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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 orprivate curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and.other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
April 27, 1990 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
a�
.PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTIONCat •'D6 Dozer
10'h,. 11°' 10" W, 45,000 •lbs HAUL ROUTE: Avenue 52 east. to
Jeffeerson,'North to Ave. 48
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORKWILL BEGIN 4/30/90
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST, $ t
(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:
V
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. ^
Signahlure of Applicant or Agent,-
gInc.-
Nuevo Engineering, , Inc79-•811 Country, GLb. Dr. Bermull ! Ues �: 345-1778
.Name of Applicarit (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 on file
Contractor's License No. City Business License No..'
Farmers Insurance Group 600221517
Applicant's Insurance CompanyPolicy Number
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs
_17•-90 i0
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:' $ 10.00
Receipt No.
Received by Date
Recorded by
QU�iB• i0 39.4 U4
i0 -.CASH�si TOTAL i io,.00
N° ;^ 060R
PERMIT VALIDATION
PERMIT NO. 0808
DATE APPROVED 4/27/90
EXPIRATION DATE +'' 4/30/90
DATE ISSUED' 4/7/90
By—
Administrative Authority
TELEPHONE: (619) 56472246
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-k
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 mnvc+ Parrs i nment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Cat D6 Dozer
101h, 11110" w, 45,000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/30/90
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV.
Sketch (attach construction plans if appropriate)
HAUL ROUTE: Avenue'52 east to
Jeffeerson, North to Ave. 48
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 aproximate 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.
r\w1cu-iry, k,
Signature of Applicant or Agent
Nuevo Engineering, Inc. 79-811 Country.Club Dr. Bermuda�Dunes 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 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 III
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
PERMIT NO
S005t%) i39 04i 27•-90,0 � 00 10
° 4008
PERMIT VALIDATION
0808
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
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
Subdivision Improvement Permit — Class III
DATE: Arnil 27 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Oversize Load
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans Wappropriate)
DESCRIPTION OF CONSTRUCTION HAUL ROUTE Ave . 52 East to
Jefferson •- North to.,Ave. 48 -
DIMENSION OF INSTALLATION OR REMOVALS t 126 ` DnZ -r
in, H} i1 tin1I:w, 45400 Lbs
SIZE OF EXCAVATION,, IF NEEDED °
APPROXIMATE TIME WHEN WORK WILL BEGIN. 4 /3,L4fl
APPROXIMATE TIME OF COMPLETION 4 X30 Z20
ESTIMATED CONSTRUCTION COST $
(Including removal of.all obstruction, materials, and deb. is, backfilling, com
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicanthereby 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 Ap II nt or Agent /.
Nupyo Engine ring. Inc 7'9-811.Country Club Dr., Bermuda Dunes 345-1778
Name of Applicant (please print) Business Address Telephone No.
Piconi Trucking 39723 Old Carriage 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
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 1`tl
OS
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
4
PERMIT. VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative 'Authority
TELEPHONE: (619) 564.2246