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NOTE:
With proper validation 2
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
Subdivision Improvement Permit — Class I II
DATE: JUNE 7, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move equipment
(St er et address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL F7�R c,■ranor
14'h., 11'10w, 119,138 lbs HAUL ROUTE: HWY 111 and
Washington to Avenue 52,:east
SIZE OF EXCAVATION, IF NEEDED -1/4 mile.
APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL _DATE: June 8, 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:
r
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 Bermuda Dunes 345=1778
Name of Applicant (please print) Business Address Telephone No.
Pi'coni 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 Q05j•89 1 - 490 06-07-90 i0
Public improvements: 3% of estimated construction costs i0 ASH i 1arAL i So. 00
Private improvements: 3% of estimated construction costs q�
Minor Improvement Permit - Class IV: See attached schedule N2 0688
Inspection Fee $:
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No
'Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 0688
DATE APPROVED 6/7/90
` EXPIRATION DATE6/8/90
DATE +ISS UE i�
6/7/90
By—
Administrative Authority
TELEPHONE: (619) 564-2246
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NOTE:
With proper validation 4 Q'
this form constitutes an o
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
Subdivision Improvement Permit — Class III
DATE: JUNE 7, . 1990 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 F23R arrnPr
14'h, 11'10w, 119,138 lbs HAUL ROUTES HWY '111 and
Washington to Avenue 52, east
mile
SIZE OF EXCAVATION, IF NEEDED 1/4 m ,
APPROXIMATE TIME WHEN WORK WILL BEGIN HAUL DATE. June 8, 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 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
Contractor's License No.
157
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
1.
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
11
Receipt No.
10.00
$ 10.00
Received by Date
Recorded by
PERMIT NO.
q 518') 6-0
i " TAG ~i 7-p0 i0.00 10
. 06,88
PERMIT VALIDATION
0688
DATE APPROVED 6/7/90
EXPIRATION DATE 6/8/90
6/7/90 r'
DATE ISSUED�r
By
Administrative Authority
TELEPHONE: (619) 564-2246
LE
NOTE:.
With proper validation
this form constitutes an
encr';�cfiment permit
�& q
LO
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
Subdivision Improvement Permit — Class III
DATE: 1 ` O - -. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION V C(_S
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMESISION OF INSTALLATIOR REMOVAL
• 1". 1I138 lhs
Sketch (attach construction plans if appropriate)
w�,�F,•�.q`rblrlt-p fa�e.5�,
SIZE OF EXCAVATION, IF NEEDED
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:
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 1241 hours in advance of the time when work will bs 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 �(Iease print) - Business Address Telephone No.
C.ori� ri,�rt y -\i n.R
Name of Contractor and Job Foreman Business Address Telephone No.
752
Contractor's License No. City Business License No.
f
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
NO.
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By _-
Administrative Authority
TELEPHONE: 1619) 564-2246