0807NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION' (ENCROACHMENT)
ONE TRIP OVERSIZE LOAD 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
A Subdivision Improvement Permit — Class II I
DATE: Q—,In—cln Minor Improvement Permit,Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 14OVE EQUIPMENT Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 623 BSCRAPER HAUL,ROUTE:
WASHINGTON & HWY 111 to 52
14'H 10'W 1Y9�138wt E/BTO JEFFERSON S/B TO 54
DIMENSION OF INSTALLATION OR REMOVAL E/BTO MADISON
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 0---51-0n
APPROXIMATE TIME OF COMPLETION 8-31-90
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 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
NUEVO ENGINEERING 79-811 COUNTRY CLUB, BERMUDA DUNES 619-3451778
Name of Applicant (please print) Business Address Telephone No.
PICONI TRUCKING
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE ON FILE
Contractor's License No. City Business License Not. 0o 3
ON FILE Ap
�" t6BTALB~10-90 10.0014
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 N7 0807
o n
Minor Improvement Permit — Class IV: See attached schedule 1
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
10.00
$ 10.00
Received by Date
PERMIT VALIDATION
PERMIT NO. 0807
DATE APPROVED 8-2R-910
EXPIRATION DATE 9-01-90
DATE ISS)E-D.- 8-30—PO
By 1414111.
4"Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
0
wr- —, — — — — w W — — . — — a — — — w
— — -- — —sir — — — — — w — — — — — — r
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION' (ENCROACHMENT)
ONE TRIP OVERSIZE LOAD 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
A Subdivision Improvement Permit — Class II I
DATE: Q—,In—cln Minor Improvement Permit,Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 14OVE EQUIPMENT Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 623 BSCRAPER HAUL,ROUTE:
WASHINGTON & HWY 111 to 52
14'H 10'W 1Y9�138wt E/BTO JEFFERSON S/B TO 54
DIMENSION OF INSTALLATION OR REMOVAL E/BTO MADISON
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 0---51-0n
APPROXIMATE TIME OF COMPLETION 8-31-90
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 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
NUEVO ENGINEERING 79-811 COUNTRY CLUB, BERMUDA DUNES 619-3451778
Name of Applicant (please print) Business Address Telephone No.
PICONI TRUCKING
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE ON FILE
Contractor's License No. City Business License Not. 0o 3
ON FILE Ap
�" t6BTALB~10-90 10.0014
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 N7 0807
o n
Minor Improvement Permit — Class IV: See attached schedule 1
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
10.00
$ 10.00
Received by Date
PERMIT VALIDATION
PERMIT NO. 0807
DATE APPROVED 8-2R-910
EXPIRATION DATE 9-01-90
DATE ISS)E-D.- 8-30—PO
By 1414111.
4"Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
+- — — — — — — — — — — — — — — — r YF Y M • Ms ti RW— — — — — — — .M
NOTE:
With proper, validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OF,,E TRIP OVERSIZE LOAD PER14IT
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
A Subdivision Improvement Permit — Class III
DATE: 8-211—()n Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION L"O`IE LQUI1 112MNT Sketch (attach construction plans if appropriate)
a DESCRIPTION OF CONSTRUCTION
62.E :;CRA ER HAUL,ROUTE:
TIASHINGTON & HWY 111 to 52
14'H 10"3 l Y 9 ; 13IIt�t E/BTO JEFFERSON S/B -TO 541
DIMENSION OF INSTALLATION OR REMOVAL W E/ETO MADISON
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 savethe 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'e°result of this work. _.
Signature of Applicant or i44ent
NUEVO ENGINEERING 79-811 COUNTRY CLUE, SERNUDA DUWZS 619-3451778
Name of Applicant (please print) Business Address Telephone No.
PICONI TRUCKING
Name of Contractor and Job Foreman
Business Address
Telephone No.
ON FILE ON FILE
Contractor's License No. City Business License No.
ON FILE a i,t) 6675 , 20-30--90 0.00 14
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 10.00
Penalty.
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT NO.
PERMIT VALIDATION
0807
DATE APPROVED 8-30-90
EXPIRATION DATE 9-01-90
DATE ISSUED_ 8"30-,90
F�
By,
!Administrative Authority
TELEPHONE: (619) 564-2246
n' z
t..
