0675r,
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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 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
June 1. , 1990. Subdivision Improvement Permit — Class II I
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 cat D81 Dozer
1219H, 1318" w, 131730 lbs HAUL ROUTE: HWY LLL to
Washington Street to Avenue 48
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED Pilot CLAY' required, signage
WIDE LOAD REQUIRED
APPROXIMATE TIME. WHEN WORK WILL BEGIN
HAUL DATE: June 41 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 result ,of this work. /
Signature of Applicant or Agent
Nuevo Engineering 79.811 Country Club Dr. Bermuda Dunes, CA
Name of Applicant (please print) Business Address Telephone No.
Ke mmis
Name of Contractor and Job Foreman Business Address Telephone No.
438834 157
Contractor's License No. City Business License No.
Wilshile Insurance on file
Applicant's Insurance Company Policy Number
t 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
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
PERMIT NO
0 50F& i79a04TAL11~94i0.p010
0075
PERMIT VALIDATION
0675
DATE APPROVED ti /I cl B
EXPIRATION DATE 6/j/90'
DATE ISSUED- 6/1/90
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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+i1�:e{i�+►n:4ufif{57stirs:^ee.•�:... w .r. w_ a. u► «« .., .:.:.«. w �.. a..�..+;.•r.'c:..a. .0 :a •...'a:. .r ... r. .s.-c..a. c. «-w' n.:.�..... .. w�•w..,q,,,'�,,. „�,�,.,q,,..,r,��b•�„ �, .,�;;..,r.,a,./„
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
June t, 1990 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 cat D81 Dozer
12''9H, 13'_8" W, 131.730 lbs HAUL ROUTE: HWY LLL to
Washington Street to,Avenue 48
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED Pilot car required, signage
WIDE LOAD REQUIRED
APPROXIMATE TIME WHEN WORK WILL BEGIN
HAUL DATE: June 4, 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 undertakenunder 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 Ouinta and 'to pay for any additional replacement necessary as the result of this work.
+ Signature of Applicant or Agent
Nuevo Engineering 79-811 Country,Club Dr. Bermuda Dunes, CA
Name of Applicant (please print) Business Address Telephone No.
Ke' •mmis
Name•of Contractor and Job Foreman Business Address Telephone No.
438834. 157
Contractor's License No.. City Business License No.
Wilshi. a Insurance on 'file .
Applicant's Insurance Company Policy Number
ion Improvement Permit -Class III
•FEES: Subdivis
005182 1a' 4798 06� Qi -94 10
Public improvements: 3% of estimated construction costs 10 ,CA N i T TAL 1 �0•(�Q ''
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule N. 0675
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10.00 0675
PERMIT NO.
Penalty6/1/00
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE 6/A/90
TOTAL: $ 10.00 6/1/90
DATE ISSUED-
Receipt'No.
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
I
139
NUEVO ENGINEERING, INC..
79-811 COUNTRY CLUB DR. PH. 619-345-1778
BERMUDA DUNES, CA 92201
90-288
"� O
1-
19n 22
PAY TO THE
ORDER OF
j h�
$ I (J
/100
DOLLARS
�Ti7lst Indio Office
45900 Fargo SL
Indio, CA 92201
IIm000L39ii' tel:1,2220288D: 0369439911'80'
THIS CHECK IS DELIVERED FOR PAYMENT ON THE ACCOUNTS SHOWN ABOVE.
I
NOTE:
With proper validation
this forrn.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
Subdivision Improvement Permit — Class 111
DATE: 19D _ . Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate!!)
DESCRIPTION OF CONSTRUCTION �j l 1r
j -t -6:r) .
D,IMP ION OF IgSTALLATION OR REMOVAL ��
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION (01
' 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 tti`e" granting of 'this permit, the applicant- hereby agrees to:.. ry
'Indemnify, defend and save the ,City. its authorized agents, officers,'representatives and employees, harmless from and againstany 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 pursuarit•,to this application.
Notify- the. Administrative Authorityr 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
y :La Quinta and to pay for any additional replacement necessary as the result of this work'.'-.'
-
Sign' ature.of Applicant or Agent
1 nv'h�i r�t' C1► In t`�r
Na �,e_of Applicant (please print) Business Address Telephone No.
e min �
Name of. Contractor and Job Foreman . Business Address Telephone;No:
Contractor's License No. City Business License No.
-Apgg Policy Number
FEES: Subdivision Improvement Permit - Class III •.
Public improvements:. 3% of estimated construction costs .
Private improvements: 3% of estimated construction costs _ � TO
Minor Improvement Permit — Class IV: See attached schedule .: j�'
Inspection Fee $ PERMIT. VALIDATION
Permit.Fee PERMIT N0.
Penalty, DATE APPROVED,
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: $
Receipt No.
Received by Date
Recorded by
DATE ISSUED
•
Y
Administrative Authority
TELEPHONE: (619) 564-2246