495NOTE:..
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TIME OVERSIZE LOAD PERMIT
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: 1/9/90
LOCATION OF CONSTRUCTION _
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION —
. 48th &. Washington to
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
I-10 �f.
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
oversize load HAUL ROUTE: WASHINGTON TO I'10
DIMENSION OF INSTALLATION OR REMOVAL
151211 H. 13' 6" W. 90 long
SIZE OF. EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL'BEGIN 1/10/90
REQUIRES TRAFFIC CONTROL - 2 pilot
vehicles per California Vehicle
Code
APPROXIMATE TIME OF COMPLETION-1/10/90
- ESTIMATED CONSTRUCTION COST $ '
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and plicing.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 Odinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
Cal Permits, Inc. PO Box 79.9 San Bernardino 1-800-344--1912
Name of Applicant (please print) Business Address Telephone No.
Swab Sales, Inc. Chandler AZ 602-899-0088.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Earmgrs 600221517-
ya�,t,!lCiNL�4.�:�3iL 1tLU • Vi VU.g/ '
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
I
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
zn.00
$ ln-no
Receipt No.
Received by Date
005:i.G2 10 087 Ai--09-•90 i!1
:i.o I:i SH , , AL 3. i0.0+0
No
9
PERMIT VALIDATION
PERMIT NO. Q9R
DATE APPROVED 1/9/90 '
EXPIRATION DATE 1/10/90
. DATE ISSUED 1/9/��
Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA OUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TIME OVERSIZE LOAD PERMIT
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
1/9/90 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 43th & Washington to I-10
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
oversize load
DIMENSION OF INSTALLATION OR REMOVAL
15' 2" H, 13 ° 6" W, 90 long
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/10/90
Sketch (attach construction plans if appropriate)
HAUL ROUTE: WASHINGTON TO I-10
REQUIRES TRAFFIC CONTROL - 2 pilot
vehicles per California Vehicle
Code
APPROXIMATE TIME OF COMPLETION 1/10/90
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 of Applicant or'Agent
Cal Permits, Inc. PO Box 799 San Bernardino 1--800--344--1912
Name of Applicant (please print) Business Address Telephone No.
Staab Sales, Inc. Chandler AZ 602-899-0088
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
garmgggl TV,r 1,600221517
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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.0c,
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 495
DATE APPROVED 1/9/90
EXPIRATION DATE
1/10/90
DATE ISSUED 1 /y/910f,.
Y
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE
With proper validation =
JM
this form constitutes an CITY OF- LA QUINTA '
encroachment permit
FOR PERMIT: - i
.APPLICATION,
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 II I
�R� 1
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION - 449 T I�
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) )
DESCRIPTION OF CONSTRUCTION
Pi ,,/w 2
DIMENSION OF INSTALLATION OR REMOVAL
/-r Z" fi /3`6 �D Long
SIZE OF EXCAVATION, IF NEEDED -
APPROXIMATE TIME ;p0
APPR TE T E WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ a
(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 applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary 'as the result of this wo
Signature of Applicant or Ag t.
Name of Applicant (please pint) Business Address Telephone No.
•�'` :Sp'/�.5 ��lG �l-,c DO��
.�d�Gt',d • sr d cr .�/ z CDT 81�9
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
��✓/�i �r �.9 y GoD1� .� .. 04 213
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III
P bli im rovements• 3°/ f t•m t d t uction costs '
u c p o o es i a e cons r
Private improvements: 3% of estimated construction costs
1 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
Recorded,by
N° •
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
* EXPIRATION DATE
DATE ISSUED e
r•
By
Administrative' Authority
TELEPHONE: (619) 564-2246