NOTE:
-With proper validationj ,
this form constitutes an + 1
" encroachment permit CITY OF' LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION`(ENCROACHMENT)
' ONE . TRIP OVERSIZE LOAD' PERMIT ' ' ' OF
For
TfIB�`
r For the construction of, public or.private curbs, driveways, pavements, sidewalks, #parking lots, sewers; water mains `-
t' and other like public works improvements inconnection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS--."-.
r A - Subdivision Improvement Permit — Class III
DATE: R-1f1—cin ', Minor Improvement Permit Class IVs
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT' Sketch (attach construction plans if appropriate) _
DESCRIPTION -OF "CONSTRUCT ION. 623. BSCRAPER - HAUL,ROUTEe
" WASHINGTONr &;.HWX 111"kto s52w
E/BTO JEFFERSON -1tS/B''TO?547"_'-
DIMENSION OF INSTALLATION OR.REMOVAL 14' H 101W 119 ; 138wt ^ E/BTO: MADISON,
` SIZE OF EXCAVATION, IF NEEDED, d A. = fl
APPROXIMATE TIME WHEN WORK -WILL BEGIN 90
APPROXIMATE TIME OF COMPLETION 8-31-9 ' ' 4
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: S , -
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against'any and alb
t penalties, liabilities or loss resulting. from claims or•court action and arising out of any accident, loss or damage to persons. or property _f
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. ,
r Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of•the City of .r
La Ouinta and to pay for any additional -replacement necessary a It -of this wor f' ,
i
S nature of ppll n or Agent
NUEVO ENGINEERING 79-811 UOUNTRY•CLUB, BERMUDA DUNES"619-34517
i .;r
Name of Applicant (please print) Business Address Telephone No..
PIC01NI TRUCKING4•
Name of Contractor. and Job Foreman Business Address • , Telephone No.
ON FILE ON FILE. *•
Contractor's License No. A City Business License pNo. 75 p '
ON FILE n 46 EfF9H PBTA8-�0-90 10':0014 j
.a
Applicant's.Insurance Company. ' i Policy Number r
FEES: Subdivision Improvement Permit — Class I I I !• a
Public improvements: 3% of esti mated.construction costs r t
Private improvements: 3% of estimated construction costs 1 , .
jMinor Improvement Permit — Class IV: See attached schedule N� U 8 07 Y L f
( Inspection Fee $ y PERMIT VALIDATION
0
Permit Fee 10.0
, PERMIT NO., 0807
Penalty DATE APPROVED R— �n—q f1
Cash Deposit -Surety Bond • �
if required EXPIRATION DATE 9-01-90
TOTAL: $ 10.00 8-30-90
I DATE ISS '
Receipt No.
BY o
Received by Date Administrative Authority _
Recorded by • •TELEPHONE: (619) 5642246
4
t..
NOTE:
-With proper validationj ,
this form constitutes an + 1
" encroachment permit CITY OF' LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION`(ENCROACHMENT)
' ONE . TRIP OVERSIZE LOAD' PERMIT ' ' ' OF
For
TfIB�`
r For the construction of, public or.private curbs, driveways, pavements, sidewalks, #parking lots, sewers; water mains `-
t' and other like public works improvements inconnection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS--."-.
r A - Subdivision Improvement Permit — Class III
DATE: R-1f1—cin ', Minor Improvement Permit Class IVs
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT' Sketch (attach construction plans if appropriate) _
DESCRIPTION -OF "CONSTRUCT ION. 623. BSCRAPER - HAUL,ROUTEe
" WASHINGTONr &;.HWX 111"kto s52w
E/BTO JEFFERSON -1tS/B''TO?547"_'-
DIMENSION OF INSTALLATION OR.REMOVAL 14' H 101W 119 ; 138wt ^ E/BTO: MADISON,
` SIZE OF EXCAVATION, IF NEEDED, d A. = fl
APPROXIMATE TIME WHEN WORK -WILL BEGIN 90
APPROXIMATE TIME OF COMPLETION 8-31-9 ' ' 4
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: S , -
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against'any and alb
t penalties, liabilities or loss resulting. from claims or•court action and arising out of any accident, loss or damage to persons. or property _f
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. ,
r Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of•the City of .r
La Ouinta and to pay for any additional -replacement necessary a It -of this wor f' ,
i
S nature of ppll n or Agent
NUEVO ENGINEERING 79-811 UOUNTRY•CLUB, BERMUDA DUNES"619-34517
i .;r
Name of Applicant (please print) Business Address Telephone No..
PIC01NI TRUCKING4•
Name of Contractor. and Job Foreman Business Address • , Telephone No.
