05691
NOTE:
With proper validation,
SNthis form constitutes an
encroachmentipermit
_V _
" CITY OF LA QUINTA +r r
APPLICATION FOR `PERMIT
PUBLIC WORKS 'CONSTRUCTION (ENCROACHMENT)
y 1, 7 •
<,
r
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
r and other like,public works improvements in connection with MINOR IMPROVEMENTS and'APPROVED SUBDIVISIONS
April 10 1990 Subdivision 'Improvement Permit — Class III
,
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 52nd Ave. between Jefferson and Washington,
(Street address or Description of Location) '
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Oversize Load HAUL ROUTE: 52nd to WASHINGTON
to MILES AVENUE
DIMENSION OF INSTALLATION OR REMOVAL Farm Tractor REQUIRES TRAFFIC CONTRO:
14' W 2 Pilot Vehicles per California
'Vehicle Code
SIZE OF EXCAVATION,'IF NEEDED
REQUIRES COUNTY PERMIT
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/11/90 '.0-.-90-6
APPROXIMATE TIME OF COMPLETION 4/11/90
ESTIMATED CONSTRUCTION COST $• MOVE ON: April 11, 1990
.(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,
y
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.4.
ignature of Applicant 'or Agent
CAL PERMITS INC. P.O. Box 9, San Bernardino,.CA (800),344-1911
Name of Applicant (please print) Business Address Telephone No.
PICONI TRUCKING 33723 Old Carriage Rd., Murietta,, CA
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Farmers Insuiance•Group 600221517
Applicant's Insurance Company Policy Number e.
FEES: Subdivision Improvement Permit — Class
Public. improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs.0051?AL.
i , 04 -i0 -y0 10
�I�Mtff (; 10.'00
Minor Improvement Permit — Class IV' See attached schedule �-
Inspection Fee $ PERMIT VALIDATION f -
Permit Fee $10.00
Penalty
Cash Deposit -Surety Bond
if .required
TOTAL: $ $10.00
Receipt No.
Received by Date
Recorded.by
• F
0569
PERMIT'NO:
DATE APPROVED 4/10/90
EXPIRATION DATE 411/9n
DATE ISSUED (�j ,4//10/90
Gc7er . Cotfey/Adm-inistrative Authority
TELEPHONE: (619) 564-2246
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
April 10, 1990
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
52nd Ave. between Jefferson and Washington
(Street address or Description of Location)"
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Oversize Load
DIMENSION OF INSTALLATION OR REMOVAL Farm Tractor
14' W
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/11/90
Sketch (attach construction plans if appropriate)
HAUL ROUTE: 52nd to WASHINGTON
to MILES AVENUE
REQUIRES TRAFFIC CONTRO:
2 Pilot Vehicles per California
Vehicle Code
REQUIRES COUNTY PERMIT
03-90-6
APPROXIMATE TIME OF COMPLETION 4/11/90
ESTIMATED CONSTRUCTION COST $ MOVE ON:
(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:
April 11, 1990
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
LaQuinta and to pay for any additional replacement necessary as the result of this work.
�//S"ignature of Applicant or Agent
;3
CAL PERMITS INC. P.O. Box 9, San Bernardino, CA (800)344-1911
Name of Applicant (please print) Business Address Telephone No.
PICONI TRUCKING 3@723 Old Carriage Rd., Murietta, CA
'Name of Contractor'and Job Foreman Business Address Telephone No..
Contractor's License No. City Business License No.
Farmers Insurance Group 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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
Recorded by
$10.00
$10.00
Al, °_��° o
io.00
PERMIT VALIDATION
0569 -
PERMIT. -NO..
DATE APPROVED 4/10/90
EXPIRATION DATE 4/11/90
DATE ISSUED /�4//10/90By
f ,!
er ry/'r�. CorreyAdministrative Authority
TELEPHONE: (619) 564-2246
0
With proper validation. ;
this form constitutes an
CITY'OF LA .QUINTA
encroachment permit `
- APPLicAT,10W FOR PERMIT;, f
. 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 III
DATE: ell Minor I m:;prAvemerAt Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONST RUCTIONt
DESCRIPTION
_4���i 7 '.k7_,5LC_7 R
DIMENSION L
/41 1Z4-) -
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction'plans if appropriate)
APPROXIMATE TIME WHEN WORK WILL BEGIN ]•'�� L
APPROXIMATE TIME OF COMPLETION '
ESTIMATED CONSTRUCTION COST $
(Inc! --ding removal of all obstruction, materials, and debris, backfilling, com `
paction.and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting ofthis permit, the. applicant hereby agrees to:
Indemnify,defend and save the, City, its authorized agents„off icers; 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
�3 l 7a<_3 oz_2�, /Y1b, l CrTIr.114
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.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class.( l l
Public. improvements: 3% of estimated construction costs '
k Private improvements: 3% of estimated construction costs
N O'
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
< PERMIT VALIDATION
PERMITNO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246•