0842tom' `.•^,:Fi:�'..c�sw'•�'r�U,;ti{ ;,;', -•t -•.+ r,� .i v ]� o}�al_.61, -t: ra e.:lyl'ra:..^vS1"=i6Li��.�w.�Y\'\�• i•eia•.i•b '-d .4•�...i..-.s.'%`�P•!` .'r+::y'z`v,'..r :.tiw�
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'NOTE: _ ',� n ` ti. •,• 1 / .
With'proper validation s •' ,� 2
this form l onstitutes an 1 { +,.
encroachment permit- CITY OF LA.' QUINTA tom'
�• } ,. :APPLICATION FOR,•PERMIT �r s •,'
' PUBLIC- WORKS. CONSTRUCTION •'(ENCROACHMENT) ' •
• 't. _ `-ONE ..TRIP- OVERSIZE LOAA' PERMIT ,C -`
For the construction of public or,' privater curbs; driveways, •pavements; sidewalk s,`parking lots, •sewers,' water 'mains ,
and other like public'%ivorks improvements in connection witFi MINOR,IMPROVEMENTS and APPROVED SUBDIVISIONS; ;
' t.. ' u. '• __ �� f U 'r�'• .l• 'r7 - IY .� r - 1 ite''Lr �. �, - awl' ' s
' , Subdivision Improvement Permit'— Class,lll' `
` September 2S,, i990� +: - ,
DATE: * '- " • '. Minor Improvement Permit Class IV r
move .,eguipment , , a �, ` `► � �
LOCATION OF CONSTRUCTION,,—. " -
(Street address or Description of,Locationy . ; - '. r r .+ r ) f •" !, r
PURPOSE OF,CONSTRUCT.ION I)6D C8t dtaZeT 12 wride Sketch (attach construction
Pans if appropriate) a
'1i! 'orA3, �iAiaht=-_and wr�siaht ' � ,
1 DESCRIPTION OF CONSTRUCTION ° ' + 'HAIUL •ROUM %AAV'E. 4$' ;And. Washington
. ' ' " '... . 1 , + • `d _ k�Y to Cai.le ' TRmp1CO MUMX30•
DIM ENSION'OF'INSTALLATION OR REMOVAL ' .f r: '$ �^ - ``y ••f ±' ' ''
Z, Ha�ull"Date: 9126/90.
•ay' _ - � s r -. -a - �,:.�' r ,ill _• •;. r ' r .v .. . - _aev 1',.• . ..
SIZE OF. EXCAVATION; IF NEEDED • ' ;1"' 4r `� -
:•APPROXIMATE TIME WHEN WORK WILL BEGIN.'
APPROXIMATE'TIME OF+COMPLETION
4
-ESTIMATED CONSTRUCTION COST $. `' '' • ^'i''Y `
(Including,removal'of,all,obstruction, materials, and debris, backfilling; cornj` :� ` w�: 'i. • : '' 't A yt 4" ,
paction`�and placing' ipermanent resurfacing and/or replacing improvements)`
.In consideration of the granting of this per the applicant•hereliy agrees to:' •.' 1 • - ''' ¢ �'d ' ��f ` r
�• t y'.• •r •" ,. a � ? - a•• `• •. y I_ ♦, � S v ' .. .... » L. ` � 4`'4. •• J7• .
`. Indemnify defend andrsave the City, its authorized 'agents;,officers, representatives andemployees; harmless from and against any and all '
` penalties,'liabilities 'or'loss•resulting'from claims or.court�acticn,and arising out of'any-accident, loss or'demage to persons or,property�
happening•or occurring as a•proximate`result;of any work undertaken ,underthe:permit 'grarited pursuant to thirapplication. -�
No the'Administrative Authority at least twenty-four (24) hour in advance' of the time when work•willla started. -.^.t '
1
T # Comply,with'all applicable-City.Ordinances, the terms and conditions,`of tl a permit and all applicable rules and regulations of the City of
y La Quinta and to pay `for any'additional'replacement necessary as the result of this.work.r ` `' .,i -4
41
Sig ria'ture�of Applicant or Agent' -• i� ' ; " ' " °
t. Nuevo Engineerin4 • " 7.9311 Country Club Bermuda Dunes, ,CW jot
a
Name of Applicant (please print) Business Address ^`� ' .' Telephorie No:
Name of Contractor and Job,Foreman" Business Address... ,• " ,Telephone'No. t
;on File s: ' k' • a Y's . " on
Contractor's,L'icense Not�City''Business o.
License N' •y'"
s . A t,
-Applicant's Insurance Company`(` ' �.� •' Policy Number
FEES: 'Subdivision Improvement Permit = Class` I I I
�. qQ54894 `10
k Public improvements: 3% of estimated co'nstr'uction costs ' + '; ,;. •, j 10 .pSH* O7Ah7' MOO
Private improvements: 3% df estimated construction costs' �.. •. ' R'• : . •,'
Minor Improvement Permit— Class IV See attached schedule~•' ��p '• .'.,0842
�i
Inspection Fee'
�. ,,,, j •..x. ,. ' �-.. s , ' :, ; L.. . ,
i $ ^ �'�.. PERMITiVALIDATION
Permit Fee 10: 00 PERMIT NO'
Penalty
'Cash Deposit Surety Bond +'' DATE APPROVED 9,125 '
if required' EXPIRATION DATE 97.26/90 • 1
r -
--TOTAL: $ 1Q' QQ 9/25/90
, .DATE ISSUED /�
Receipt No.
By.
Received by Date • Administrative Authority
Recorded by TELEPHONE: (619) 564-2246'
M
_ tl'1MK-."1`T.f'rw-�M�II� Y M� ti1w �W,P rii �:. M to tP �Y �Y. Y �!IYY Y r r � 4' �W VP W. _ ..Y (� M Y� �+.�� l�+ �p r rw r M i�'Iw•'� w i� w r. w R'1� 1� •
i s�
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
. ONE TRIP OWERSIZE LOAD PEiU?IT
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
September 2S, 1990
LOCATION OF CONSTRUCTION move eguipmwnt
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION D6D Cat. dolor 12 r wide Sketch (attach construction plans if appropriate)
lecral height and weight
DESCRIPTION OF CONSTRUCTION HAUL ROUT: AVE. 48 and Washing
to Calle Tampico Z=ZO
DIMENSION OF INSTALLATION OR REMOVAL
Haul Date: 9/26/90
-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 Ouinta and to pay for any additional replacement necessary as the result of this
work.
Signature of Applicant or Agent
Nuevo Lngineering 79311 Country Club Barvuda Dunes, CA
Name of Applicant (please print) Business Address Telephone No.
Tl��,i�wN4 +r�Yll�lr 1 T/'C
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 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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
i513;i'� 72
1, Y-90p,OL�O
y 1,9411
PERMIT VALIDATION
PERMIT NO. 0842
DATE APPROVED 9/25/90
EXPIRATION DATE 9/26/90
DATE ISSUED 9/25/90
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246