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0762i�u`1G i'6�i.tr 10e. 14-� cyto 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 ` OFT[�� 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 31, 1990 LOCATION OF CONSTRUCTION Subdivision Improvement Permit— Class III Minor Improvement Permit Class IV move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION Cat 623 B Scraper Sketch (attach construction plans if appropriate) 14tv, 12w, 138 lbs qw DESCRIPTION OF CONSTRUCTION HAUL ROUTE: WASHINGTON AND AVENUE 48 north to MILES AVENUE DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE: July 311, 1990 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 (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. .- Sign�uature of Applicant or Agent, �� I Nuevo Engineering 79-811 Country Club Bermuda Dunes 345-1178- Name 45-1778Name of Applicant (please print) Business Address Telephone No. Piconi Trucking Name of Contractor and -Job Foreman Business Address Telephone No. 438834 157 Contractor's License No. City Business License No. Cal Ag Ins. 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 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No 10.00 $ 10.00 Received by Date i�05i SF10ibT�5TAL7i3i-90i0.00 S.0 Ns 0762 PERMIT VALIDATION PERMIT NO. 0762 7/31/90 DATE APPROVED 7/31/90 EXPIRATION DATE DATE ISSUE,Qz 4 7/31/90 By— Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 .. - . w h.+a Y�-+•-u-r+ . .;i, � � . r �r .+ r. t r+. �_, �. . ;� � tii.1 ^ .. .y, +� - 4. � ". s`i •iii f: r��. .ii.•1�••.�:.yaa.-••,v,�_w..,. rs�rT,,.lr , �; -�' �' �1 )irk - .._ �'�"7R'R'. Ybl'R�1-�r� !� F1 tlY Y's Y .111• i1 �Y ti .M Y ri .w 15! � Y. "�Y �Y` 01� P'.l!� W+ M1► � • W �fii�. Y � w� ,��1r CY Y wl��'i•'M �"w•« tiPr••Jy, "N.•p 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 PEP14IT �0 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 II I DATE: July 31, 1990 + Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION Cat 623 B Scraper 14tq,•12w, 138 lbs gw DESCRIPTION OF CONSTRUCTION h DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) 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: HAUL ROUTE: TIASHINGTON AND AVENUE 48 north to'MILES AVENUE HAUL DATE: July 311, 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 IPbe 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 157 Contractor's License No. City Business License No. Cal Ag,Ins 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 Permit Fee "Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 10.00 $ 10.00 Received by Date Recorded by 8 i(J0511;35H01&T IAL7i3i--90iU.0,D i0 0762 PERMIT VALIDATION PERMIT NO. 0762 DATE APPROVED EXPIRATION DATE 7/31/90 7/31/90 DATE ISSUED- I 7/31/90 By _Ai Administrative Authority TELEPHONE: (619) 564-2246 - 167 NUEVO ENGINEERING, INC.• 797811 COUNTRY CLUB DR. , PH.619-345-1778 'DUNES, t� 90-288 BERMUDA CA 92201 PAY TO THE ORDER OF , _..Flor I . A. -pin 7n OLLARS j` AwlIndioOH)ce • 45800 Fargo St Banh Indio, CA 92207 000 L6 ?n! L'2 2 20 288 3!: 0.3 '80 r j - TNIa CHECK 19 DEU ACCOUNTS SHOWN A80VN - � ' •. '" ., ,,,;. e ' • .NOTE: With proper validation. • - ;this form constitutes an CITY OF 'L'A QUINTA encroachment permit . APPLICATION- FOR PERMIT PUBLIC WORKS .CONSTRUCTION (ENCROACHMENT)' ,For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sowers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS • . - Subdivision Improvement Permit — Class I I I DATE: lyLJ Minor Improvement Permit Class IV �_•, LOCATION OF CONSTRUCTION. k (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach,construction plans if appropriate) + DESCRIPTION OF CONSTRUCTION HC�'. nor DIMENSION OF INSTALLATION OR REMOVAL In12S R-4GDe r SIZE OF EXCAVATION, IF NEEDED ,. APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION '~ED ESTIMATED CONSTRUCTION COST $ • { (Including removal of all obstruction, materials, and debris, ba,—*filling, com- paction and • placing permanent resurfacing and/or replacing improvements) k 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 orIproperty 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 reguletions-of the City of La Quinta and to pay for any, additional replacement necessary as the result of this work. ' " . Name of Applicant (please print) Name of Contractor and Job Foreman „ Contractor's License No. I Goa n�o�nee� Signature -of Applicant or Agent - 7Q_P (1 �y_n�r�t 0_�,b - 3qS�-1-778 Business Address Telephone No. Business Address Telephone No. 1 Irl 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 N 0 Minor Improvement Permit - Class IV: See attached schedule: Inspection Fee $ I PERMIT" VALIDATION i Permit Fee PERMIT NO. Penalty DATE APPROVED Cash Deposit -Surety Bond A if required EXPIRATION DATE TOTAL: $ DATE ISSUED Receipt No. By Received by -Date Administrative Authority Recorded by TELEPHONE: (619) 5642246 ,