0773��, ..4 > ..�Y`.,b yy.i- ti..{.vn • r ;•Y '" ,rs •�.!'>t....�.i n+-K..,'•,,•'"l."-`+" '..'Sri 'r.'� v'�.... T'4:i7"� w.� � w'��" '�-.+W�-'�`^'Y`'w, a,,3�„�.�''1 .,,�;F•`� ��+'�r�''Pe .
t ,
r NOTE: ' I
With proper validation
this form constitutes an CITY OF LA QUINTA .
encroachment permit
APPLICATION FOR PERMIT
..- PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE.TRIP OVERSIZE LAOD 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 I I I'
DATE: 8-08-.90 • Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMEN`Z? Sketch (attach construction plans if appropriate)
DESCRIPTION OF -CONSTRUCTION HAUL ROUTE:
FRED WARINGS$B on washington
to ave 50 e/b tp park ave
ID.jNjw SjOghF1 INSTAL19000lLATION
OR REMOVAL623b scraper
SIZE OF,EXCAVATION, IF NEEDED _
APPROXIMATE TIME WHEN WORK WILL BEGIN. 8-08-90
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of allobstruction, 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 orfthj:s work. t�
l w
Signature of Appli nt or Agent
NtjrF io ymr_TTTTP.PP3:TTTTTTo , ,-,,,-811 count- b,bermuda r1Tinpr, rA
Name of Applicant (please print) J Business Address Telephone No.
PTC`nNT murTrVjMC —� 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
SSE**4ES AIRP14 t2t 157
Contractor's License No. City Business License No.
rAT•— An TNTQ_TTRAnTer 17 CTS009151,
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class I I I
0005E8?ASN 608
^18-90 i0.00 SO
Public improvements: 3% of estimated construction costs '
Private improvements: 3% of estimated construction costs O
Minor Improve773
ment Permit — Class IV: See attached. schedule No
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10.00 0773
' PERMIT NO.
Penalty `
DATE APPROVED
Cash Deposit -Surety Bond 8-08-9t1
if required EXPIRATION DATE 8-09-90
TOTAL: $ 10.00 -08-90
DATE ISSUED
Receipt No. By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
r
.. � a r • ' -�. .^...^ � .ti . - '--�.. Y+i � • •�-n !N • W.. Yom' -✓' �� `w.,�:. �;'� f,r
4
' . �'• .� _ti ' `*�'1.R' Rie 6s i e �. .0L — — — 'tib — — i 4 -14 � bu .w. !y Y M N Y'ia 4 • Y 1M i.wr. YY 1.► w Al+ f� A a►� �w� -r Y �► � M •'K' N "W
• OPP •' '
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR 'PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP OVERSIZE LAOD 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: 8-08-90
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT Sketch (attach construction plans if appropriate)
HAUL ROUTE:
DESCRIPTION OF CONSTRUCTION 11RED WARINGSOB on washington
to ave 50 e/b tp park ave
D,[.,MENS.I.ON�OF INSTALLATION OR REMOVAi623b scraper. a
i2. w .14, h 1Y90001bs
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 8-08-90
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 og t is work.
Signature of Applicant or Agent
Nt1RVO F.N(, TFP.PTNa TMC � r -,x'811 country, b,bermuda dunes CA
Name of Applicant (please print) Business Address Telephone No.
PICONT TRTTCs;TNn 3.45-1778
Name of Contractor and Job Foreman Business Address r Telephone No.
122 157
•S�**i!S dRRR'�tt
Contractor's License No.
City Business License No.
CAT,— An TWRTMANf"V 17 CTS009151
'Applicant's Insurance 'Company Policy Number
FEES: Subdivision Improvement Permit — Class 111 10 � GASi1 5iB2 0 i 3TOTAL iU8 90 i0.00 10
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
Recorded by
PERMIT NO
iQ 0773
1
PERMIT VALIDATION
0773
DATE APPROVED 8-08-90
EXPIRATION DATE
8-09-90
DATE ISS�UED �-08-90
By
Administrative Authority
TELEPHONE: (619) 564-2246
1.2
h
—
NUEVO-ENGINEERING, INC..', •
-ENGINEER
619-345-1778,
r. so-
�19 1222 . -
Y 79-8/1 COUNTRY CLUB DR. PH.
~BERMUDA"DUNES. CA 82201,r(
11.
... e
-
- PAY TO THE., ..
ORDER OF /.
bb
- .
..
.. - DOLLARS
-
y
' - • y �'��
• a •' .+•n.
r, I •F/ • • 'Indio Olflee,
• .. ... /TLf/ 45900 Fergo SL
Indio, CA 9=1
4
; t^f
: 288 31;
369439911'80 .-$
11600017 .211' �: L 2 2 20 ,;0
THIS CHECK 13 DELIVERED FOR PKVMENT
ON THE nCCOUNI3 SHOWN .ROVE.
NOTE:
With proper validation
this form constitutes an
encroachment permit
•
CITY OF LA QUINTA
APPLICATION FOR PERMIT
0
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
l°(
DATE:—__DU -
` LOCATION OF CONSTRUCTION 02
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
F
dfel�reI
SIZE OF EXCAVATION, IF NEEDED
Subdivision Improvement Permit — Class III
i Minor Improvement Permit Class IV
C_
Sketch (attach construction plans i appropriate
Lo
W R 50 :�-12�
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and deb, -is, 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 1241 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 A9ent'
Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778
Naeof Applicant SSplease print) Business Address Telephone No.
70,_Dn'i
A mo -f0 og
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
1
�-ns;_Lra- C -Ts 0 (5 1
IApplicant'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.
Received by Date
Recorded by
N°
PERMIT ,VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
BY
Administrative Authority
TELEPHONE: (619) 564-2246