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0686|NOTE: With proper validation. ` this form constitutes an ' encroachment permit ' CITY OF LA QUU(NTA ^ . � APPLICATION FOR PERPNUl[ � PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) �_�� _�� . O0� ��If`,O\/��8I�I] �Q2�Q �I�B�[[�� 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 June 7, I990 . . .' . . Subdivision Improvement Permit - Class ||| _-__--_--_ Minor Improvement Permit Class IV ' LOCATION OFCONSTRUCTION move equipment (Street address mDescription mLocation) ' . ' PURPOSE OF -CONSTRUCTION Sketch (attach construction p|ons ifupp,op,iate) DESCRIPTION OFCONSTRUCTION 02�B �� . �I ~'--'- 'B��UL. . : AVE. 53 to VVao]� north-tO Bwm/ Ill 'ZEOFK '|FNEEDED , . , 'Pilot car z ' ired APPROXIMATE TIME WHEN WORK WILL BEGIN - ' APPROXIMATE TIME QpCOMPLETION ` HAUL DATE: June 0.,. I990 . ESTIMATED CONSTRUCTION COST m (Including removal of all obstruction, materials, and debris, b=okfiUing'com- paction and placing permanent resurfacing and/n, replacing improvements) ' ' . . |n��m�n of t� granting of �i, permit, the ��i�� hereby �m� m�- ' ' . Indemnify, uofe4ancl save the city, its, authorized agents, officers', representatives and employees, harmless from and against -any and all, ' nonvmvs, liabilities or loss msumxn from o|uimx o, court action and e,/un« out of any accident, loss o, damage to persons ,r nmnnrtv oxvnonmn or vvuumnn as uproximate result of any work undertaken under the nan*it granted pursuant to this onnmuuvn. ^ ' . Notify the Aumimmrxxm Aumvnn/ at /oa�twenty-four (24) hours in advance»f the time wm=wompxx be started. Comply with m| applicable City o� ' the terms and conditions of the permit and all applicable rules,and regulati ' of the City of ' La ou/nta and to pay for any additional replacement necessary asttie result of this work ' ` ^ ' ^ iqgazun�cn*pp /oa,uov*gonz Nuevo Engineering . ' I Iub 345-1778 - '�f Applicant(pleaseprint) Bus'i-_ness�- Address . Telephone No. -. 'Pidoni Trucking Name of Contractor and Job Fnmman Business Address � Telephone No.- . . . . 438834 I57` Contractor's License No. ' City Business License No. On file N Applicant's |nsui,anooCumpuny Policy Number 1� 0. N~` FEES: Subdivision |m nt'Pe,mit Class U| Public impvovomonto: 3&ofestimated, construction 000m Privateimprovements: 3& of estimated construction costs . ` . Minor Improvement Permit Cb,o |V See attached schedule . Inspection Fee ' $ Permit Fee 10 Penalty . ^ ' Cash Deposit-SumtyBond ` if required TOTAL: $ 10.00 ` ` Receipt No. ' Received by ' Dote ' U Recorded by n � 9 R6-07-90 10 - ' �u*Y- -�i iO.0O ��~ PERMIT VALIDATION PERMIT NO. . . DATE APPROVED 6/7/90 � EXP(RATKJNDATE p DATE ISSUED 6/7/9O By Administrative Authority TELEPHONE: (619) 564-2246 �,+�r f"-•il��-.. J," 't. ,. >^y` � .+ " '7iL7\tJ"`-`_ _ �'^�'.�l.,ir#`+-i �.=.:+", � - i. —+. -'' ... _ ,�..r ri � § r....,t.•..,M � `7C "" 7 J"^iyw '...w -...d? � w .� �`"+,� -' a- .. :"�.. _._ . � 9 +++w"."c"►'n'�^CiK.v're'�t..�vw .r. Y. w .i.:a, r w r .r ay. •.r'r a. .,,::-.....�.. �a -r r r w w .. 6 a. •-r.w..� +r r..a ..:.-a. +r .. w..w-r-w:5w,w .. wi-ro �i►'v, i\�. NOTE: With proper validation Q' this form constitutes an encroachment permit CITY OF LA QUINTA 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 7, 1990 Subdivision Improvement Permit — Class II I DATE: 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 DIMENSION OF INSTALLATION OR REMOVAL 824B Dozer 1319"w, 131H 97,000 lbs HAUL ROUTE: AVE. 52 to Washington north to Hwy 1.11 SIZE OF EXCAVATION, IF NEEDED Pilot car required APPROXIMATE TIME WHEN WORK WILL BEGIN 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: HAUL DATE: June 8, 1990 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. I r r Signature of Applicant or Agent Nuevo Engineering 79-811 Country Club Dr. Bermuda Dunes 345-1778 Name of Applicant (please print) Business Address Telephone No. Piconi Trucking Name of Contractor and Job Foreman Business Address Telephone No. 438834 157 Contractor's License No. City Business License No. on file 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 TOTAL: Receipt No. Received by 10.00 $ 10.00 Date Recorded by 4 t f 8 g 0TAG�.-17-90 i0.00t0 PERMIT VALIDATION PERMIT NO. -0686 DATE APPROVED 6/7/90 EXPIRATION DATE 6/8/90 DATE ISSUED / 6/7/90 By A Jf1 Administrative Authority TELEPHONE: (619) 564-2246 NOTE: • WitKipropar validation this form constitutes an CITY OF LA QUINTA encroa hfnent 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 1 n O Subdivision Improvement Permit — Class III DATE: 1 `� M nor Improvement Permit Class IV LOCATION OF CONSTRUCTION ov XD (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATIOI .OR REMOVAL o "A q4 000 lba SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN t6 ) Q!gti S Q Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ f (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 erising 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 all applicable rules and regulations of the City of La Quints and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman q, llT3 Contractor's License.No. Business Address Telephone No. 151-1 City Business License 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 Minor Improvement Permit — Class IV: See attached schedule' Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond If required TOTAL: Receipt No. Received by Date N° PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246