0678wa.�v:+�ca4:aw-r.�.7�+,�-i.-t�"raw+�:-..s^+.wro-. w�..... o-..� ..w,.,.....r..� ..r �...o...�.....:..- w...`..+.n c.� v w �+. we�,C .�-..ar w ..._ ..:.� ,ar.a,.w;-.r ..._ww r.w:i �. -+.�..-.. .........� ....a..�..►..�....� ,...,.
NOTE:
With proper validation
this form constitutes 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
June 5, 1990 Subdivision Improvement Permit — Class II I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION roirn. enon.4,pmnn
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Opt- G71 D g;L=. r�p+c,r NkUL ROUTE, ZIASHINGTON SOUTH TO
14' h, 121 w 119138 113 _ _ __ ���,�
hvcnuo 52 1 mile oast on Ave. 52
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED 100�� S �%TKT-90 i0.00i4
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/6/90 1�OVE OZI funic 6, 1990 only
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
Nuovo Engineering 79011. County Club 2cmauda Duncs 345-1.778
Name of Applicant (please print) Business Address Telephone No.
Dalton Trucking 13560 t1hittman Fontana CA X2335
Name of Contractor and Job Foreman Business Address Telephone No.
on filo CA f ilc
Contractor's License No. City Business License No.
Famc2rs Ins. 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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
10.000
$ 10.00
Received by Date
PERMIT VALIDATION
PERMIT NO. 0678
DATE APPROVED 6/5/90
EXPIRATION DATE FOOD
DATE ISSUED 6/5/90
-11-221
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
.�`We'rF�✓', •",�..t4 -is7.. .:"'Y�-..til-�t�nJ' '8;.:�. 0' �" ti:+s.sv""�`✓.r. .,}. ...`. �•.F.•,.-t: .�r+W'.-:1:�.L". .r 3� e :.�+.?..+oi`p,,•
- +� +" Fes,. W ; b .r. r .n r..Fw w 'ci r.N. r .i 4 W- W"r, w :w M ri rl Yi. � r w� uo w .V• r. M YM. �►.w...rw�"w. r,. K •�f �w-O�'-r ^ab'+'
- nl
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
r '
z
'N June 5, 1990 Subdivision Improvement Permit— Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION Cat 991 R cCrane,r
14' h, 12' w 11913.8 lbs `
Sketch (attach construction plans if appropriate)
HAUL ROUTE: WASHINGTON SOUTH T0;
Avenue 52 1 mile east on Ave. 52
DIMENSION OF INSTALLATION OR REMOVAL
at)5ic3'� ia 8 06—?5-90 14
-SIZE OF EXCAVATION, IF NEEDED 0 CASH I ALgp+aa
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/6/90 MOVE ON June 6, 1990 only
s
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
y (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 Qui6ta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
Nuevo Engineering 79811 Country Club Bermuda Dunes 345-1778
Name of Applicant (please print) Business Address Telephone No.
Dalton Trucking 13560 Whittman Fontana CA 92335
Name of Contractor and Job Foreman Business Address Telephone No.
on file m file
Contractor's License No._ City Business License No.
Famlmers Ins. 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 �C n
Minor Improvement Permit — Class IV: See attached schedule N2 V 6? 8
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
'TOTAL:
10.000
$ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 0678
DATE APPROVED 6/5/90
EXPIRATION DATE 6/6090
DATE ISSUED 6/5/90
By-f7t/ .5 ��• r
Administrative Authority
TELEPHONE: (619) 564-2246