1891s
NATE:
With proper validation
thii 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
9/23/93
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION lisenho` or
(Street address or Description of Location)
PURPOSE OF CONSTRUCTIONNOVA gjui ont
DESCRIPTION OF CONSTRUCTION RG Alado Zai' Hisho
10' Wida .
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
ROV1 ; Eisenhower out of City
Limits
DATBt 9/24/93
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 cr 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.
SRI �r C-vr1V)4'10E �l
Signature of Applicant or Agent
Granite Cort FO Box 9011 Palen Assert
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.
On File
City Business License No.
On Filer
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class I II
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.
10.00
$ 10.00
Received by Date
PERMIT VALIDATION
PERMIT NO. 1891
DATE APPROVED 9/23/93
EXPIRATION DATE 9/24/93
DATESUED 9/23/93
gy ,�w I
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
-7J
With proper validation O
this form constitute$ an CITY OF LA S]:UINTA
ancroech Mont permit
l APPLICATION- FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT!
For the consiruetion of public or private eurbel driveway., Paysmonta, sidewalks, parking rot$, sewers, water mains
and other like public of improvements In connection with PAINOR iMP�ROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permli — Ciess 1(I
OATE: 9/23/93 M)nor Improvement Permit Cleea IV
LOCATION OF CONSTRUCTION Ela ®nktow_tiY
(o ..... ..IV—.. or Oeserrptlon of LocetleM
'PURPOSE OF CONSTRUCTION wf— tcr,t.rp-gs4— Sketch (ar.taorl construction Plans if eppr.prlet.)
OESCRIPTION OF CONSTRUCTION lin BZ AAiL.t a
ROUTE; Slaanhowmr out oaf C1ty
L 3.ta Y t:
DIMENSION OF INSTALLATION OR REMOVAL
DATES 9/24/93
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIMC VVHEN `NORK WILL BEGIN
APPROXIMATE TIME OF COMPLCTION
ESTIMATEO CONSTRUCTION COST $
I: noIuding removal of all obstruction, materiels, ,and debria, backfilling, Com-
ptlOtlon and pleciny parma'nent resurfacing end/or replacing Improven\enta)
In eonelderetlon of the grontlng of this permit, the ao Olrcant hereby egress to:
Ind.mnllV. dOfend and .Ova t e CRv. Iia ouch oriand agents, elf icor$, rap re.entatWes end emplOV nes, harmlasa from Ind again,,, env and ell
pone., l... Ilebl!Ities er 1p.. ulting from eialmu a rt actlOn end -risme o of a.ny a eldent, loss Or d-0. to parson• or propa�ty
hoopening Or a rring as arpr—imeto result of env 0 work ndart.kan under the permit gr.ntad pursuant t0 shin Op011oOtio n.
Notify the Adminlstretiva Authority et Ieest twenty-four f24) hours In advance of the time when work will be started.
Comply with oil applte.bi. City Ord In On amu, the terms
nons and coditlOf the permit and all epplloo ble rules and regulatlon0 of the City of
L.. Qi Int. end to pay for any .ddl,I-1 roplocement.ne0eas0ry as the result of tills work.
Signature of Applicant or Agent
6ranica Con®c PO Sox 9011 PIalm DEamrt
Name of Applicant (pleesa print) Business Address Telephone No.
Name of Contractor end Job Foreman Business Address Telephone No.
On 1r11s On F11m
Contractor's License No. City Suelneso License Ne.
On Filo on F1,1 m
Applicant's Insurance Company Policy Number
PEGS: Subdivl.lon Improvam ant Permit — C'.laas 111
Public Improvements: 346 of estimated construction cost.
Private improvomunts: 3% of estimated construction costa
Minor Improvement Parm!t — Class IV' Soo attached schedule
Inspection Fee $ 11
Permit Fee
Penalty
Cash Deposit -Surety Bond
if ronu Irani
1891
PERMIT VALIDATION
PERMIT NO. 1891
OATS APPROVED 9/23/93
TRANSMISSION REPORT
TPSIS DOCUMENT (REDUCED SAMPLE ABOVE)
VIAS . SENT
*** SEND ***
COUNT ;K
1
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
COMMENT
1
6193479576
1 9-23-93 3:54PM
1'07"
1
TOTAL 0:01'07" 1
XEROX TELECOPIER 7020
I
- -.7 '41
S E F'4- 2 ".2 - 9 3 W E I3 1 4 : 4 7 tit a r m a c
rxRRn
tinuon
oo�n non mg
TO sDATE :
COMPANY NAME:- FAX N0: ��/�•' �����
FROM : %% �' FAXED BY :
PAGE 1 OF
,2_
1F YOU EXPERIENCE ANY. DIFFICULTIES FROM FACSIMILE (619) 342 -7504p -PLEASE
CONTACT SENDER AT (619) 775-8302.
