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0660NOTE: With proper validation this form constitutes an encroachment, permit CITY OF LA, QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP OVERSIZE'LOAD 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: Mav 23. 1990 LOCATION OF CONSTRUCTION move eauiDment Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DBD dozer 101h. 11110w. 75.000 lbs HAUL ROUTE: HWY 111 to Washington tOalAVEN 50 toeast t, DIMENSION OF INSTALLATION OR REMOVAL, Par$ Haul Date: May 24, 1990 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN,WORK WILL BEGIN C I-% A I^^ 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 resultAof this work. ,t Signature'ojApplicant or Agent Nuevo Enaineerinq 79-811 -Country Club Dr. Bermuda Dunes., CA Name of Applicant (please print) Business Address Telephone No. Pzconi Truckinq 39723 Old Carriage Rd. Murrietta, CA Name of Contractor and Job Foreman Business Address Telephone No. 9:38834 on file Contractor's License No. City Business License No. Farmer Insurance Group 600221517 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III ' 005iB2 10 46?7 05-23--90 i(1 Public improvements: 3% of estimated construction costs io CASI i ! (.) fAL i i (IF Private-,I�mprove ments: 3% of estimated construction costs NTS, 0660 6 Ve 0 Minor Improvement Permit — Class IV: See attached schedule v Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: 10.00 $ 10.00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 0660 DATE APPROVED 5/2R/90 EXPIRATION DATE 5/24/90 DATE ISSUED 5/23/90 By4, ,_ V.. - �, � Administrative Authority TELEPHONE: (619) 564-2246 NOTE: ir With proper.validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP OVERSIZE LOAD 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: Mav 23, 1990 LOCATION OF CONSTRUCTION move eQuii meat (Street address or Description of Location) PURPOSE OF CONSTRUCTION i Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION oozer 101h. 11110w. 75.000 lbs HAUL ROUTE: Washington DIMENSION OF INSTALLATION OR REMOVAL Parllf SIZE OF EXCAVATION, IF NEEDED I HWX 111 to toaAVEN 50 toeast to Haul Date: May 24, 1990 APPROXIMATE TIME WHEN WORK WILL BEGIN 6 1n A I Q n j 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`tof this work. 1 1 Signature (Applicant or Agent Nuevo Engineering 79-811 Country Club Dr. Bermuda Dunes, CA Name of Applicant (please print) Business Address Telephone No. Piconi Trucking 39723 Old Carriage Rd. Murrietta, CA Name of Contractor and Job Foreman Business Address Telephone No. 438834 on file 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 Minor Improvement Permit -Class IV: See attached schedule Inspection Fee $ Permit Fee 10.00 Penalty 11 Cash Deposit -Surety Bond if required TOTAL Receipt No. $ 10.00 Received by Date Recorded by 0 518CA4 116T(11A�i-23-90 it7�00i0 0660 PERMIT VALIDATION 0660 PERMIT NO. DATE APPROVED 5/243/90 EXPIRATION DATE 5/24/90 DATE ISSUED 5/23/90 By 11 `"'Administrative Authority TELEPHONE: (619) 564-2246 NOTE:. • '"` With proper449lidation this form constitutes an CITY OF LA QUINTA 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 A'sSubdivision Improvement. Permit - Class III DATE: — Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION L&2LLAL LLOJ (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION -OF CONSTRUCTION DIMENSION OF 1,�PT LLATION OR REMOVAL ��� LL�i �1, _ s ta SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ~ . 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 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 U Quinta and to pay for any additional replacement necessary as.the'result of this work. Signature of Applicant or Agent Name of Applicant (pleas print) ► - - ' Business Address _ Telephone No. - Name of Contractor and Job -Foreman Business Addressellen hone No. �3- Contractor's License No. City Business Lice a No. 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 r NO Minor Improvement Permit - Class IV: See attached schedule lr Inspection Fee $ PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by uneS PERMIT NO.. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246