0795aw5 t ` 4 �toq
y�u'kin�at 3"" 2s`fvyl•v
.,.-� _
NOTE:
With.pr.oper validation t t t Ort 2
thisform constitutes ari. `f CITY OF LA QUINTA
encroachment permit
APPLICATION. FOR PERMIT -
PUBLIC WORKS CONSTRUCTION. (ENCROACHMENT) �• '"�� �w4�
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: '9-21-90 Minor Improvement Permit Class IV'
LOCATION OF CONSTRUCTION OVERSIZE. LOAD
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
HAUL ROUTE.
FROM WASHINGTON &'48th TO HWY 111
DIMENSION OF. INSTALLATION OR REMOVAL AND WASHINGTON
12 W. IPGAT, T4F.T(;T' W1+T(;HT .AND T.FNTH
SIZE OF EXCAVATION, IF•NEEDED ,
APPROXIMATE TIME WHEN WORK WILL BEGIN
II -
APPROXIMATE TIME OF COMPLETION
- ESTIMATED CONSTRUCTION COST $
(Including removal.of all obstruction,•rimaterials, 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.
Signature of Applicant or Agent
NUEVO ENGINEERING- 79-811 COUNTRY CLUB BERMUDAS 345-17.78
Name of Applicant (please print) Business Address Telephone No.
ame`of Ccin`tracf"x anPJob Foreman Business Address -
Telephone No.
nr1>Atrrr.� ON FILE.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number'
FEES: Subdivision Improvement Permit — Class I II 2 g
Public„improvements: 3% of estimated construction costs
00.51 AS'H 151 TA0L8,i�i-901o.00.iq
Private improvements: 3% of estimated construction costs ��TT
Minor Improvement Permit — Class IV: See attached schedule ' ' i�in 0795
Inspection.Fee $ PERMIT 'VALIDATION
Permit Fee 1 (t) PERMIT NO. (17AS
Penalty
Cash Deposit Surety Bond DATE APPROVED 8-21-90
if 'required. EXPPI-RA IT ON DATE-,;
` TOTAL: $ 10.00 /
By
ATISS1 Fn
c?�EReceipt No: '
Received by Date `�_ Administrative Authority
Recorded by TELEPHONE: (6.19).564-2246
' 4y+:.w�i.MiMKy►'c•�,ra� h Ms � fF.. w r. ...�s. /,.`. r �.+ « r ra +M wN w W M ti w M� Mr �iY •A H �¢.��!I-.r �r. r « � `.. •�Y rr.. �. �i 4. H.' t:. -�
y
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
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 I I I
DATE: 9-21-90 Minor. Improvement Permit Class IV
LOCATION OF CONSTRUCTION OVERSIZE LOAD
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION HAUL ROUTE
FROM WASHINGTON & 48th TO HWY 111
DIMENSION OF INSTALLATION OR REMOVAL D—f; DOZER AND WASHINGTON
12 � W� tC.A.L HETGT WETr.HT ,AND LFZrTH_
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5--21-90
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—of this work.
Signature of Applicant or Agent
NUEVO EI,'-CINEERING . 79-811 COUNTRY CLUB BERMUDAS 345-1770
Name of Applicant (please print) Business Address Telephone No.
Fs CoatavcCtoa-rraavd
Job Foreman aoBusiness Address Telephone No.
nMW„rT.F
Contractor's License No.
ON FILE
City Business License No.
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
1.0
0705
PERMIT VALIDATION
PERMIT NO. 079.5
DATE APPROVED 8-21-90
EXPIRATION DATE Q-1-1
`° 8— 2 a -moi
DATE -ISSUED'
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
Withroper validation
41s 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
DATE:{� 1 I ���..r �� G Subdivision Improvement Permit — Class III -_
A. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Locationl
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION m
vt vl nu I
DIMENSION OF INSTALLATION OR REMOVAL � �— W a�z95
01 I i a I . , r— /— 41.4 1 /.:.-Moxlt '. t i'1 T—_ 1 )—I r
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 06
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and deb: -is, backfilling, com-
I 1
pactlon and placing permanent resurfacing and/or rep acing Improvements
In consideration of the granting of this permit, the applicant hereby agrees to:
W A�}-I K1 C1 [ O fJ
Indemnify, defend and save the City, its authoriied 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 • 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 Agent ,
Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778
Name of Applicant (please print) Business Address Telephone No.
i �0 4 l _MlkC VIL►JC
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 NO
Minor Improvement Permit — Class IV: See attached schedule lr
Inspection Fee $ II PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564.2246