Palm Springs Branch
P.O. em 9011
Palm Desert; CA 9MS-9011
Phone 614/3604500
FAX 61903604570
z
!7 -i.jj
l
SEF -2—'33 WED 1 4 = 48 t. axr mac
17 M�f s
With 010W validation
this forret Oonastutet an
tlntrodchmont Permit CITY OF LA QUINTA
ISM. h �wllwe
APPLICATION FOR PERMIT
,PUBLIC WORDS CONSTRUCTION (ENCROACHMENT)
For the co nmuction of p4blic or prtvata c4ft, drlveM+eya, pavamt►rats, ttr�,twatlice.Parking
ane ether lilac mubdic works (mprdvarns�nts in eonn4 tion wish MINOR IMPROVEMENTS and APPROVED SUS 0 V EIONS
P _ 0:2
.r
wrr.
DATE:
5ubdivlsdort Improvenunt Fermis a Class 111
MInar Irttgrgvemettt Permit Cieas IV
LOCATION OF CONSTRUCTION
tsvw ackreu of oewnptwk at Loattlttttl
PURPOSE OF CONSTRUCTION
Skatch eon:srurtion pl ne if a tat
42
D R6pi�tQN F SON t UCTION /
DIMENSION OF INSTALLATION I JIT REMOVAL /5 71e
i
SIZE OF EXCAVATION, IF NaEiDE B
APPROXIMATO TIME WHEN WORK WILL OC IN
APPROXIMATE TIME OF ComPLETION
ESTIMATED CWHSTRUCTION COSY' I
dl,'rduding hrtxmi of all *buru6aion, mesatials, and debris, badafilliAg, Corn.
Oaktion and placing parmamont resurfacing indiar raplKdr,q linisrovemonttl
In Consideration of th«
granting of this permit, tete r►ppliunt heraary egret►% to:
IftdimhrOy, dtfMnd ark, iava the 41ty, Itis "Ori -00 rlPM, offkgryl, rapmuhtativrs !Ilei art�rlitVi+elb
p6mitirs, 41bilitiau w lots tm'tlr4 tv*m csa,rrn ar tabuns mien V4 arlslr+a out of #AV k&idaht, 10� orws 9lorrt Ano 60ioW bhy and all
ltapprn1r�0 or oorrurtirtg M 8 ptabxlnarre alt of a tratttic v carom" to oenQna or prMM1Mw
rW kt M VWWkr tht POff"lt Or*htod ftr+acrnt to t►fit i�tli,t,ti�ota.
Notify thr Admini"MtNe IlutMprl:ir at Nwnat tw"tV•fallr I241 how* it aovarlct 04 ttrr tin! When wottR will br +:terwttl.
com1my with all Ammi w Clty drouranc+w, the tyrrni yrp Cendllt¢oltt rJ9 tttA Pannone and rel
LA t�ulhse ar►d to pay f� a,ty eddhiarasl reprar ,tt n ,y as thr merle at mh wor01 Wiiarae rules and niquiatiwta at dna City of
r ,
1 A ✓ l S1 tura of A li�t
Name AF iicaltt (pie w print) .�
f 8ualnra AdQrra
Nanta of contractor =4 Job Foramen y
Susittrrss Address
CarttraetOc's Lic4nia No.
AAplif�nt's Insuranas CaMoeny
Telephone Na
Cit1r 13usirteu License No.
No.
0
0
Ed
�l��Iin� •aaaxaol�i�
3,LV d NOl-LvwdX3
�1A�?�Idcl�► 31vq
BNOSo,l.VOI.1VA !—M—J94
..� .,JOgwnN A:Dif°d
L -Z DT9—d P0PU8T) 3
Aq �vp5eeaaa�
asAa A4 pnAlI*eJl
'ON
Winboa
Puag Amns-mledsq WeD,
aqd lvjad
$ sod u�tayAdwi
aft�poyo9 P849ih9N gRs :n! n0t0 ,.,, flwx+d auaw0TOJ-0 aoulyy
PQ}auiuM}® Muawanoidwlra�d ,
sxRaa ual�an�xouva ponewpM d® Y4 33MUDACIdwl ap4nd
111�1� aluaod lu�es+eAo�awl uaisi�,00n� s119d
d'
City of La Quinta
78-105 Calle Estado
La Quinta, CA 92253
12/31/93
CITY OF LA QWNi'A
JAN 0 51994
PUBLIC WORKS
GTE
General Telephone Compan
of California /
1500 Crafton Avenue, Box 1-18 /
Mentone, California 92359
In Reply Refer To
PERMIT NO.(
WORK ORDER.
100 % COMPLETION NOTICE
IN THE TOWNSHIP OF: COACHELLA
WORK ON PERMIT NO. 1890 WAS COMPLETED ON 12/31/93
AT LOCATION: FOR SEG 006 - AVENUE 58 S & E.OF JEFFERSON ST.
A part of GTE Corporation
-5P001AB