0687aiCr•w "°th`' .fi'c,��".,•r'(-'�sxJ�'"'M'��` a++'�; ;y8�',�•v^�t"^�'',�' `1i�.J'++� �y',�''^..:'� `iRS'!�''W„�.,'.`�� �" a..�'.ez`'n�. ,,,�4,,ie1
NOTE:
Withproper validation' Q' ,
this form constitutes an
CITY OF LA QUINTA
encroachment permit �'• r,
APPLICATION .'FOR' PERMIT Z$
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
'roF I�
ONE .TRIP OVERSIZE LOAD PERMIT �
i
'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,
t Subdivision Improvement Permit'— Class l II
DATE: Jiina . 7 F 1 Qc)n Minor Improvement Permit Class IV �
LOCATION OF CONSTRUCTION i f
(Street address or Description of Location)
} PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
. f
DESCRIPTION OF CONSTRUCTION '
DIMENSION OF INSTALLATION OR REMOVAL 16G Blade
1 1 , Fh; TC'.w°w, 83. r,0Q Alb-, HAUL . ROUTE:HWY :lll -and
Washington; south to Ave. 52 east
SIZE OF EXCAVATION, IF NEEDED 1/4 mile r
P E TIME WHEN WORK WILL BEGIN
A PROXIMAT GIN
HAUL DAY: f June . 8 , 1990 •' ,
APPROXIMATE TIME OF COMPLETION t
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 grariting .of this, permit, the. applicant hereby agrees to:
Indemriify,-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 andtto pay for any additional replacement necessary as the result of this work.
-
c li 0,�� -
' �S gnature of Applicant or Agent ;
Nn vo Engineering 79-81.1 Country Club, Bermuda- Dunes, "CA 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%,License No. { ' City Business License No. ,
on file f '
Applicant's Insurance Company Policy Number '
FEES: Subdivision Improvement Permit — Class I I I005lg� 49'' 05-07--90 f 0
Public improvements:. 3% of estimated construction costs 0 T GAS'M TOTAL 1 10.00
Private'. improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION y
Permit Fee D = DD t PERMIT N0. 0687•
Penalty DATE APPROVED 6'/7/9.0 E
Cash Deposit -Surety Bond „
if required EXPIRATION DATE 6/8 /9Q
TOTAL: $ 10.00 ;
DATE. ISSUED °6/7/90. '
Receipt No. `
• By,.
Received by Date Admiriistrative Authority
.Recorded byTELEPHONE: (619) 564-2246 '
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DATE APPROVED
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i
6/8/90
DATE ISSUED
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�IF
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� -W M� W r .i rw. W r W.ri M Y M iu.'.�'Mf w� �Ir sr Y` w. Y� W wu it ar. o.. wF. .Y 'wL �i wti. w r�'r �►-M Y. w r VAS +Y. •¢.
4 4
Administrative Authority
M
.1
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 II I
DATE: Jiiiri= 7 _ 1 QQn Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION *+sn+nrngan4-
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 1.6G Blade
11 ti" h. 1(116"w; 83;500 lht; HAUL ROUTE: HWY 111 and
Washington,. south to Ave. 52 east
SIZE OF EXCAVATION, IF NEEDED 1/4 mile
APPROXIMATE TIME WHEN WORK WILL BEGIN. HAUL DAY: June 8, 1990
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Includ.ing 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 Encineerincr 79 -811 -Country Club, Bermuda Dunes•, CA 345-1778
Name of Applicant (please print) Business Address Telephone No.
P.iconi 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 •� ¢� 7--y'+ i0
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
Recorded by
Tp5 Ill'' 14916TAL, _r i0. oG
068?
PERMIT VALIDATION
PERMIT NO.
0687 -
6/7/90
DATE APPROVED
EXPIRATION DATE
6/8/90
DATE ISSUED
6/7/90
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper.vaiidation
this form constitutes am,
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
' ^
�r O q ' � o Subdivision Improvement Permit — Class 111
DATE: l ` - `' `Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 0 v�" �� e"�1
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DI �N I N Ff. INST AT N OR REMSVAL
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION L'� O
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:
�AS V.y M I ��e_
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or lou 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 pursuantto 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, 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.
Contractor's License No.
Business Address
Telephone No.
115- ri
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
Recorded by
N�
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED "
By
Administrative Authority
TELEPHONE: (619) 564-2246