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NOTE: /
'With proper validation 4 Q
O
this,form constitutes an t
encroachment permit CITY OF LA QUINTA U
APPLICATION FOR . PERMIT
PUBLIC'WORKS CONSTRUCTION (ENCROACHMENT)
0
BNE TRIP.OVERSIZE,,LOAD PERMIT FTS:
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 111
" DATE:. April 27; 1990. Minor Improvement Permit Class.IV
LOCATION OF CONSTRUCTION move ectuipment
(Street address or Description of Location)
PURPOSE OF.CONSTRUCTION. Sketch (attach'cohstruction plans if appropriate.)
DESCRIPTION OF CONSTRUCTION Mar_,�XT^72t8rpiil 1
10'1/2'w., 40,000 lbs. _ HAUL ROUTE: Ave. 52 west to
Washingto, North.to,Hwy 111
DIMENSION OFINSTALLATION OR'REMOVAL
SIZE OF EXCAVATION',, IF NEE'D•ED
. 4
APPROXIMATE TIME.WHEA
N WORK WILL BEGIN pril 30, 1990
APPROXIMATE TIME OFC OMPLETION
ESTIMATED CONSTRUCTION COST $"
(Including removal of all `obstruction, materials, and debris, backfilling, com
paction,and placing -permanent resurfacing and/or replacing .improvemerits)
In consideration of the granting. of .this permit, the applicant hereby agrees to:
Indernnify,.deferid 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 Agen
ineerin Inc 79-811 Countr 'CYub Dr. Berm>i�ar es45-1778
Nuevo Enq g, Y
Name of Applicant (please print) Business Address Telephone No. .
Piconi'Trucking.-• 3.9723 Old.'Carriage Rd. Murrieta, CA
Name of.Contractor and.Job Foreman Business.Address Telephone No.
on :file
Contractor's icense No -City Business License No.'
Farfners'Insurance. Group 600221517
Applicant's Insurance, Company Policy Number
;t
FEES: Subdivision Improvement Permit —Class l I1 . 051, j. g� gig � 2 r� c�0 10
Public improvements: 3% of estimated construction costs 1 t 1;5H f 1 �J! f? i S U vOG
Private improvements:: 3% of estimated construction costs
Minor Improvement Permit = Class IV:. See attached schedule
N- k 0 607
Inspection Fee. $ PERMIT.' VALIDATION • ' : `
Permit Fee 10.00 0607 -
PERMIT NO.
Penalty DATE APPROVED 427/90
Cash Deposit -Surety 'Bond .
if required
EXPIRATION DATE 4/30/.9.0
TOTAL: $ 10.00
DATE ISSUED'_- 4./27.'9.0
Receipt No. t. ..
• ; By
Received by Date Administrative Authority
Recorded by ' TELEPHONE:(619) 564-2246:
...'y:- .. ✓•..• +._ � -.. .. � ,� s"�,,.. ti " .. �. ver- r - .. ... ri+ .V+dy` ++...- . .:,,�. ,.r: � .. -�i ,- r .. .,3 �.: ,
�. M
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NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP 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: April 27, 1990
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION a t r 1
111h, 10 1/2 w, 400000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Subdivision Improvement Permit —. Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE: Ave. 52 west to
Washingto, North to Hwy 111
APPROXIMATE TIME WHEN WORK WILL BEGIN ApriT 30, 1990
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.
Signatjure of Applicant or Agent � ,
Nuevo Engineering, Inc.
79-811 Country Ciib Dr. Bermu a�Dianes 345-1778
Name of Applicant (please print)
Business Address Telephone No.
Piconi Trucking
39723 Old Carriage Rd. Murrieta, CA
Name of Contractor and Job Foreman
Business Address Telephone No.
on file
Contractor's License No.
City Business License No.
Farmers Insurance Group
600221517
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
Recorded by
3$UStf SV 13T t1 1 7-9010.00 IG
0607
PERMIT VALIDATION
PERMIT NO. 0607
DATE APPROVED 4/27/90
EXPIRATION DATE 4/30/90
DATE ISSUED- % 4/27/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:''
With proper validation
this form constitutes an
encroachment permit
•
•
M
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 tike public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit —Class III
DATE: April 27, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Oversize Load
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL Terex Waterpul1
1111 H, 10-1W W-40,000 Lbs.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE.TIME WHEN WORK WILL BEGIN 4 L 0 / 90
Sketch (attach construction plans if appropriate)
HAUL. ROUTE.: Ave. 52 West to
to Washington —.North Hwy 111•
._APPROXIMATE TIME OF COMPLETION 4/-10/20
—
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, Ion 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>t is work.
Signature of App i nt or Agent
Nuevo Engineering, Inc. 791811 Country Club D .,Bermuda Dunes 345-177$
Name of Applicant (please print) Business Address Telephone No.
Piconi Trucking .39723,01d. Carriago Rd., Murrieta
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 II 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
i
N00
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246