0620-7 N
NOTE
With proper validation
-this form constitutes.an CITY OF LA •QUINTA <
. encroachment permit y
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION '(ENCROACHMENT)
. OF X189
• OOE•. TRIP OVERSIZE 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
• Subdivisionamprovemerit Permit — Class III
-DATE: Mav 2,...1990 ' Minor Improvement Permit,Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
»
PURPOSE OF.CONSTRUCT.ION• ' Sketch (attach construction plans if appropriate)
' DESCRIPTION'OF CONSTRUCTION Cat 6:23 B Scraper
'14'H,.11110W,'-`119,138 lb GW HAUL ROUTE: AVENUE 52 east to
JEFFERSON NORTH TO AVE. 48
DIMENSION OF INSTALLATION OR REMOVAL
PILOT CAR ~REQUIRED
SIZE 6F EXCAVATION, IF NEEDED p4 p
May 3, 1930 ig051SH ��TO`5i02-�4 14
i0,00
APPROXIMATE TIME WHEN WORK WILL BEGIN y -
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 tc this application.' e
.Notify the Administrative Authority at least twenty-four (24), hours in advance of the time when, work iwill be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit,and all applicable rules and regulations of th'e.City of
La Quinta and to pay for ariy additional replacement necessary as the result of this work.
/Signature of Applicant or Agent
Nuevo Engineering Inc -79-811 Country Club.Dr. Bermuda Dunes 34;5'-1778
Name of Applicant (please print) Business Address Telephone No.
Piconi`Trucking 39723 Old Carriage Rd. Murrieta, CA 92362
Name of Contractor and Job Foreman Business Address Tele
plione No.
Contractor's License No. a 'City Business License No.
60022.1517
Applicant's Insurance Company _ , Policy Number
4
FEES:. Subdivision Improvement.Permit -Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs �TQ 0620
Minor Improvement Permit - Class IV: See attached schedule 1�
Inspection Fee $ PERMIT VALIDATION
Permit Fee 1-n.,on' 0620
PERMIT NO.
Penalty
Cash Deposit Surety Bond DATE APPROVED5 12 /90.
if required EXPIRATION DATE 5/3/90
TOTAL: $ in --nn 5/2/90
• DATE ISSU,ED'. •s �
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
x
NOTE:
With proper validation
this form constitutes an
encroachment permit
t'
N
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ODE TRIP OVERSIZE 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
Subdivision Improvement Permit — Class I II
DATE: MaV 21 1990 Minor Improvement Permit,Class IV
LOCATION OF CONSTRUCTION move equipment
(Street addressor Description'of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Cat 623-B Scraper
141H, 11'10W, 119,138 lb GW
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
HAUL ROUTE: AVENUE 52 east to
JEFFERSON NORTH TO AVE. 48
PILOT CAR REQUIRED
SIZE OF EXCAVATION, IF NEEDED
p 4 p
APPROXIMATE TIME WHEN WORK WILL BEGIN
May 3,, 930 1�05j%S'H I4%22 1,5-02-9O 010044
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.
/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 92362
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
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
$ 3-0.00
Received by Date
Recorded by
PERMIT NO
0620
PERMIT VALIDATION
0620
DATE APPROVED 5/2190
EXPIRATION DATE 5/3/90
DATE ISSUED- / 5/2/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE -
With propEi validation
this f6�m oonstitutes 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 II I
DATE: May 2.',1990 Minor Improvement Permit Class IV -------
LOCATION
_LOCATION OF. CONSTRUCTION Oversize Load
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
HAUL ROUTE: Ave 52. East. to
DIMENSION OF INSTALLATION OR REMOVAL Cat 23 B Scraper Jefferson— North to Ave. 48.
14' H, 11'10 W, 119•,13ti lbs GW-
SIZE
WSIZE OF EXCAVATION, IF NEEDED
ROXIMATE TIME WHEN WORK WILL'BEGIN - May ] , 1990
APPROXIMATE TIME OF COMPLETION May -3, . 1990 - -
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 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 It ofthis work.
lyruil
SigOiture of Applicant or Agent
Nuevo Engineering,'Inc 7.9-811 Country Club Dr.,: B.D. 345-17'
Name of Applicant (please print) Bu mess Address ��p��a ft
Pic.oni Trucking .39723 01d Carriage.Rd..,_Murrieta,.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Farmer 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
NO .
Minor. Improvement Permit — Class IV: See attached schedule ' .
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: " .' $
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
'By
Administrative Authority
TELEPHONE: (619) 564-2246