0750� � .. 'lall
�.1 `^j �•+/ -/ .ie��� ey �U<. Sti4`
�v 1. �-1
-fv J' v.. .., �a���.� ��KM /` �.p` v�rq=�„?�
_.7,- i � fir. � �
� ,._.v?
t-FaM•r.�Y'iV7.y1""'i'f4�t'��"���[]�-.fq.�T'tSC-Y!i-f+ r• ✓1
r -w .. r•.�
— � ..—. -, w �� �. r r:.�T..r wY r r.. W T�ir.lw'� T r-�r. .r u.. wr �w y
r ..� r r r r r r r ,
.NOTE: .
With proper validation
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
July 24, 1990 Subdivision Improvement Permit — Class III
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 Cat 623 B scraper
14' %, 12'w, 119,138 lbs HAUL ROUTE: WASHINGTON AND FRED
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/24/90
APPROXIMATE TIME OF COMPLETION 7/24/90
.
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling; com
d I tf d/ I ' :, t)
WARING SOUTH TO - AVE . • 5.2' 1 mile
east on Ave. 52
07").105i, iARH i070TALy 490 SO.��o,
paction an p ac ng permane" resur acing an or rep acing i provemen s
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-
Nueovo Engineering In. 79--811 Country Club Bermuda Dunes 345-1778
Name,of Applicant (please print) Business Address Telephone No.
r� Piconi Trucking
Name of Contractor and Job Foreman Business Address Telephone No.
on file on f ile
Contractor's License No. City Business License. No.
on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs '
Private. improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 10.00
Received by Date
Recorded by
aV- U 10"
PERMIT VALIDATION
PERMIT NO. 0750
DATE APPROVED 7/24/90
EXPIRATION DATE 7224/90
DATE ISSUED /'7/.24/90
v Administrative Authority
TELEPHONE: (619) 564-2246
1. a '1;; • ' . I ._ .' .� • ^ i- � , .. ":f3t•/.1':Y ,. - . Ali.. ...l "r!.^ "^kms � 1. ..v - v .. •.^Y• • .•. -
� � - ,y �. (�V.+-•f+s`q!.-r»+r r`+ � w � r... .. w a. a ww, s«rr..i.... qr r w w. ew .r r -w .i. w ao• e..h rte.. r w. v. r w s .rte e� u.-�. r'w �. -.: t�w'r-i -,
A�
A.
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP OVERSIZE LOAD PER2XIT
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: July 24, 1990
LOCATION OF CONSTRUCTION
move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION —
DESCRIPTION OF CONSTRUCTION cat 623 B scraper.
14' k, 12'w, 1.19,138 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/24/90
Subdivision Improvement Permit —,Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE: WASHINGTON AND FRED
WARING SOUTH TO AVE. 5� - 1 frrjile
east on Ave. 52
?8"'1& TAL. I . , v ' ' 10.00:4
iO
APPROXIMATE TIME OF COMPLETION 7/24/90 r t
ESTIMATED CONSTRUCTION COST'$
(Including removal of all obstruction, materials, and debris, backfilling, com-
",`.
paction and placing permanent resurfacing and/or replacing improver5r ents)
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 time4wh'en 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_reesult of this work.
Signature of Applicant or Agent
Nueovo Engineering In. 79-811 Country Club Bermuda Dunes 345-1778
Name of Applicant (please print) Business Address Telephone No.
" 1-4- Piconi Trucking
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file
Contractor's License No. City Business License No.
on file
Applicant's Insurance Company i Policy Number
s - L
FEES: Subdivision Improvement Permit —Class Ill
Public improvements: -3% of estimated construction costs
Private improvements: A of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10 . b.Q _..
Receipt No.
Received by
Recorded by
Date
No 0750
PERMIT VALIDATION
PERMIT NO. 0750
DATE APPROVED 7/24/90
EXPIRATION DATE 7224/90
DATE ISSUED /7/24/90
By A•/;.>! -•-•a
Administrative Authority
TELEPHONE: (619) 564-2246
W