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0794NOTE: 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 .8.-21:--90 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Q17F'.R-,T7.V T.QAT) (Street address or Description of Location) ' PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION HAUL ROUTE FROM WASHINGTON DIMENSION OF INSTALLATION OR REMOVAL CAT 623. B AVE TO PGA WEST -AT MADISON SCAPER-14-H 12W 119 138 LBS GW CONSTRUCTION ENTRANCE SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 0 -1 --nn' APPROXIMATE TIME OF COMPLETION R-21-90 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 thegranting 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 th` res�f this work. Signature of Applicant or Agent NUEVO ENGINEERING Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job, Foreman Business Address Telephone No. 17 T !�(1RT T Contractor's License No. (ITT V TT,V.. City Business License No.. BN FILE (ITT FTT.F. 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 I AND48t AND • COIF 00051 CASH T8TAOLB~?i-9O i0.00 i0 N2 0794 PERMIT VALIDATION PERMIT NO. 0794 DATE- .APPROVED EXPIR�QION DATE 8-21-90 DATE IS�SUED X21-90 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 J DATE 8-21-90 LOCATION OF CONSTRUCTION r NIP..P.gT7F. T.QAn (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVALCAT 623 B SCAPER 14 Ii 12W 119 138 LBS GW SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION A-21-90 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) In consideration of the granting of this permit, the applicant hereby agrees to: HAUL ROUTE FROM WASHINGTON AND 48t AVE TO PGA WEST AT MADISON AND COr CONSTRUCTION ENTRANCE 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�res` ult o this work. c Signature of Applicant or Agent NUEVO ENGINEERING Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. -nTr,QT.-VT ON FILE Contractor's License No. City Business License No. BN FILE ON FILE Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II 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: 10.00 10.00 Receipt No. Received by Date PERMIT NO fa CASV PoT07d1�8µ i__90 i0,04i�J ?1j2 0794 PERMIT VALIDATION 0794 DATE APPROVED EXPIRATION DATE 8-21-90 21-9 0 DATE�LSSUED��`� By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 Val 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 ALAL u ! T c�- � /6 O Subdivision Improvement Permit —Class III DATE: - `1 _ Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — I�� 12 Q 1 �E L_OA-P (Streit address or Oescription of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL I �— q 6_ P_"GAZ_ 141 V% A i ,4 1 W ; 11(4 , 1-2,9, lbs r�N 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 deb: -is, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Sketch (attach construction plans if appropriate) N:A�t/ , �RQU� r E & v o '�A K VVAI�,(-fl 4-8 AVP--, I S0 I A - TI Gomes r2 v�T1 o� tSnZAT`� 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 end 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 Agent Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778 Name of Applicant (please print) Business Address Telephone No. N me of Contractor and Job Foreman fes% Contractor's License No. Business Address Telephone 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. Received by Date Recorded by N° PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246