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2208NOTE: Wi.*h pr?per 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: 6-17-94 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVO equipment Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Paver 11'6" wide 84,000 wt. All elese legal 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) _ In consideration of the granting of this permit, the appl cant hereby agrees to: IIIOtTTE t Washington St* city limit* to Ave. 50 to Park Ave. Returns Park Ave. to Ave. 50 City limits to Washington St. DATE 6-18-94 Return on either 6-18 or 6-20 Indemnify, -defend and save the City, its authorized agent;, 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 124) 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 CONS. CO. P.O. BOX 9011 PALM DESERT, CA 775-8327 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman on file Contractor's License No. Business Address Telephone No. on file City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated constriction 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: Receipt No. 20.00 $ 20.00 Received by Date 2208 PERMIT VALIDATION PERMIT NO. 2208 DATE APPROVED 6-17-94 EXPIRATION DATE 6-20-94 DATE ISSU D j 6-1 4 By 09 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 NOTE: 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 Subdivision Improvement Permit — Class I I I DATE: 6-17-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move equipment DESCRIPTION OF CONSTRUCTION Paver 11'6" wide 84,000 wt. All elese legal DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) ROUTE: Washington St. city limit@ to Ave. 50 to Park Ave. Return: Park Ave. to Ave. 50 City limits to Washington St. APPROXIMATE TIME OF COMPLETION DATE 6-18-94 ESTIMATED CONSTRUCTION COST $ Return on either 6-18 or 6-20 (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 of Applicant or Agent GRANITE CONS. CO. P.O. BOX 9011 PALM DESERT, CA 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. 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 2208 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 20.00 $ 20.00 Received by Date PERMIT VALIDATION PERMIT NO. 2208 DATE APPROVED 6-17-94 EXPIRATION DATE 6-20-94 DATE ISSU D — By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 6 •. 4 With proper yalldetlon � ethnmmnntetPer— 1 t CITV OF LA QUINT^ APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMEN For the conatrub[ten of publl0 or private curb., drlv.wsye, pavement., *Id.walk., park and other like public works Improvements In connection with MINOR IMPROVEMENTS and OATS: 6-17-94 LOCATION OF CONBTRUCI'ION IS—- .d -- or Oemrlptlon Or Looa<lonl PURPOSE OP CONSTRUCTION *love—t.ment O F18Cr RIPTION OF CONStRUCTs10N—�.gvar 11 6 wiAe B4.00D tsc 1 t DIMENSION OF INSTALLATION OR REMOVAL —_ Subdivide. Irn Minor 1 let., .