ON FILE ON FILE. *•
Contractor's License No. A City Business License pNo. 75 p '
ON FILE n 46 EfF9H PBTA8-�0-90 10':0014 j
.a
Applicant's.Insurance Company. ' i Policy Number r
FEES: Subdivision Improvement Permit — Class I I I !• a
Public improvements: 3% of esti mated.construction costs r t
Private improvements: 3% of estimated construction costs 1 , .
jMinor Improvement Permit — Class IV: See attached schedule N� U 8 07 Y L f
( Inspection Fee $ y PERMIT VALIDATION
0
Permit Fee 10.0
, PERMIT NO., 0807
Penalty DATE APPROVED R— �n—q f1
Cash Deposit -Surety Bond • �
if required EXPIRATION DATE 9-01-90
TOTAL: $ 10.00 8-30-90
I DATE ISS '
Receipt No.
BY o
Received by Date Administrative Authority _
Recorded by • •TELEPHONE: (619) 5642246
4
NOTE:
-With proper validationj ,
this form constitutes an + 1
" encroachment permit CITY OF' LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION`(ENCROACHMENT)
' ONE . TRIP OVERSIZE LOAD' PERMIT ' ' ' OF
For
TfIB�`
r For the construction of, public or.private curbs, driveways, pavements, sidewalks, #parking lots, sewers; water mains `-
t' and other like public works improvements inconnection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS--."-.
r A - Subdivision Improvement Permit — Class III
DATE: R-1f1—cin ', Minor Improvement Permit Class IVs
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT' Sketch (attach construction plans if appropriate) _
DESCRIPTION -OF "CONSTRUCT ION. 623. BSCRAPER - HAUL,ROUTEe
" WASHINGTONr &;.HWX 111"kto s52w
E/BTO JEFFERSON -1tS/B''TO?547"_'-
DIMENSION OF INSTALLATION OR.REMOVAL 14' H 101W 119 ; 138wt ^ E/BTO: MADISON,
` SIZE OF EXCAVATION, IF NEEDED, d A. = fl
APPROXIMATE TIME WHEN WORK -WILL BEGIN 90
APPROXIMATE TIME OF COMPLETION 8-31-9 ' ' 4
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: S , -
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against'any and alb
t penalties, liabilities or loss resulting. from claims or•court action and arising out of any accident, loss or damage to persons. or property _f
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. ,
r Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of•the City of .r
La Ouinta and to pay for any additional -replacement necessary a It -of this wor f' ,
i
S nature of ppll n or Agent
NUEVO ENGINEERING 79-811 UOUNTRY•CLUB, BERMUDA DUNES"619-34517
i .;r
Name of Applicant (please print) Business Address Telephone No..
PIC01NI TRUCKING4•
Name of Contractor. and Job Foreman Business Address • , Telephone No.
ON FILE ON FILE. *•
Contractor's License No. A City Business License pNo. 75 p '
ON FILE n 46 EfF9H PBTA8-�0-90 10':0014 j
.a
Applicant's.Insurance Company. ' i Policy Number r
FEES: Subdivision Improvement Permit — Class I I I !• a
Public improvements: 3% of esti mated.construction costs r t
Private improvements: 3% of estimated construction costs 1 , .
jMinor Improvement Permit — Class IV: See attached schedule N� U 8 07 Y L f
( Inspection Fee $ y PERMIT VALIDATION
0
Permit Fee 10.0
, PERMIT NO., 0807
Penalty DATE APPROVED R— �n—q f1
Cash Deposit -Surety Bond • �
if required EXPIRATION DATE 9-01-90
TOTAL: $ 10.00 8-30-90
I DATE ISS '
Receipt No.
BY o
Received by Date Administrative Authority _
Recorded by • •TELEPHONE: (619) 5642246
4
NOTE:
With proper validation
this form,constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
®u45 Tom,p owes1zrr LoA_o Pe71e,,jL4,T
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
00 I30 ` qO Subdivision Improvement Permit —Class III _-
DATE: I - Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION ova RG, LOA D
(Stredt address or Oescription of Location)
PURPOSE OF CONSTRUCTION ;" 1 OVA �uf RM W7 Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INT L T10N OR REMOVAL
GeV - �q -; )w 0) sl x,13 g
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 31
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and deb0s, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) _
In consideration of the granting of this permit, the applicant hereby agrees to:
.T0 4ve o EQ- aA�3T
To �1=��.R�d f� SOV70
Toi
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 er.; accident, loss or darrw;s to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to thir application.
Notify the Administrative Authority at least twenty-four 124) 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 Ouinte 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.
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
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? US 0`7
PERMIT VALIDATION
PERMIT NO. 28 0 -
DATE APPROVED
EXPIRATION DATE
DATE. ► U
By
ministrative Authority
TELEPHONE: (6191564.2246