0820h .: tom-` �"y„"'�^yx�,a.:.� r�tL"�'.u:���ysaeSt.�x1-++-��'�''';" ++ y ,�='*�,^iv""ur«�'`ni.;��t {¢�s.'«sTf:S�+''=i�,"•-t�+i`��y.�1�r•",
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- _NOTE: - .' - .x _, . 4• , • . ` r , • ' •! •
With proper validation _ '�j •"' r� Q'
c
-this form constitutes an • `�.R { 1
,. CITY OF 'L`A, QUINTA ,
encroachment permit x
APPLICATION +FOR: PERMIT .'• k -
` PUBLIC WORKS CONSTRUCTION `(ENCROACHMENT)
OVER -SIZE LOAD PERMIT ,.' "G• ,' `�F IRB ...
A
For the construction. of `ublic or rivate curbs, driveways; avements� sidewalks �arkin lots- sewers' water main '
p P P p 9 ,,, s
' and other, like public vvorks•improvements in'connection with MINOR. IMPROVEMENTS and APPROVED SUBDIVISIONS' -
' � `;, _�.' •,�`'�,f . - � • .fir, • ..'� ,. •� ' `. ` •f�, F•., ,. .. `•' ". -
' � _. . A ' r ' yrs"`.. " r t , r•,y, f .
• ,'�• 3.'~ Subdivision Improvemerit Permit -Class III
DATE: A- 9 6-9f0 -Minor Improvement Permit Class IV T'
LOCATION OF CONSTRUCTION•
(Street address or Description of Cocation) f
PURP,9SE�OF:CONSTRUCTION-, 'MOVE'• equipihent SketcK (attach (instrutlon plans if appropriate)„
t;• DESCRIPTION OF CONSTRUCTION( 623: b, scraper'.-. •� HAML ROUTE:
-y� 7 HWY,-1.1.1 & WASklNGTON-,8/B .TOQ>$*
b - DIMENSION OF INSTALLATION OR REMOVAl14'h'10'k w
f t
• Y ~� SIZE OF EXCAVATION; IF;NEEDED
i+-gAPPROXIMATE TIME WHEN:WORK WILL BEGIN ' 'HAUL'' DAT • r `
r ,IAP.PROXIMATE'TIME.OF COMPLETION • f ;,E �`
?RwESTIMAT•EDCONSTRUCTION .COST,$ ` Y �` «•+ r '' •'' '
' (Including removal'of 611 obstruction, materials, and debris, backfilling, com
paction `and placing permanent resurfacing and/or .replacing'improvements)
In, consideration ofFthe•granting offthis'permit; the applicant hereby agrees to:
' S` .[, "., , L �' y . •' 1 � � y' . ! w , it , , , � � y" k . •• y . 4 . ,, •7 * � ,.. ! '. ' , . , - r .
•,y Indemnify; defend'and save ttie City,'its authorized agents; officers representatives and employees, harmless.from and against any and all
• r penalties, liabilities`or'loss resulting .from claims or court action and arising out,of any accideni,•loss or damage'to persons`ior property
' happening#or occurring as a'prozimate'resulf•of'any 1 ork,undertaken'under the'permit.granted'pursuant to this application. fx; -
• - Notify' 'theAAdministrative Authority at least twenty-four,124) hours in advance of the time when work will, 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 Quintw and to pay, for'any; additional' replacement. necessary as the result of this work: t '
Sig`nature ofiApplicant or'Agen°t
NTIFy6'•Pwr.TNV.1!PTWi'! r •7n -n, i --- , . _�+�yy:rryy r•a , +
•'.rV1A VJI:"V u♦%•:.%tiY l:uttcxat, Qk••re F' ,{
• Name of Applicant (please print) ` ,'; r �+ ;Business1, Addr Vess 1. _ _ .T'elephone No. ,
i Name of Contractor and'Job Foreman +Business Address ; n; ; ' "Telephone No.
ONFILE
' ON'
Contracto_r's'License No. ' 4 '•� ' City Business,License No.: '
r-'014 FTTF' ON FTT.P'
Applicant's Insurance'Company ? - - Policy Number
+ •''•FEES: Subdivision Improvement Permit'— Class III 0 i9 ' p' 6E3 7 p9~ 6 -90' 20
o 8, A�N 1 T TR - i . 10.00
Public improvements:',3Yo ofestirnated_construction costs .! �[
Private, improvements: 3%of estimated construction costs •�
r t.N2 0;8 2 0'.
Minor Improvemen't Permit — Class IV: See attached schedule * •
Inspection Fee $` 1 ' PERMIT- VALIDATION '•
Permit Fee 10.00 0820
PERMIT NO:
Penalty• _ - • •
Cash Deposit -Surety. Bond' DATE APPROVED 9—�-90
• if required
- 'EXPIRATION DATE 9-8•-90 '
TOTAL: $ 10.04 DATE ISSUED + 9-5-90,
Receipt No. �
2
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246 .
a
Or f'
.d
t om. • *a`�{�� -.r. rr .r r r .+..,..+ ....:a ,w. « — — — s — — --- — — « - - ., « r. a:.u. r w .•�.�- .r .. rr w.- rr r r ...... r w'r w r. .:- ,w. r� d
NOTE: 1
With proper validation C>
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OVER SIZE 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
Subdivision Improvement Permit —Class II I
DATE: �- 9-6-90
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION move equipment
DESCRIPTION OF CONSTRUCTION 623 b scraper
DIMENSION OF INSTALLATION OR REMOVAL14 1 h 101 w
11q , 'I 1R
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
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:
HALL ROUTE:
Hi1X 111 & T,9ASHIi'v`'GT0N S/B TOW
HAUL DATE : 9-7-90
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. E
Signature of Applicant or Agent.
NUEVO ENGTft(F`I RTM 70-01 a __� �... _,__,_ w^a
Name of Applicant (please print) V V Business Address ib bUILL:'u" '-4u'"'No.
PXCONT TRT7VXTNa
Name of Contractor and Job Foreman Business Address Telephone No.
ONFILE ON FILE
Contractor's License No. City Business License No.
ON FILL ON FILE
Applicant's Insurance Company Policy Number.
FEES: Subdivision Improvement Permit — Class I I I 1o518��itl"l t.8���'R9 6--90 0.000
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
Recorded by
I 10.00
$ 10.00
Date
lsM1 0020
PERMIT VALIDATION
PERMIT NO. 0820
DATE APPROVED—�-g0
EXPIRATION DATE 9-8-90
DATE IS UEDJ 9—§-90
By�=�.��
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE: R
With proper 4lidation
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
DATE: 1 ( 11 01 t ) . -
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
IStredt address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION�:.t
OIAI(EfVSION Oh�NSTALLliv�11 �N StEI1 REMOVAL ei�
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, c:om-
action and Iscin ermanent resurfaci d/ lacin im rovements)
p p g p ng an or rep g p
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.
L�NYU_L
Signa re of Applicant r Aglnjt
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
It required
TOTAL: $
Receipt No.
Received by
Date
Recorded by
t
Noe-e)g z_0
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPI RATION. DATE
DATE ISSUED
ey
Administrative Authority
TELEPHONE: (819) 584.2248