0847NOTE:
With proper validation
this form constitutes an
encroachment permit
- .-- - - r - - - r r - r - r - - wW-I
CITY OF LA QUINTA
APPLICATION -FORPERMIT
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
9/27/90 . Subdivision Improvement Permit —Class, I
DATE: 4 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION move. equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION' 824 C 13 `h, 1319" W Sketch (attach construction plans if appropriate) .
97,000 lbs
DESCRIPTION OF CONSTRUCTION [ HAUL ROUTE c AIRPORT AND
MADISON NORTH T0, Ave.. '54', W to
JEFFERSON NORTH TO Ave.. 48
DIMENSION OF INSTALLATION OR REMOVAL
Haul date: 9/28/90
SIZE OF EXCAVATION, IF NEEDED Pilot car required
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 Apvicant�br Agent
N»Pyn Rn cT i nrmari nrT 79—R1 1 (`niint-ry rl tah 11arntir1a l)imng IAC; -1 77A
Name of Applicant (please print)" 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 f ile
Applicant's Insurance Company.,', Policy Number
FEES: Subdivision Improvement Permit —'Class 1.11
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 w
Received by , Date
Recorded'by
005182 10 7256 09--)7-•90 10
1.0 • CASI•I i TOTAL i i0,00
N2 0847
PERMIT VALIDATION
PERMIT NO. 0.847
DATE APPROVED 9/27/90
EXPIRATION DATE 9/28/90
DATE ISSUED /9/27/90
By•
Administrative Authority
TELEPHONE: (619) 564-2246
. � • ;, ..,., • _ � . %, ` r-'a,n , . .. - EF'°� ?.;.T ., 1$Y. �t','1nIR6'nC�iClr+f*� s.vT ;T -7T x[t-cw i�"6 �. _ , . °'
9F4{,01
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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
DATE: 9/27/90
LOCATION OF CONSTRUCTION move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 824. C 131h, 1319" W
9 i3OUO lbs
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
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:
HAUL ROUTE: AIRPORT AND
MADISON NORTH TO Ave. 54, W to
JEFFERSON NORTH TO Ave. 48
Haul date: 9/28/90
Pilot car required
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
Ntip.xrn 1�nrii_no-p-rina 79—RII Country Club Bermuda Dunes 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
Contractor's License No. City Business License No.
on file
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.
00
$ 10.00
Received by Date
J
005182 10 7256 0p9 -w `7- 90 i0
J.0 CASH 1 T0TAL 1 10.00
PERMIT VALIDATION
PERMIT NO. 0847
DATE APPROVED 9J27J90
EXPIRATION DATE 9/28/90
DATE ISSUED, .19/27/90
By ` ,r
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
(OTE: ,;,
lith proper validation
Ms form constitutes an
ncroachment permit
0
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
Subdivision Improvement Permit — Class 111
DATE: � / ] -(� - J Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
iStreet address or Description of Location)
PURPOSE OF CONSTRUCTION 0 1 nin0�1- Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION_
ani m .aeon
DIMENSK
i 7 1
►TION
11 1 -
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK`WILL BEGIN _ ` I _38-90
A PROXIMATE TIME OFCOMPLETION
P
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.
f 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 end 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 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 fluinte and to pay for any additional replacement necessary as the result of this work.
Signature of A ican or Agent
Nuevo Engineering, Inc. 79-811 Country Club Bermuda Dunes 619-345-1778
ame of Applicant (please print) Business Address. Telephone No.
of Contractor
�land Job Foreman
ractor s License No.
ican s Insurance Company.
Business Address
EES: Subdivision Improvement Permit —Class III
Public improvements: 390 of estimated construction costs
Private. improvements: 3% of estimated construction costs
Minor Improvement Permit = Class IV: See attached schedule
spection Fee $ ;
lermit Fee
natty
sh Deposit -Surety Bond
required
TOTAL: $
eceipt No.
eceived by Date
by
Telephone No.
City Business License No.
n
Policy Number
NO
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE,
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246 ,
'
r NOTE: „ i
it
With proper "validation a `•
this form constitutes an
` CITY OF LA •QUINTA •` �,
encroachment permit '
• APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)E'
CFMOFO�S
ONE TRIP..OVERSIZE ,LOAD PERMIT ,
For. the construction of public or private' curbs, driveways, pavements, sidewalks, parking lots, sewers; water mains r
n
f and otherlike public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
9 / 27 /90 }'•
r • Subdivision Improvement Permit — Class III
+r -
t
DATE: Minor Improvement Permit Class IV
- LOCATION OF CONSTRUCTION' move` equipment's
(Street address or Description of Location) -' 1 - r •'
" 'r
•
"
'9" w 13 ' h 1'-'' -
- PURPOSE OF CONSTRUCTION 324 C.� Sketch (attach construction plans if appropriate).
lbs
s
,
' . 97,000 .
t
DESCRIPTION OF CONSTRUCTION HAUL ROUTE: AIRPORT AND r
,. 4
MADISON NORTH TO Aveh. 54, W to
JEFFERSON NORTH , TO Ave. 4-8
DIMENSION OF INSTALLATION OR REMOVAL
Haul dater 9/28/90
SIZE OF EXCAVATION, IF NEEDED Pilot Car required
1 APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ r -
(Including removal of all obstruction, materials, and debris, backfilling; com-
`r
paction and placing, permanent resurfacin)' and/or replacing improvements)^-
In consideration of the granting of this, permit, the applicant hereby agrees to:
-. .
`
• ,
. ' lndemnify, 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 courtaction and arising out of any accident, loss or damage to persons or property
r
--` 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."- t•
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
r
•
Niipvn Rnqlnpprinj; 79-211 (-nttnt-r�i r111h Rarntirla niinoa ids -177R'
r
r' Name of Applicant (please print)r Business Address ' ' r Telephone'No. ,
=
'
Name of Contractor and Job Foreman Business Address Telephone No.
t
on ,file- on 'file
Contractor's License No. l City Business License No.' -
h
�.. J
• on file',.. .. ,;
k o
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III .:
005182 10'7256 09-27-90' 10 '
Public improvements: 3% of estimated construction costs .10 ' CASH i TOTAL 1 10.00
Private irnprovemente: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule ° N- 08 1""
.
Inspection Feer $ r PERMIT VALIDATION.
o
1:, 00 `
.
Permit Fee
PERMIT NO. 0847[
Penalty;A 9/27/90 ,
DATE APPROVED
Cash Deposit -Surely Bond
rr
if required 1 EXPIRATION DATE '9/28/90
-10.00
TOTAL: $
, sr DATE ISSUED f 9.0
;Receipt No.
Byf
•
Received by—'bate f Administrative Authority
,
'
'Recorded by TELEPHONE: (619) 564.2246 ,