0644.-rvi-k;R`=...+!...';A/6�,:�.r:+asC•{yy,;,,�`i aa' .«..w�;-=�v..�r+.•a,.s'�. rr``.,.....+�-�-.s-�.-•.....r.-""C."----+r"""."•"t"w-."°".�`""�`:y^'°".irr l=Y..:�=..o.�.r �_""'"�..�-' -^y.-+-.C.. l:.-' �"
• x
NOTE:
With proper validation
this form constitutes an
encroachment permit
9
V
CITY OF LA QUINTA
APPLICATION FOR- PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OhTE 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
Subdivision Improvement Permit — Class I
DATE: May 17 , 1990'. Minor Improvement Permit Class IV '
. ' LOCATION.OF CONSTRUCTION move equipment '
(Street address or Description of Location)'
PURPOSE OF_CONSTRUCTION Sketch (attach construction•plans if appropriate)
DESCRIPTION OF CONSTRUCTION A91 r no7,or
h.g; n n n 1 h Q HAUL ROUTE : HWY U1 TO
WASHINGTON TO AVENUE 50 to PARK
DIMENSION OF INSTALLATION OR REMOVAL
PILOT CARS REQUIRED
SIZE OF EXCAVATION; IF NEEDED • `
APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL''DATE: May 18, 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)
• .z
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 allapplicable.rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work
I
Signature i f"A pplicant or Agent
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: -
438834 157
Contractor's License No. ' City Business License No.
Farmer Ins. Group 600221517
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III 10 4417-90 110 tAsli Y%rAL0
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs ' o
Minor Improvement Permit—. Class IV.: See attached schedule
Inspection Fee $
' Permit Fee 10.00.,
Penalty
Cash Deposit -Surety Bond
if required.
TOTAL: $ 1 n 4a
Receipt No.
Received by Date
Recorded by
- U 6.111
PERMIT VALIDATION
PERMIT N.O. 0644
DATE APPROVED 5/17/90
EXPIRATION•DATE 5/18/90
DATE ISSUED— 5/17/90
By
Administrative Authority
V
TELEPHONE: (619) 564-2246
f;a�.`t.,,.i?Lr-:ie'.CS�'4ui.:�'k.w..RYt,'sa �vVyiy.,f' `r'(1'_,..fre r-^..�.-`lvyK_n'_'+^>-,.'rz,N:.:',i.i;:;,f..+.f'-a+:.�»...1.M-w+`d`:.1v..7�.-vs�'�-.i+..:....:l►i-�,.w.re,�......NF..:�..r^'�%�;:'$'.14..wt:,.,. �.�:+•'
r•:a�.r..�'t.`%t+►.Kc+.+rfec�r.:��irt�$cv.ilw:.-.r.�'�.. a.. r. s'e y�.i.. ...a:.�..w.�.. w r r..,.aw w — --.r.—. w-.er.-w .m w..c. w i-arr ri.►�.. r. r .r. r ww.-w ...a-r..� ..s•o.. �. �.-'w. rr'•
� 9
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
Subdivision Improvement Permit — Class I I I
DATE: May 17, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
Sketch (attach, construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 82A r Dn7ar
1 3 r C)"w; 1 �' h A 7; D n n 1 hs; HAUL ROUTE: HWY LLL TO
WASHINGTON TO AVENUE 50 to PARK
DIMENSION OF INSTALLATION OR REMOVAL
PILOT CARS REQUIRED
SIZE.OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL DATE: May 18, 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 resultlof this work.
gnature of'Applicant or Agent
—811 Country Club DrJ Bermuda Dunes. CA
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.
438834 157
Contractor's License No. City Business License No.
Farmer Ins. Grouo 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
10.00
TOTAL: $ 1_f) - ()n
Receipt No.
Received by
Recorded by
Date
Wia'CAW4 �4AI�1?�'�� ���90 io n t)I}it�
N2 0644
PERMIT VALIDATION
PERMIT NO. 0644
DATE APPROVED 5/17/90
EXPIRATION DATE 5/18/90
DATE ISSUED- % 5/17/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permiy—j
0.
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
ains-and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III
' DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION, OF CONSTRUCTION ' DIMEN 19,N OF IN TA� I_A ION 0 REMOVAL Gr
�.. .}
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5 - I h
APPROXIMATE TIME OF COMPLETION `
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 m
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. 124) 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 allapplicable rules and .regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
y ,
Signature of Applicant or Agent -
.Name of Contractor and Job Foreman Business Address. Telephone No:
Contractor's License No. City Business License No.
Ca CICO D D 1517
Applicant's Insurance Company "Policy Number
FEES: Subdivision Improvement Permit -Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimatedconstruction costs �T'
Minor Improvement Permit Class IV: See attached schedule l�
Inspection Fee $ II ; PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No. '
Received by Date
Recorded by
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
'
Administrative Authority
TELEPHONE: (619) 564-2246