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0689
4�- .+ti+y.►f - w.. ..... - w - - - r - - - r..�+ 7F' ` 100 NOTE: With proper validation ' this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP BVERSIZE 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 PATE: Minor 8, 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 .623 B Scraner ?•141h 11'10"w, 119.138 lbs HAUL ROUTE: HWY. 111 South to Avenue 50 east 1/4 mile DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED Haul Date: June 11, 1990 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: na _ 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 Ouinta and to pay for any additional replacement necessary as the result�of this work. i Signature of Applicant or Agent } d Nuevo Engineering Inc: 79-811 Country club Bermuda Dunes -345-1778 Name of Applicant (please print) Business Address Telephone No. John Piconi Name of Contractor and Job Foreman Business Address a -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 q4' pp pp Public improvements: 3% of estimated construction costs ©p 518,1 49TOTALri8 ,90 10.0010 Private improvements: 3% of estimated, construction costs Tp 0689 Minor Improvement Permit — Class IV: See attached schedule N Inspection Fee $ Permit Fee 10 00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 1 o - on Receipt No. Received by . Date Recorded by .PERMIT VALIDATION PERMIT NO. 0689 DATE APPROVED 6/8/90 EXPIRATION DATE 6/11/9.0 6/8/90 DATE ISSUED By .. Administrative Authority TELEPHONE: (619) 564-2246 - - r . -.. -_A - _ _ ' _- ... ;a 5 �.ar.►`Ck..M•+•s+�rv+a ,•r1eM'�+.-�✓�•+n w. �. �. i... w r .+ — r — — — r w .iw — — — r — — w w — — — r ....�. r .. r w .r r r w +. �..r w. r r.•e. e�r w 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 DATE Jun& 8, 1990 LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION 623 B 1;r-raner 141h, 11110"w. 1.1.9. ]- 3 8 lbs DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit —Class II I Minor Improvement Permit Class IV Sketch (attach'construction plans if appropriate) HAUL ROUTE: HWY 111 South to Avenue 50 east 1/4 mile Haul Date: June 11, 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 Inc. 79-811 Country club Bermuda Dunes 345-1778 Name of Applicant (please print) Business Address Telephone No. John Piconi 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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No Received by Date i'00Si.%N V191.18-90 10.0010 N TO 0089 PERMIT VALIDATION PERMIT N0. 0689 DATE APPROVED6/8/90 EXPIRATION DATE 6/11/90 DATE ISSUED /r, 6/8/90 By Administrative Authority Recorded by TELEPHONE: (619) 564-2246 ' i-1 - +c r `. w y ,, • u v .» ' » n W� ` . Y' � ` ," '�` 1, • ,4-. -14 3°' N'NUEVO ENGINEERING, INC. r c'79-811 COUNTRY CLUB. DR. 'PH. 619-345n--1778 .sem / lL q,O 90-288 .Y 1222 _ BERMUDA DUNES, -CA 92201. j 19 4 ' PAY TO THE 04 $ �I lJ r s OR ER OF r r a r 6t DOLLARS 'Indio Office ' %fTtSY' ' 45900 Fargo St . Indio, CA 92201 w 000 LLl. 3�i' : l::L 2 2 20 288.31: 0_-A93 --94399 80 THIS CHECK IS DELIVERED FOR PAYMENT ON THE ACCOUNTS SHOWN ABOVE..., ,. ♦ » - ` "• ._', ' . 'tip � `• of .. ' •. , Y �- -• .. NOTE: With proper validatdorr�. this form const,-.tutes 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 j� Subdivision Improvement Permit— Class 111 DATE:-- Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (street address or Description of Locationl PURPOSE OF CONSTRUCTION Sketch la,ttach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION 9FDISTA I ,�LLON. R EMOVALA�— y� ry ,j -ie SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION [at 1111) 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 4241 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-, 7.9-811 Country Club, Bermuda Dunes 619-345-1778 Name of Applicknt 1please print) Business Address Telephone No. Name of(Contractor rand Job Foreman Business Address Telephone No. `7 �� b�t S7 Contractor's License No. City Business License No. Applicant`s Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule lr Inspection Fee $ II PERMIT VALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246