. 1193 P.ty e..h D.aeele•&.r•ty Bund DATB MPROV BO 5-23-94 H-qulr.d SXPIRATION OATS 9-24-94 TOTAL: 11L- t 0 _ DAT B aSB}! r- R.a.IPt R•p•Iy ed bV O•t• By � Admintetrvtlue 4utn�orftV- R•oord.d by I TB Lf(PHONf!: i01 B) D04•�248 TRANSMISSION REPORT THIS DOCUMENT (REDUCED SAMPLE ABOVE) WAS SENT M I *** SEND i** COUNT 1 NO REMOTE STATION I.D. START TIME DURATION #PAGES COMMENT 1 5-24-94 8:07AM 1'00" 1 TOTAL 0:01,00" 1 XEROX TELECOPIER 7020 CL NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit 5= APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)�rC�MOP 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: 5-23-94 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class Ill 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 paver HAUL ROUTE: FROM MONTEZUMA NORTH ON EISENHOWER TO HWY. 111 DIMENSION OF INSTALLATION OR REMOVAL 11' 6" wide 84,000 lbs. all else legal SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL DATE: 5-24-94 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. SIGNATURE ON FILE Signature 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. on file on file Contractor's License No. City Business License No. on file onfile 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 2 83 PERMIT VALIDATION Inspection Fee $ Permit Fee 10. Penalty Cash Deposit -Surety Bond if required TOTAL: S 10. Receipt No. Received by Date Recorded by PERMIT NO. 2183 DATE APPROVED 5-23-94 EXPIRATION DATE 5-24-94 DATE ISIS ED 5— —94 gyCi Administrative Autho�Autho TELEPHONE: (619) 564-2246 REQUEST FOR INSPECTION OF 24 HOUR ADVANCE NOTICE 'b� Z DATE PROJECT LOCATION PERMR NUMBER z -i CONTRACTORS NAME PHONENUMBER COMPACTION TEST COMPACTION TEST Subgade.................. ❑ Base ........................ ❑ Grading .................... ❑ Curb & Gutter .......... ❑ Drainage .................. 0 Formwork.................. ❑ Trenches ................ ❑ Striping .................... 0 Structural Steel ........ ❑ Paving (Asphalt) ...... 0 Signing .................... 0 Backfill ❑ Paving (Concrete) .. Landscaping ............ ❑ Excavation ................ ❑ Driveway Approach . 'AAA MONDAY TUESDAY WEDNESDAY T URSDAY FRIDAY 78-105 CALLE ESTADO • LA OUINI A; ALIFORNIA 92253 • (619) 564-2246