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0833.,••�Vi.r�•F—�rl •�!4w+' I!• i•h • i. — w_r ire Y.1 r r r w rw Yw eM M• Yn :•Y� w M K•�+ C"ir .+ �w w. �. , r NOTE: With proper validation this form constitutes an C / encroachment permit CITY •OF LA QUINTA ' 'APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ONE TRIP OVERSIZE LOAD PERMIT, r 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 September 18, 1990 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) , PURPOSE OF CONSTRUCTION- D. bDozerl. Sketch (attach construction plans if appropriate) 11-10".w, 10' h, 75,00 lbs DESCRIPTION OF CONSTRUCTION ; HAUL ROUTE:' HWY 111 and Washing, to s/b: to Ave.. 48 DIMENSION OF INSTALLATION OR REMOVAL Haul date: 9/18/90' SIZE OF�EXCAVATION,.IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE -TIME OF -COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal:of all obstruction;Finaterials, and debris,' backfilling, com- paction and placing permanent resurfacing, and/or replacing 'improvements) In '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-lois' resulting from claims or court action and arising out of any accident, loss or damageM1to 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, Ordiriances, 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. " '9ignature of Applin t orl'Agent Tliie��tn S.'nni nca•c+ri Tmr' 7Q—R1'1 .rn11n1•rxr . 0111h Rarmlltla n11"P.q . 345-1778 Name of Applicant (please print►,Business Address Telephone No. Name of Contractor and Job•Foreman Business Address Telephone No. .. on file'_ on file Contractorrs. License No". City Business License No.., on' file Applicant's Insurance Company Policy Number i FEES: Subdivision Improvement Permit — Class II l (�Q518 70 8-90 _ 10 Public improvements: 3% of estimated construction costs iU 1 �AH i1AL SO.QO Private improvements: 3% of estimated construction costs -0833 Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 10.00 Penalty Cash Deposit -Surety Bond . if required TOTA L: $ 10,.0 0 Receipt No. Received by Date Recorded by PERMIT VALIDATION • • PERMIT NO. 0833 DATE APPROVED 9/18/90 EXPIRATION DATE 9/18/90 DATE ISSUED 9/18/90 By Administrative Authority TELEPHONE: (619) 564-2246. 1111111110 V w . : r+..� tr i. -G.• r r. .+.a. w, ... r.: w. r r. 0- - r w r r p P rr.r.• artn o. w r•tw w... w +r .r r .. r .� r,� v-r..�••w.r.. �.-t w: rn With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA 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 September 18, 1990 Subdivision Improvement Permit —Class 111 DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION move equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION D 15Dozer Sketch (attach construction plans if appropriate) .11-10"'W, 10'.'h, 75,00 lbs DESCRIPTION OF CONSTRUCTION HAUL ROUTE: HWY 111 and Washir to s/b to Ave. 48 DIMENSION OF INSTALLATION OR REMOVAL `Haul date: 9/18/90 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 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 Appli6t or,Agent' Ah+e+�tn Vnrrincit=rinrr 7A—R11 (701inf,^e, (']yah Riprmuda: Dunes 345-'1778 Name of Applicarit.(please pri Business.Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. on file on file Contractor's License No. City Business License No. on file Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Q ?(j(� %91- 8-94 p Public improvements: 3% of estimated construction costs S:V �A N 1 i tf 0.00 Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule' V�� Inspection Fee $ -Permit Fee 10.00 Penalty Cash beposit-Surety Bond if required TOTAL: $ 10000 Receipt No: Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 0833 DATEAPPROVED 9/18/90 EXPIRATION DATE 9/18/90 DATE ISSUED % 9/16/90 By Administrative Authority TELEPHONE: (619) 564-2246 •. Y. ' � ry a� � F' - • � j ..'� .+ - .. �.4 J ,.fa X , � n'y .. Y - •4• ' .-. :`^_ e.�� aF -,. M •. � '� . yw � F.• `ice' • _ -• �' rr•^x ' ; C � ��. �, NUEVO`ENGINEERING: INC:' y .. 'r4:j Y " 79-811',COUNTRY'CLUB DR., PH.- 619-345-1778 ; ` : _ 90=286 .I 1222, t' 1BERMUDA DUNES. CA '92201 . 19:0_, $ lO. PAY TOrTHE • - M1 ORDER OF �• DOLLARS ': Ir - s ' Y � Y €"- _ ra'- � � _ i • ._ .. � F 1. • '� - �Trust o I • * - Fargo 45900 Frgo SL 4590 Indio, CA 92201 2 n■OOO L88u■ �: L 2 2 20 2883: 0369439!9'80 • F x : ; �Y1 - - THIS'CHECK.IS DELIVERED FOR PAYMENT ON THE ACCOUNTS SHOWN "OVE. . "..... •� Y wi. � . .sem � � � � „ e - ' TOTE: lith proper validation tis form constitutes an ;, CITY OF LA QUINTA ncroachment 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 pp Subdivision Improvement Permit-- Class III )ATE: l C� Minor Improvernent Permit Class IV LOCATION OF CONSTRUCTION 'Street address or Description of Location) )URPOSE OF CONSTRUCTION 00 2L Q J `� M�4 Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION `n (p �D DZ14,a-o 1, 2 DIMENSION OF INSTALLATION OR REMOVAL 1 l ��� N % � � 1JA 5 i, .,yl/� v s/3 .� �1✓ �` .� 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) 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 Ouinte and to pay for any additional replacement necessary as the result of .this work. Sign u4 of Applicant or Agent Nuevo En ineerin ,Inc. 79-811 Country Club Bermuda Dunes '.619-345-1778 ame of Applicant (please print) Business Address Telephone No. of Contractor and Job Foreman actor's License No. _0-�N I cant's Insurance Company Business Address Tele hone No. City Business 'cense No. 0 EES: 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 Policy Number No spection Fee $ PERMIT VALIDATION ermit Fee i PERMIT NO. nalty ash Deposit -Surety Bond DATE APPROVED, required EXPIRATION DATE TOTAL: $ `DATE ISSUED eceipt No. By eceived by Date. Administrative Authority ecorded by TELEPHONE: (619) 564-2246