--are, water main. PPROVEO SUBOIVISIONS t P.rm le — Cleu 111 ons P.rmlt Cie.. 4V SkatOh (attach Oone ruttien plan. If app—orlet.) ROUTE. WeehinSten e. city limit6 to Ave. 410 to sa]t Ave. ' s m k. to Avo. 50 812AVReturn E OF EXCAVATION, IF NGEOED City iimiPte t0Ave Wan hiIn C. Bt. APPROXIMATE TIME WHEN WORK WILL SGOIN APPROXIMATE TIME OF COMPLETION DATE 6-16-94 ESTIMATHO CONSTRUCTION COST S$ Retura on mit er 6-18 Or 6-20 (Including romoval of all obatruatle h, materia la, end dobria, beokfilting, mm- Peetlon and Plaolno permanent ro.urfeoln0 and/or repla Olno improvement.) In coneld oration of the granting of thla Permit, the appliunt hereby agrees to: IrMemnlTy. •defend .M ..v the Glty. Itr auth erl.sd .ganee, off le. r., replv..ntstlye. enp smPleyMt, harm) Irom end .gain.. . v .nd .11 Penal[let, 14bllltle. Or lot.a nPry r.ltlna rr ac .lalrns Or 0—tv tion and •erl.ing 0—of any eaaidIota or Iotor dom,W to Person. Or Pre Pirty happening er 7.,: rq .. aorunlmote result of enY Werk —t—on under the perml• gnintsd pursuant to this .Pal lme lona Notify ane Adm lntredve Authernv �[ loaet ewrnty-four 121) noun In edv.nne o[ th. aiwhen r__ul be comely —-.11 oppll..W. City Ordinance., ane terns .rad eondltle nt Of the N mh ddl'aOPlloabls wl nd r1reaula[len. et the of L. Oulnu end to PeY for any .ddl[lo nal repl.eemsnt nooewry .t ens rt of rthlt City Agont .verk, ' a L/r ,rs✓ Signature of APPllu nt er N O. 11 P SBE CA 73-6327 Name of APPI U4. (Flee— Print) Bualneee Addr.a* Telephone Ne. Name of Contractor and Job Foreman Budne.a Add—ea Telephone No. on Pilo Contractor-* ueanse No. City Bualrwu LI n— Ne. APpllcant's lnau Ponca ComPeny Polley Num or PSY6t Subdivide, Impre nt Permit — Clao 111 Public I—prey nte: 396 of .—Irn.t.d genatrMOiiOn CODL. e J Private tmorovome:[t.: 3% of a.tlmoted co—t—otlon Deet. Miner Improwmont Permit —Chao lV: S.. escacnod schedule 2208 Inspection Foe B PERMIT VALIDATION P.rmlt Pe. 20.00 P.neIvy PERMIT NO. C.ah Oe posit-Surecy Send OATS APPROV SO — — If required EXPIRATION OATE —0. TOT.4L: 6 20.00 R.eelpt No. AT 1 O Sy Received by D.t. Admin l.trotiva Auth cries Recorded by TELEPHONE: (010) 664. 40 TRANSMISSION REPORT THIS DOCUMENT (REDUCED SAMPLE ABOVE) WAS SENT ** COUNT # 1 *** SEND *** NO REMOTE STATION I.D. START TIME DURATION #PAGES COMMENT 1 6-17-94 3:25PM 1'04" 1 TOTAL 0:01'04"' 1 XEROX TELECOPIER 7020 a X A o 0 0 X » .y. Q Gl w C1 X 1 LP w to fv 1 13 X mr o 3 3 p3 0 v /t J y C V JLA NOTE: 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:__ 6-17-94 LOCATION OF CONSTRUCTION Subdivision Improvement Permit — Class II I 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 11'6" wide 84,000 wt. All elese legal DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ROUTE: Washington St. city limitg to Ave. 50 to Park Ave. Return: Park Ave. to Ave. 50 City limits to Washington St. APPROXIMATE TIME OF COMPLETION DATE 6-18-94 ESTIMATED CONSTRUCTION COST $ Return on either 6-18 or 6-20 (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 of Applicant or Agent GRANITE CONS. CO. P.O. BOX 9011 PALM DESERT, CA 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. 