Loading...
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 ' �yv:'rr::., ,--r. air .iti. �"'y,..- - "w+r.. .. ^:.. '�''- -,AVL.-.1'.-r.11.��. � ...- .-,_.-..--;,s.�f:ti-., .. �,_ _w....,.•✓..�-.r�...si-�+' .4t-+...A,j„i;,�. .,.:.a-�.,._ �--.... 4-•.-+.:...._i ��_ DATE APPROVED y i 6/8/90 DATE ISSUED t1tt+ �IF .. .. .. '��'�'4'•!!'�=''r � -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