0647ty`'i9yr�.+."�e++rpt.w'v•vw+f'•,.:p"a�i7":,7•".tb�"-..'•yNiJ•d•T4'isr!O'•r`.",^�:'iW}yl
^."'.+"'�•�'COY!'1•a��:�'F'••Mi•Iwr-rw-YY�'r -I:w iY M r� .....�..w � ter.. :►• �• �.. r.�..a w..rr r �: r i 4� w .Y:.S
r
NOTE:
With proper"validation
_ this form constitutes an°�
encroacfiment permit
CITY' `00 .LA QUINTA
APPLICATION FOR PERMIT -
,'� PUBLIC WORKS CONSTRUCTION '.(ENCROACHMENT)
0
•` . ONE TRIP .OVERSIZE ' LOAD 'PERMIT
For the' construction of public or private curbs,t 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: rR�. .� Minor Improvement.Permit,Class`IV
f '
LOCATION,OF CONSTRUCTION moye.equipment � �- *♦ ♦ '•
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach` consiruction`plans:if appropriate)
DESCRIPTION OF CONSTRUCTION Aat' 623 scianer. y M
1_41h, '11" 10"w-5- 119138 lbs' HAUL ROU.TE:. - HWY 111. to'
Washington 'to Aventie 50-'to-Park
DIMENSION OF INSTALLATION OR REMOVAL'
SIZE OF EXCAVATION, IF.NEEDED
APPROXIMATE TIME WHEN-WORK,WILL-BEGIN -5/18/90 y'•' "° `
APPROXIMATE TIME.OF COMPLETION e • }
' • 'ESTIMATED'CONSTRUCTION COST:$' t
'(Including removal.of all obstruction, materials, and debris, backfilling; com s'
paction. and placing. permanent; resurfacing,. and/or replacing improvements) .
In consideration of the granting of this permit, the applicant hereby agrees to.
' Indemnify, defend and save the City; its authorized agents; officers representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting ,from claims or'court action and arising out of any accident, loss ordamage to persons'or, property
happening or; occurring-as•a.proximate result of any work undertaken under'the :permit granted pursuant to this application: "
?Notify the Administrative Authorityat least twenty-four (24) hours,in'advance of the time when work will'belstarted. '
Complywith'all applicable City Ordinances the terms a;d conditions of the permit a,d all applicable rules and regulations of the City of
± La Quinta and to pay for" any additional replacement necessary asothe�resuN of this•work. I
" �° •�J SignatureMof.Applicant or Agent
Nuevo. Enainseriri79 811luB
a ,S• =,' Country Cb uda' Dunes, CA
Name of -Applicant (please print) Business Address Telephone.No:
Picone. Truckincr 39721" Old:Carriage R.
, Murri6ta;"CA• '
Name of Contractor and Job Foreman, Business Address 3`Telephone No.
438834
Contractor's License No. City Business License No.',
Farmers-Ins. Group � � + � 600221517
Applicant's Insurance Company Policy Number. "
FEES: Subdivision'lnii rovement Permit,' Class III. • ' �' "
0011 "' 0 4 5-17-90 W
Public improvements: 3% of estiriated construction costs ` . ` "' i0�iH i TiTAL• 1 10:00. ,
Private improvements: 3% of estimated construction costs y
. " Minor" Improvement Permit — Class IV: See attached schedule
-Inspection Fee '$ PERMIT VALIDATION.
Permit Fee • s' ] 0` 0 0 _
,: PERMIT NO.. 0647''
Penalty
Cash Deposit Surety Bond DATE APPROVED-x5/17/90
if required w EXPIRATION DATE 5/18/90
r 4
TOTAL:. $ • i n _ nrl 1,7 96
DATE ISSUED 5/I /
Receipt No. /
t '�,; • By ,
Received-by Date Administrative Authority
Recorded by'
TELEPHONE: (619) 564-2246
«+,-�++N�a�!e�!'�`�!4 [e�i.�.t^f.ti�w^N�-�....8. 1•• �• w %,+�. � � .1. w. r _.. +p ..b iN «. Y•r. .r.{r r .r +. 4 f+• ar wWi•� w r r rr s+••w w .......aw ^p: � a � 1i^e. M.'
r�
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 I1
DATE: M n 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 teat 623 scraner.
141h. 11110"w, 119138 lbs HAUL ROUTE: HWY 111 to
Washington to Avenue 50 to Park
DIMENSION OF. INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/18/90
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Includingremoval 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 AdministrativeAuthority 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 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. .
n
Signature )ofApplicant or Agent
Nuevo Enctzrieering 79-811 Country Club B�Quda Dunes, CA
Name of Applicant (please print) Business Address Telephone No.
Piconi Trucking 39723 Old Carriage R., Murrieta,_CA
Name of Contractor and Job Foreman Business Address Telephone No.
438834 157
Contractor's- License No. City Business License No.
'Farmers Ins. 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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
I
Receipt No.
Received by Date
Recorded by
005M J8 i4Q7��5C' 05-47-90 i9. t3Q 10
° 064r
PERMIT VALIDATION
PERMIT NO. 0647
DATE APPROVED 5/17/90
EXPIRATION DATE 5/18/90
} DATE ISSUED 5/17/90
11 --
By
Administrative Authority
TELEPHONE: (619) 564-2246
. - NOTE:
With proper validation,
this form constitutes an CITY OF LA OUINTA
encroachment permit' -
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: `�`� I I Minor Improvement Permit Class IV I...._.,_,�
LOCATION OF CONSTRUCTION
(Street address or Description of Location) V
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION l �.
i,
DI FAN'' $$ION OF INSTALLATION OR REM VAL
112, z2P I h5 � iq �1t . • tb ? �i CY.l
SIZE OF EXCAVATION, IF•NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5'
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
u �mCa (rY1Q i fna
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 111
Public improvements: 3% of estimated construction -costs -
Private'improve ments: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule N'
Inspection ,Fee $ I PERMIT VALIDATION
Permit Fee i
PERMIT NO.
Penalty DATE APPROVED
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED
i
Receipt No.
By
Received by Date Administrative Authority
Recorded by ' TELEPHONE: (619)564-2246'