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: Receipt No. Received by Recorded by 20.00 $ 20.00 Date PERMIT VALIDATION PERMIT NO. 2208 DATE APPROVED 6-17-94 EXPIRATION DATE6-20-94 DATEISSU D — By Administrative Authority TELEPHONE: (619) 564.2246 JUN -17-94 FRI 11 07 PM P. 1 1 rxRRn LunS 1 u on, cornmnM!, TO:10 -DATE.- , COMPANY NAME : FAX NO 17 FAXED fid_ � / L'e'�G•� PAGE Y OF IF YOU EXPERIENCE ANY DIFFICULTIES FROM FACSIMILE (619) 342-7504, PLEASE � CONTACT SENDER AT (619) 775—Se $3Z7, o �j) 77� Y Palm Springs Branch P.O. Box 9011 Ralm pasart, CA 9p49MI1 Rmw 619/36045M FAX 619/3608370 y .� .} ., � 4 r.. � y .� ti ' � ,� JUN -17-94 FRI 11 07 PM d�T£: Wlah proper s►elioeuOh this brm Oonnaules M ertaaeefsrNm permit CITY OF LA QUINTA APPLICATION POR PERMIT -PUBLIC WORKS CONSTRUCTION (ENGFIOACHMF .NTj For the oDAttrtmi011 of ptlo and ower like publio Works Or Pr1Ven Curbs. Arirstwtv>t. wvam�nta, tw ldaWilks. rkleq leu, �� imWo""WrIn in Cam�uon w1ch MINOR IMPROVEMENT$"A?pROVBp �BpIVIS1c. Mracar. tnalM ,.. ONS P. 2 OATS: iI'qq LOCATION OF CONSTRUCTION —AW- 12wM loan" _Wml w f PURPOSE OF CONSTAUCTION V0• p 011=11?TIQN Q:;QNSiA DIMENSION OP INSTALLAT101Y OR REMOVAL SIZS OF EXCAVATION, IF Ng1jogo AMFIOXIMATS TiMIE WHEN WORK IMiLt, BEGIN APPROXIMATE TIME OF COMPLETION ESfi1MwT w Ubdivluon Imorovermnt PeMtt . Clan III Minor Improvement Pernsit Chas IV EL$t ttiaah 04natructlon plar4 it 4pptWj4tsl tA•� -�10 g.ye, y -a -� Pte.. EO CQNSTRVCTION COSTS cOmi EG`{$ I (1hauditrp hR�OVeI of all OO+t"I.1jon, m#terlefa, irs0 Qrbrll, biC�flJlinq, WRQ r r i Omeln and DftiGnq Permllnsnt retwtogng erl4lar roplos;Jng impravamenu!In twWORGUan of the pnntlnO Of thl# perrnit. thl llpplla ilt horetty #Oran to. thda illy, defew snt ars #fie Gry, it: l rWili0 berdIsm, 1ybdiva v tpM �+Ra, oMleerti, rwAwntatrrn sur ert+oftslrow, ha�� Iron# sti0 /gt,rst > arrd all A ou I F A of d ooun ett►on o1+e akWay M+t o► enr gym, low o. 440" to anon or prapeity �'� M OtliONr/tfie a � taAo+ltrsto �Ml11t at i1r►v r.wt y tieeh �n of OWentf ertiAtad Duraua+nt is 0115 #W111111,11146Alrtl/�r the Aetltt.nNtrltM >1Ydlwft� et laaaR iwMtv�fryl 141 t� � i M tri tllM rrhsh met well ba tR*eie& 4 t Corrr«rr onr orf s0plrealtts Gt1r 0►dwhor. tf�C tangy aer CCAdls M sf *6 WMAI Cnp ait 4"1jaoel• �b1a uUWine er+e vev sd onv radhJe+rt ueorti�t " nv, u 11+0 rM1lt of M �° .r.yutsi+oM of �e Gtv or 0 A ��% Cg 'eme of Appant nt (mumprint) ,�J t:5 h -K 'MI of Contnator 00 Job Fwoaun anvectar✓s WWnae No. 01 n Sl"TWe of Applifa-Ot Apnt Ad A Telephone No. n 8utiruu Addrou t0sphone No. City Suilinan Lianv No. apsialnc•i Inr<urines ConlponY Policy Numc ar I f. . _...� ..�,,.w. Extended Page 2. 1 '1111. Sid too, va:on Improvpnent Permit —Chu III Public. improvemenn; 1% of conettuatlon cotta Ptivetl impravertur't9: 3% of •stinwtod ecmtmialon Coop '~•� MUet Irhprowmant Permit -• Cisu IV; See 018dud trheduls Ov9sloA Fee s 'Mil fh i now 2 PJ salty fi Depotit•Surtty Bond OQUIt� •Pt No. ' .tion by...r. �..,._ Det' PERMIT VALIDATIC PERMIT Nb. DATIr APPRovw EXPIRATION DATE �Zo�q DATE Iti,1VSo 7M/�IYfr.. ,.rirrll�•..r� I��., i�.r��ra�� By AdmJrutciuv AUNWIN