0755NOTE: - �'a. • .
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With proper validation" 2
? ;this*form constitut s'a
�n
• ,'
encroachment permit CITY OF,, LA. QUINTA
w � �, > w ,,,, •- ' � �
- • APPLICATION FOR PERMIT' '
Y PUBLIC WORKS CONSTRUCTION' (ENCROACHMENT)
x * ONE' TRIP OVERSIZyE LOAD PERMITY' r
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'APPROV,ED.SUBDIVISIONS
l t 7 ' - 4 zr
All
L f
i • Subdivision Improvement Permit — Class III
I -
DATE:. Ju>>�,_'25'r 1990, _•, Minor Improvement Permit Class IV
,•,• '�' ti
'move 'equipment -
;LOCATION OF CONSTRUCTION
'(St eet address or Description of Location)
PURPOSE F C
5TRUCTION
Sketch (attach . construction'plaiis•if'appropriate) -.
DESCRIPTION OF ONSTRUCTION D6 2!,w h legal }
' :..(under•;14-' •80 ' 000" gw ►` c. HAUL RQUTE: •WASHINGTON'AND!'FRED
t WARING SOUTH TO Ave .' 48
A FON DIMENSIOINSTALLATION OR REMOVAL
�..p' w � T
A05i Q ' .035 07-25- 90 14
SIZE OF�EXCAVATION IF.'NEEDED _ �; OTAh 1. 10.00
,� "
S j ' Haul datesJuly, 254;'1990 �•
7 25/90 t
`'APPROXIMATE TIME WHEN WORK WILL BEGIN'-t',.•t r- ` ' `
'APPROXIMATE TIMEOF COMPLETION 7/25190 s ' _u -• ; _ •Y
'S ESTIMATED CONSTRUCTION COST .$ y r ;
`(Inctu#ding removal of a11Fob'struction,'materials, and'de�ris, backfilling; com ;• ' " ~`' , •'
'paction and placing• permanent resurfacing and/or' e*
Inconsideration -of the granting'of this permit,,the'applicant hereby, 'agrees to:
. J „j 'n.�.,S ,. ",P - ,. - .• .' a k•�.' . t �.a ��.y:F ` •++ a
Indemnify, defend and save the City; its authorized agents, -officers; rep�esentatives.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 -
f. happening'or occurring as a proximateAresult'of any. work, undertakeri'under.the permit granted pursuarit.•to•this.application.i.
r Notify the Administrative -Authority at least twenty:four (24) hours in..advance of the time when workwill be started..
!Comply with. alI applicable City Ordinances; the terms and conditions of the permit and all•applicable rules and,regulations.of the City of'� '
• La Quints and;tioipay'for any additional replacement necessary„as.the res It of this work..17
/ •,
. .r ` ,,� ' • ,7., `�•[: •a~t.' �r3 ,. .`�.. .. - , `f V\•r �J/ It�iL�VY 'r” � ,f'
Signature�of Applicant or Agent "k t. '
Nuevo Engineering 79�-811=k�Gountry Club`.B_ermuda+Dune's' 3^45-1778
Name of Applicant (please print) Business'Address`•. ' 'r' "f r� Telephone No.
- .Johnson,�Trucking Aq .Y , 1 , ' .
Name of Contractor arid Job Foreman Business,Address ;-' '` Tele hone No. • ��
on ,f ile ; ;' 1 on f 2:. 'e,
s. '
K' Contractor's.License No: t r '• " City Business L''icense No.'
on
file t �. r r
Applicant's Insurance Company Policy Nu'mber'
FEES: Subdivision. Improvement Permit —'Class III`
r.Public improvements' 310 of estimated construction costs
Private improvements: 3% of estimated construction'costs'; �' •!. ,Y4 o ,- 75 C
,Minor Improvement Permit -,Class IV: See attached schedule G O J
Inspection Fee $ PERMIT .VALIDATION S
10.00 ;
Permit Fee PERMIT NO. 0755
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by
Recorded by
Date
DATE APPROVED -7/-25/90
EXPIRATION DATE Kms- 7/25/90
DATE ISSUED -, /7/.25/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
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NOTE:
With proper validation
this form constitutes an
encroachment permit
1
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP OVERSTZE 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: Juid, 25 , 1990
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION D6. 12 w, legal ~
(under 141,) 80,000 gw MAUL ROUTE: G?ASHINGTON AND FRED
TIARING SOUTH TO 'Ave . 48
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7;/25/90
APPROXIMATE TIME OF COMPLETION 7/25/90
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:
005.182 4 0 6035 07-25-90 14
10 CA.H i TOTAL 1 10.00
Haul date: July 25, 1990
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 797811 Country Club Bermuda Dunes 345-1778
Name of Applicant (please print) Business Address Telephone No.
Johnson 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 Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs .A n
55
Minor Improvement Permit — Class IV: See attached schedule` tJ
Inspection Fee
10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION
PERMIT NO. 0755
DATE APPROVED 7/25/90
EXPIRATION DATE
7/25/90
DATE ISSUED 17/25/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes 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
Subdivision Improvement Permit — Class III
DATE: -Y C) Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
Mtraei address or Description of Locationi
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REKOVAI �
V11 o.) . nn_ 1a110 I ILI) In rvtii, r-r�, I
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
-k-010-A R01VJtU
ash in9-i-o n �
Wired war,ng
o 4S
APPROXIMATE TIME OF COMPLETION -
ESTIMATED CONSTRUCTION COST S
(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 leaist twenty-four (241 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
U Quints and to pay for any additional replacement necessary as the remit of this work.
Signature of Applicant or Agent
Nuevo Engineering;, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778
*ae of Applicant (please print) Business Address Telephone No.
Job rlGo l tC Ki nci
Name of Contractor and Job Foreman
Business Address
Telephone No.
Contractor's License No. 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.
a
Received by Date
Recorded by
N°
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (819) 584-22413