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