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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